A near-duopoly controls 70% of America's dialysis market, earning net profits of 18%
unemployed salesman named Shep Glazer upended the typically somnolent hearings of the House Ways and Means Committee by giving a live demonstration of dialysis before aghast congressmen. The shock seemed to pay off. Mr Glazer’s goal—to ensure that all patients reliant on blood-filtering dialysis machines, because of failing kidneys, would be covered by a then-newfangled programme called Medicare, the government health-insurance scheme for the elderly, regardless of age—soon became law.
Much of this is due simply to rising need. Diabetes and high blood pressure, which have been rising, are precursors of chronic kidney disease. Because Medicare sets prices, costs for dialysis have grown more slowly than for other health-care procedures. The operation of dialysis centres has nonetheless become brisk business . A near-duopoly controls 70% of the market, earning net profits of 18%.
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