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Absolute Power Dynamics in the Kidney Community and Patient Exploitation

Updated: Feb 19


Within the complicated web of the healthcare system, a silent but powerful hierarchy exists in the kidney community—one where the vulnerable patients relying on life-saving treatments often find themselves at the mercy attempting to navigate various forces. This realm, where the fragility of life intersects with the dynamics of power, unveils a disturbing reality: the potential for exploitation of those dependent on the system for survival.


At the core of this community lie patients grappling with conditions, reliant on dialysis, transplants, or continuous care to prolong their lives. The stakes are high, and the need for these treatments is often non-negotiable. However, the structure governing access to these life-saving interventions creates a lopsided power equation.


Pharmaceutical companies, healthcare providers, insurance conglomerates, and regulatory bodies wield considerable influence, shaping the landscape in which these patients navigate. The price of dialysis, medications, or transplantation surgeries is often exorbitant, leaving patients and their families ensnared in financial strain. The dependency on these treatments transforms into an involuntary submission to the economic whims of these entities.


Moreover, the scarcity of viable organs for transplantation fuels a black market and ethical debates, further complicating the already dire situation. Patients on transplant waiting lists are at the mercy of chance, navigating an opaque system where decisions can seem arbitrary.


Within healthcare institutions, the power dynamics persist. Medical professionals hold significant authority over patients’ lives, making critical decisions about their treatment paths often decision making via profound clinical assumptions. While most healthcare providers operate ethically and diligently, instances of malpractice, neglect, preference, or prioritization based on financial considerations rather than patient welfare are more common than one would like to admit.


The vulnerability of patients in the kidney community is accentuated by their reliance on these systems. Fear of losing access to treatment or being at the mercy of a malfunctioning system fosters a culture of silence. Speaking out against injustices or advocating for change becomes an uphill battle, risking the very lifeline they depend on.


However, change is not impossible. Grassroots movements, patient advocacy groups, and legislative efforts aim to rebalance these power dynamics. Increased transparency in healthcare pricing, stringent regulations to curb exploitation, and initiatives to expand organ donation are steps toward a more equitable system.


“Any high performing institution, business, activist group, etc. has to have mechanisms and culture that support the depths of truth telling” -Jeff Bazos

Empowering patients with knowledge, resources, and a platform to voice their concerns is paramount. Patient education about their rights, treatment options, and avenues for recourse can tilt the balance of power in their favor.


Additionally, fostering a culture within healthcare that prioritizes patient-centric care over profit margins is essential. Recognizing the inherent dignity and worth of every individual seeking treatment, irrespective of their financial status or how they may “trigger” the provider is the cornerstone of a just health”care” system.


The kidney community stands as a stark reminder of the consequences of unchecked power dynamics within healthcare. As society progresses, the imperative to safeguard the most vulnerable among us becomes increasingly crucial, while moving past bread and circuses. The time is now to speed up our systems psychology so we can take action in a multitude of arenas in our community. Remember there is a profound difference between complex and complicated, the latter is where we are primarily at. We need outlier and even heterdox voices within the community to show us what we are not seeing. And this is a major problem.






Reimagining a healthcare landscape where power is wielded responsibly by those fully transparent and equipped authentically to wield that power. While prioritizing the well-being of patients over profit, not just an aspiration but a moral imperative. Yes, remember morality?


In the heart of the kidney community’s struggle lies a call to action—a collective responsibility to rectify the imbalance of power, ensuring that those relying on the system for survival are not exploited but empowered to lead dignified lives.

Are we ready to unveil the truth for change that doesn’t continue in endless loops as patients continue to die on our collective broken systems watch?



It's time for an evolutionary shift which requires us all involved to "wake up" and face the ways we settle, comply, and willfully stay ignorant. From provider to patient, or the powerful to the victim and systems that support those dynamics, we're entering a new paradigm whether we like it or not.


Our healthcare system must mature. I'd like to end this by saying, not all people or not all institutions are particpicating in these dynamics, but I cannot honestly say that. No matter what we are doing, we must pull ourselves up, follow our higher order angels, and continue to commit to doing better.


We are evermore distracted and disconnected from the core of our very being.

Going inward is no longer a luxury for anyone. Lives are depending on it.

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