Quote from nlovell
There is nothing Obama (or any other president) could do, no law he could sign, that would eliminate or even reduce dialysis in the foreseeable future. A "artificial wearable kidney" would be a major development for ESRD patients, for sure, but it's at the very least a decade (and I think I'm being generous) away from being available in mass quantities, for the majority of dialysis patients. And I pray that stem cell research does advance quickly enough to reduce the wait for transplants, but again it's not going to be available en masse any time soon. The bottom line is that hypertension and diabetes are the biggest contributors to kidney failure/dialysis and universal health insurance isn't going to impact that much. Most of the "new starts" i see didn't end up in the hospital because they didn't have access to health insurance. Diet, sedentary lifestyles and smoking are major factors in both diseases and until people (Americans especially) start taking control and improving their quality of life by simply taking better care of themselves, there will always be diabetes, always be hypertension, always be kidney failure...and always be a need for dialysis. No law, artificial kidney or stem cell is going to change that.
Correct, it's not actually a question of whether dialysis will cease to exist in the future.
Remember that for CKD patients, they are presented with 3 options, DIALYSIS, KIDNEY TRANSPLANT, or DEATH.
And as long as diabetes and uncontrolled hypertension and other risk factors are there, CKD will also be there, and therefore dialysis too.
What will only change is the technology of how to deliver renal replacement therapy to these patients.
So going back to the thread starter, if you are looking for a change, yes you can try dialysis. You're knowledge and skills from your experience in ICU will be very useful.