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The NPR article on home dialysis should be placed in the context of a desire to offer patients treatment modality choices that suit their individual goals and needs while maximizing positive outcomes. The additional funding of a training payment for home dialysis is a good thing, but should not come at the expense of the most comprehensive and widely-used modality, namely in-center hemodialysis. Appropriate reimbursement for each option will give patients choices that are not only sustainable, but reliably available.” – Dr. Franklin Maddux, Chief Medical Officer, Fresenius Medical Care North America