Thread by @ASlavitt

Care of kidney patients has been broken in the US for a long time, plagued with a corporate duopoly & a lower income minority population losing out.

Other countries do it better. Kudos to @CMSGov, @HHSGov & @AdamCMMi for doing something about this. Announcement coming today. 1/

What needs to be done is treat people before they reach end stage renal disease, double or triple kidney transplants, and allow people to take care of their kidneys at home while they sleep instead of in a center hooked up to a machine 2 bus stops away while they can’t work.

Today the majority of Americans with kidney disease die on Sunday night.

The reason why?

Dialysis is traditionally provided on a Monday-Wednesday-Friday schedule. People don’t survive the weekend.

Which is why home dialysis while sleeping is the best standard of care. 3/

People with kidney disease also have many many other problems. By treating them the way we do— waiting for them to get sick— American taxpayers spend over $100 billion on kidney patients.

It’s one of the best examples of how we need to do things differently. 4/

There is one law that makes this new change possible.

The same law that requires people with pre-ex conditions get coverage.

The ACA.

Without it, there is no authority to do this.

Republican lawyers w Trump’s support are arguing in court to strike the entire law down today.