In the mid-1960's
kidney disease was a death sentence for the diabetic and others
who suffered from renal failure. End-stage renal disease was the
eighth leading cause of death prior to the advent of first, National
Medical Care (1968) and subsequently the Medicare End-Stage Renal
Disease Program (1972).
of Access is the story of a trio of nephrologists at the Peter
Bent Brigham Hospital and the Harvard Medical School in Boston,
who created a system of delivering outpatient dialysis care for
thousands of patients in the United States who would otherwise be
left to die. These physicians refused to accept the rationing of
healthcare for their patients and established a corporation (NMC)
that would become the worldıs largest provider of renal services
and would later be acquired by W. R. Grace & Co.
of Access describes the arduous and intriguing journey of Dr.
Hampers and his colleagues in devising a system of low cost, high
quality out-of-hospital dialysis clinics and in confronting challenges
from the media, the medical establishment, Wall Street skeptics
and corporate adversaries to create a model of efficiency.