End-Stage Renal Disease, 1978

Christopher R. Blagg, MD
Arch Intern Med. 1978;138(12):1777. doi:10.1001/archinte.1978.03630370007005.
Text Size: A A A
Published online

On July 1, 1973, Public Law 92-603 inaugurated the first disease-specific federal health care program in the United States by implementing the Medicare End-Stage Renal Disease (ESRD) Program. This legislation was introduced by Congress with the best of intentions, but with insufficient consideration of its implications.1 As a result, the ensuing five years have seen increasing concern over the implementation, cost, and control of the ESRD program. The number of patients treated has increased from 12,000 in 1973 to more than 40,000 in 1978. There has been a doubling of the number of dialysis facilities during the last five years. An elaborate system for planning has been established, involving 32 ESRD network coordinating councils, health systems agencies, and Department of Health, Education, and Welfare (DHEW) regional offices, and there is a similar system for review of quality of care utilizing medical review boards and Professional Standards Review Organizations. Concern


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.