The flurry of media coverage that surrounded the closing of the outpatient dialysis clinic at Grady Memorial Hospital in Atlanta brought widespread attention to a problem that is all too familiar to most nephrologists. Faced with a lack of funding and crippled by the task of providing long-term, uncompensated care, the sprawling safety net hospital decided to close the clinic, which had provided dialysis care for more than 50 patients, many of them undocumented immigrants.
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