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. - . . D»26 The Arizona Republic Phoenix, Friday, Jane 21, CDVJIONS Kidney dialysis and treatment will be covered by Medicare starting Sunday Washington Post Service WASHINGTON *. thirteen years ago a Seattle machinist darned Clyde Shields became the first person to be kept alive by an artificial kidney that replaced his own. It kept him alive 11 years before he died of a heart attack in 1971. ; Since 15,000 Americans liave received long term treatment on artificial kidneys. The only barrier to. others getting the same treatments have been the costs, as high as $50,000 a year. ; An estimated 2,000 Americans have died each year because they could not afford Artificial kidney treatments, called kidney dialysis. • Seven years ago, 200 Americans out of the 10,000 who needed them received artificial kndney treatments. The rest were left to die. Hospitals formed life - and - death committees to decide who should get an artificial kidney. All that should end now. Starting Sunday the federal government will begin paying under Medicare for artificial kidney treatments and kidney transplants for any American who needs them. .-While the program will involve only about 10,000 pa-, tients and $125 million in its first year, it is expected to grow. Within fivei years ft should be covering 40,000 persons at c&sts whose estimates range from $500 million to $1 billion. The problem of setting up a government • financed kidney program mirrors the problems of setting up any national health insurance scheme. Health planners, Congressmen and doctors promise to give the kidney program close scrutiny for clues as to how well the government will be able to manage a national health insurance plan. "It will set a precedent," said one aide on the House Ways and Means Committee, which will write any health insurance legislation., "It will show whether the government can really administer a health insurance plan." Officials In the Department of Health, Education and Welfare (HEW) ,and its Social Security Administration (SSA) are struggling to come up with a set of regulations be* fore the program starts. According to HEW sources, interim regulations may be released next week. But the official guidelines - which will tackle such knotty problems as whether doctors deserve payment each time a patient goes on an artificial kidney; whether most patients can treat themselves at home or need to go to centers, and whether profit-making centers should be regulated — will be delayed as much as six months or a year. The artificial kidney is a machine that filters waste, products from the blood. The patient is hooked up to the machine for six to eight hours .two to three times a week through a plastic shunt implanted in a blood vessel. The blood runs through coiled filters in a bath that removes impurities. One reason for the delay, officials said, is the paucity of hard data on the best system for artificial kidney treatments and their costs. Cost estimates, for example, Vary from a low of $6,000 to a high of $50,000 — depending on who does them and whether they are done at home, at a center or in a hospital. Dr. Belding Scribner, Seat- Interest boosted in Canada living : - ATLANTA, Ga, (AP) - Applications to migrate to Canada have increased sharply since nine new immigration offices were opened in the United States, a Canadian official says. Duncan Taylor, a representative of the Canadian Department of Manpower and Immigration based here, said: "At first, we thought it might just be the new offices, but there's been no slacking off." The Dumb Shoe. FOR MEN We also have this shoe with shoe laces. Xf^VjV:-"it:; /'»*!«•*« •,»*••«•», AjJ" ' 1« -»*!!!! t*Jk £**_•* . « A A A .^A^^^l Please add 1.00 for mail orders The holes in this buttery slip-on are, luckily, on top. To let air in. The nearly hole-proof sole is crepe. To keep wet out. That's dumb? BEIGE ONLY ONLY 14" Hush Puppies^ M, Jk UtilllllNllX'S *rJ I Rert's £^F 913-0152 WEST PLAZA CENTER 35th Ave. and West Bethany Home Rd. TURBINE VENTILATOR With Air Conditioning I Installation IY |a •Electric Heating and Coolinj System for your Whole HOUK ORK AIR CONDITIONING INC tie kidney specialist who first gave, Clyde, ; ShieldS dialysis,, has been lobbying for empha* sis, 1 on home dialysis treat-- ments. •';•• ; He .'said home dialysis not only costs less but is better for the patient. the Bethesda and Arlington dialysis- centers are part of a chain of 19 run by National Medical Care Inc. (NMCI), a BoStoniCdmpany. According' to its annual report, 'National Medical Care made a 25 per cent profit on its dialysis centers during a ***** *********** NEW & USED PORTABLE TYPEWRITERS > OLYMf l» SMITH-COHONA Etc., ADDING MACHINES • OP* BUSINESS APU MACHINES HUE. Indian ifchwl * S55-20BO *********** six. month period that ended last June 30. National Medical dare _has bee"n"'uhder' attack. because of potential conflict of interest stemming from the dual role of doctors who own the com* pany and also treat the patients. Siegel and Dr. Edward Hager of Boston, chairman of the board of director of National Medical and onfe of its founders, said that doctors who run the centers do not pick the patients, they are referred by other physicians. the Washington-area ceft* ters are affiliated with Georgetown University, which cleared them of any conflict of interest charges. the centers have reduced prices three times since opening three years ago — from $225 then to $165 now ~ and Siegel expects another pric* reduction this summer. . You'll travel much cooler all year if you bring this ad to ut now. We'll give you a 10% discount on any of our custom fabricated car screens of Shadow Screen. 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