Author and journalist Tom Mueller, after meeting whistleblowers working in the US dialysis industry seven years ago, decided to investigate further. Tom argues what he found is a cautionary tale not just about dialysis, but about the impact on healthcare of for profit medicine in general.

His book How to Make A Killing: Death, Dollars and the Business of Blood, contains one statistic that I found extraordinary. Although the US has one of the most sophisticated health care systems in the world, around 22% of US dialysis patients die each year, yet in Europe the figure is only 9-12%.

So what could possibly explain this?

How to Make A Killing: Death, Dollars and the Business of Blood by Tom Mueller is published by WW Norton and Company.

Before publiciation, Tom contacted organisations, both private and public, involved in the US dialysis industry about the material contained in his book, most did not respond but DaVita one the two companies responsible for 80% of US dialysis healthcare did.

It said that its company’s principles rendered many of Tom’s assumptions incorrect or downright impossible.

It states that patient welfare is paramount in its facilities: “The first consideration in every decision we make is patient safety….We are committed to providing a comfortable, therapeutic environment for all patients.”

Tom Mueller's work has appeared in The New Yorker, the New York Times Magazine, Atlantic Monthly and elsewhere. Previous books include Crisis of Conscience, a cultural history of whistleblowing and fraud.

The host of the podcast, Liz Tucker is an award winning medical journalist and former BBC producer and director. You can follow Liz on Twitter at https://twitter.com/lizctucker and read her Substack newsletter about the podcast at https://liztucker.substack.com

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