This then begs the question if more “hands on deck” will solve that problem or will it require less patients per nephrologists (assuming higher acuity) with more interactions.

“If nephrologists remain focused on dialysis rounds and defer the implementation of new therapies on primary care physicians and cardiologists, they will find themselves on the outside of the new care models and clinics.”
Exceptionally true, especially for GLP-1s requiring titration over time.

Interesting idea on how to lower costs of healthcare. The idea that physicians (or hospitals) are sub-prime lenders is interesting as physicians will care for patients regardless of the reimbursement. The kicker is insurance won’t pay and the goal posts keep changing and patient/physician suffer.

I really like the last line: “Keep learning, and keep an open mind. The worst enemy of a good researcher is arrogance.”

Props to the author.