8/9/2019 Pt3 Organ Donation
A riveting special two hourbroadcast of Conversations With
Al McFarlane was presented as part of the Sixth
NationalConference on Quality HealthCare for Culturally
DiversePopulations, Tues., September 23,2008, at the Minneapolis
Hotel in Downtown Minneapolis.This is the third in a series
ofreports from that broadcast.
AL MCFARLANE: We areshifting the conversation from thegeneral to
the personal and fromthe global to the specific. Why? Wewant to
encourage our people totalk. Talk about health, choices andoptions.
We think there are manywonderful, great stories, greatsuccesses and
great healing. Webelieve if we begin to infuse ourday-to- day
dinnertimeconversation mother todaughter, father to daughter,
fatherto son, brother to brother withan earnest inquiry about
howyoure doing, talking more deeplythan the cursory courtesies
ofspeech, we will be on the path topersonal and public health.
Dr. Mikel Prieto practicesmedicine at Mayo Clinic inRochester,
MN. He is a surgeonwho specializes at the transplantcenter at Mayo
and actually did thetransplant for my brother WainMcFarlane. Henry
Sullivan is also
a recent kidney transplantrecipient. His sister, who is
thekidney donor who gave him a newlease on life, is also here.
The question is: Why dont wetalk about it? As Ive done
theseshows in the past, people have said,Al, a lot of brothers and
sistershere have had transplants and
nobody knows whats going on.They should talk about it because
ifthey talk about it more of us willunderstand it and become
lessfearful, more knowledgeable, morewilling to donate.
Wain is the beneficiary of akidney by our niece, our
sisterPatricias daughter Yai. She wasone of the many family
memberswho tested and Wain is foreverindebted to Dr. Mikael Prieto,
hisdoctor, who doesnt want to talkabout Wains specific
medicalaffairs, but will help us discuss theprincipal issues.
Wain why dont you talk aboutyour personal story and talk
aboutwhy its important that you and I
have this conversation in a waythats very public so that
thousandsof listeners and readers can benefit.
Breaking the chains, thats what.You gotta break the chains.
MIKAEL PRIETO: Well I feeltotally privileged to have
theopportunity to have the job I have,which is basically doing
kidneytransplants on a lot of people.Today most people dont
realizekidney transplantation is a verycommon procedure. At Mayo,
wedo between four and six a week
and almost always, the vastmajority, about 85% of thetransplants
we do are living donortransplants, which means thatsomebody has to
go throughsurgery for no real benefit tothemselves to help somebody
else.Thats really a unique situation thatwe have in medicine
somebody sacrifices and goesthrough major surgery to
helpsomebody else. There are a lot ofbeautiful stories from
obviouslythe close relatives, the father givingthe kidney to his
son or the brotherto a sister to sometimes even totalstrangers
offering to give a kidneyto somebody that theyve maynever meet.
Those are a lot ofheartwarming stories. It reallyteaches you how
wonderful thehuman race is and how wonderful,how much good you can
just the technology that we havetoday.
AM: Are there public policyissues though Doctor? Is there a
problem with everybody havingaccess, or as many people whoneed
it having access to thewonderful gift of life that surgeonslike you
can provide?MP: Yes, there are. I dontconsider myself an expert.
Immore in the trenches, doing thetransplants, but clearly theres a
lotthat can be done so that what Wainwent through can be applied to
alot of people.
The dialysis units in thiscountry, especially inunderdeveloped
areas, are full of
Omar Benson Miller
The Express &
Miracle at St. Anna
October20 - October26,2008 MNMetroVol.33No.40
can help support
AM: AlFranken is theM i n n e s o t aD e m o c r a t i cParty
(DFL)candidate forUS Senate and
hes in studiotoday to talkabout his
candidacy, about himself, abouthis values, about his vision,
andissues facing the our communityIve asked two friends to join
mein this broadcast conversation.Terry Collins is a former
reporterat the Star Tribune. He coveredMinneapolis City Hall,
and the triumphs and tragedies incommunities of color. He was
areporter in the 2005 Red LakeHigh School school incident andhe
also was part of the awardwinning team for the 2004 projectcalled
Borrowing Trouble, whichfocused on the rise of sub-primeand
predatory lending inMinnesota. In a few days Terrywill be joining
the AssociatedPress in San Francisco.
