Sustaining kidney failure care under universal health coverage

Sustaining kidney failure care under universal health coverage

Nature Medicine, Published online: 21 January 2026; doi:10.1038/s41591-025-04142-3

Rising demand for dialysis poses a central challenge to universal health coverage systems: not just whether to expand access, but how to sustain equitable, high-quality kidney failure care. In this Comment, I argue that long-term viability depends on system architecture, rather than modality choice alone.

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Sustaining kidney failure care under universal health coverage

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