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In this issue of the Archives (p 1787), Whalen and Freeman report on seven years of experience with a home dialysis training program at the Veterans Administration Hospital and University of Iowa Hospitals and Clinics in Iowa City. As the authors point out, the medical literature contains a number of earlier reports that testify to the feasibility of home dialysis for a substantial fraction of all patients requiring long-term maintenance dialysis as well as better survival and greater rehabilitation for this patient population compared with the center dialysis patients. It has been pointed out by some critics that this is not a fair comparison since the home dialysis population may represent a more favorable group as regards medical status as well as social and psychological adjustment. In any case the current report on home dialysis is not in itself unique when considered in the context of the European experience as
Weinstein AB. Medicare Program for End-Stage Renal Disease. Arch Intern Med. 1978;138(12):1776. doi:10.1001/archinte.1978.03630370006004