Endorsement: No on Prop 23. It would raise costs and not improve kidney patients’ care
LA TimesFor the second time in two years, California voters will be asked to play the role of healthcare regulators and set rules for how dialysis clinics operate in this state. Proposition 23 — like Proposition 8 in 2018 — would raise costs without delivering a meaningful improvement in the quality of care. The measure would require clinics to keep a medical doctor on duty whenever patients are treated; report the number of infections quarterly to state health officials; not discriminate against patients on Medicare or Medicaid and obtain state approval before closing or substantial reducing services. Supporters of Proposition 23 argue that the new mandates are necessary to safeguard patients against profiteering and corner-cutting by the two multibillion-dollar corporations that operate most of the country’s dialysis clinics, DaVita and Fresenius. Opponents argue that clinics would trim their hours and open fewer new locations as a result, which would make it harder for patients to get treated.