In Reply: We apologize for the error regarding Mr Herrick’s age and health status and a correction accompanies this letter. Of course, whether a specific individual did or did not experience complications from a procedure is not useful for evaluating that procedure’s safety; this is why large clinical studies are needed.
Drs Ross and Thistlethwaite state that 18% of living donors do not have health insurance at the time of donation. Nearly all developed countries outside the United States provide universal insurance coverage for such follow-up, so this statistic does not reflect a general failure to attend to the needs of kidney donors. Instead, it is evidence of the need for health care reform in the United States.
Gill JS, Tonelli M. Outcomes After Kidney Donation—Reply. JAMA. 2014;312(1):95-96. doi:10.1001/jama.2014.6117