How each President Handled Individuals having End-Stage Renal Disease

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End-stage renal disease (ESRD) is the last among the phases of chronic kidney disease, and individuals who have this need lifelong support via dialysis or through a kidney transplant (American Kidney Fund, 2017). Not all patients can afford this treatment, especially in the United States, where it costs approximately $90,000 per year (UCSF, n.d.). In supporting them, the initiative must come from the U.S. government. The former administrations have proposed and approved acts and regulations for the patients to achieve a longer life span.
President Richard Nixon’s administration proposed and authorized the Social Security Amendments of 1972 to include individuals below sixty-five years old in the Medicare health program. The basis became the disease of the individual instead of the age. To be qualified, the applicants must have worked in an institution with Social System coverage for a specific quarter, or they must be eligible for a pension based on the Railroad Retirement Act. Qualified individuals were granted dialysis coverage three times a week and kidney transplant procedures if they are legible. They were approved for availing Medicare Parts A and B. The former covers dialysis in inpatient care or skilled nursing facilities, while the latter pertains to the Supplementary Medical Insurance. The problem is that the coverage for those less than sixty-five years terminates twelve months after the treatment. Nevertheless, all insurance holders supported kidney-related comorbidities, including cardiovascular diseases and diabetes mellitus (Kirchhoff, 2018).
Next, during the Bush Administration, the president vetoed H.R. 6331 or the Medicare Improvements for Patients and Providers Act of 2008. However, after several conferences, the House and the Senate eventually overrode his decision. It benefited the dialysis patients because it launched an ESRD complete bundle system from January 1, 2011, which provided more incentives for the patients. Namely, it helped to ensure high-quality care delivery and reduction and monitoring of program costs (McCurdy & Hurley, 2008).
To further imp...