Barriers to innovation for people who are on dialysis is a hot issue. While Medicare is a great source of comfort and provides access to necessary treatments, it does face challenges with its existing payment structure that hinder access to new, innovative treatments. Dr. Jeffrey Silberzweig, a nephrologist, and Lori discuss recent breakthroughs and delve into the advantages and disadvantages of the current payment system, while also exploring potential solutions. This show promises to ignite a lively discussion on the impact of payment practices on innovation in kidney care.