Impact of HR-1 on the Therapy of End-Stage Uremia

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Abstract
ON July 1, 1973, Section 299-I of the Social Security Amendments of 1972, termed HR-1, will provide for the payment of maintenance hemodialysis and kidney transplantation for over 90 per cent of the population. Assuming that in 50 new patients per million population treatable irreversible uremia will develop each year (an estimate that excludes other potentially treatable patients with renal failure and multiple system diseases, such as diabetes mellitus), HR-1 will subsidize therapy for at least 50,000 patients within a decade. Supervising the distribution of at least two hundred million and, conceivably, 1/2 billion health-care dollars annually for one specific . . .

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