SAN FRANCISCO – California voters will again weigh in on the quality of care dialysis clinics provide to about 80,000 people in the state with kidney failure.Proposition 23 would require a doctor or highly trained nurse at each of the state’s 600 dialysis clinics whenever patients are being treated to improve patient care.
It was placed on the ballot by unions that represent health care workers. Opponents, financed by dialysis clinic companies, say that under that mandate, between two and three doctors would be required at every facility because most are open at least 16 hours a day, creating a financial burden that could lead some clinics to close. “There are a tremendous number of complications that can occur during and around dialysis,.