Jim

Yes, I was trying to say that unless dialysis and transplant are funded by the same entity, there is little incentive for the transplant funder to participate- why should they care that each transplant will save the dialysis funder $x0,000 annually.

For this thinking to prevail, the patient has to be considered as a sack of corn with no feelings, preferences or opinion of its own. ;-) That last sentence is the one that concerns me; increasingly healthcare and health professions are a business rather than a vocation, with profits channelled to and determined by management organisations rather than physicians and hospitals. People complain about doctors' fees but even the greediest doctor is as nothing compared to an army of middle managers whose bonus depends on their ability to squeeze a little more $ away from actual provision of care. ;-)

Regards

JR