Kidney donation, illegal immigration, finances

This story has it all, illness, compassion, bureaucracy, money, an illegal immigrant down on his luck and legal ones who have thrived... From Brother to Brother, a Kidney, and a Life

"Angel, the father of two American-born children, is an illegal immigrant. And a maze of conflicting health care and immigration policies meant that while the government would pay for a lifetime of dialysis, costing $75,000 yearly, it would not pay for a $100,000 transplant that would make dialysis unnecessary.*
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"Angel’s quest for a transplant was chronicled in a Dec. 21 article in The New York Times about a paradox in health care rules. In New York, Medicaid, the federal-state health insurance program for the poor, covers the cost of dialysis, considering it an emergency measure, regardless of whether the patient is a legal resident of the United States. But while a transplant is far cheaper in the long run, that procedure is covered by Medicare, which does not extend to illegal immigrants.Mount Sinai, one of the world’s leading transplant centers, had originally set the price for the operation at $200,000 in advance, to cover any possible postoperative complications; it lowered that to $150,000, given the youth and health of the brothers, but barred further reductions as a slippery slope to unaffordable demands for uncompensated care.
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"Mount Sinai, one of the world’s leading transplant centers, had originally set the price for the operation at $200,000 in advance, to cover any possible postoperative complications; it lowered that to $150,000, given the youth and health of the brothers, but barred further reductions as a slippery slope to unaffordable demands for uncompensated care. ... "

“It has nothing to do with legal or illegal,” said Dr. Kim-Schluger, whose mother escaped North Korea as a child and brought the family to the United States via South Korea, British Guyana and Jamaica. She went to Catholic school in New York, married a descendant of Eastern European Jewish immigrants and converted to Judaism. She said Angel was on her mind as she prepared Passover Seder.

“Yes, there are hundreds and hundreds of people like this,” she said. “But this is the one who knocked on our door.”
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*see previous post: We pay for dialysis but not for transplants...