Nick Mohamed is a fieldorganizer in St. Paul for theObama
presidential campaign.Hes doing hip hop outreach.
The interview in the KFAIstudios included St. Paul CityCouncil
Member, Melvin Carter, aFranken supporter.
AM: Al Franken, state your case.Why should people vote for
calls off Africa trip
U.S. POSTAGE PAID
PERMIT NO. 32468
5FRANKEN TURN TO
Al Franken:Coming of age in the Civil Rights Era
Trail of Terror
tickets can be yours
if you find the
Michelle Obama made two campaign stops in Minnesota last week
Mon., Oct. 13. In St. Paul she spoke to a crowd of nearly 4,000
supporters at Macalester College.Obama spoke to the rapt crowd
about the campaigns focus on the economy, the Iraq war, education
reform and energy policy. Barack gets it, she told supporters. Asof
last week, national polls show Sen. Obama leading Republican Sen.
John McCain by double digits. According to npr.org, in Minnesota,
the Obama-Biden campaignhas a nine-point lead over
By Al McFarlaneand B.P. Ford
The [email protected]
Conversations with Al McFarlane
Exploring organ donation
4HEALTH TURN TO
The Rev. Jerry McAfee, pastor,New Salem Baptist Church,
SpikeMoss, US Rep. Keith Ellison andUS Rep. Danny K. Davis.Members
of the CongressionalBlack Caucus were inMinneapolis last week
Monday aspart of Panic on Wall Street -Crisis on our Street: How
theFinancial Crisis is HurtingWorking Families town hallmeeting.
The event was presented
by the Congressional BlackCaucus Institute. Town
hallparticipants heard from: US Reps.Diane Watson (CA-33), Danny
K.Davis (IL-7), Gwendolyn Moore(WI), Emanuel Cleaver (MO-5)and CBCI
chair, BennieThompson (MS-2). The town hallwas hosted by
Minneapolis Rep.Keith Ellison (MN-5). Full storyin next weeks
From Left: Al McFarlane, Dr. Mikel Prieto, and Wain
Senate candidate says there are fundamental, philosophical
Focus on meltdown at Black
Caucus Town Hall meeting
gets ready to run the
By Al McFarlaneand B.P. Ford
The [email protected] three in a series
8/9/2019 Pt3 Organ Donation
Page 4 October 20 - October 26 Insight News
people that could be transplanted ifthey had access to the best
care. Iwould say minorities are overrepresented in that group of
people people who are languishing ondialysis machines with very
poorquality of life. If they really hadaccess to world-class
medicinethey could be transplanted. Theyall have relatives, friends
andpeople that would help them bydonating. And they could
gettransplanted. But unfortunately,what we know today in medicine
isnot necessarily spread out so thateverybody can benefit from it.
Itdepends where youre born and itdepends on where you live and
onyour financial situation whetheryou can get access to the best
carethere is or not.
AM: Henry, talk about yourexperience and how you came tohave the
transplant and what led in
your life to your situation thatrequired the transplant? What
didyou experience in dialysis?
HENRY SULLIVAN: Well firstof all I just have I have to
introducemy sister, Edith Sullivan. Shes theperson who gave me a
transplant. Ihad kidneys functioning at about7% of normal. At the
point that Ifound out I needed a transplant Iwas a little crazy,
saying I dontcare, I just want to die. Ive had agood life and all
that. I didnt wantto go on dialysis. They talked meinto going onto
it for a short time.I went for about four months and afamily
member, Edith, steppedforward and volunteered to giveme a kidney. I
was really shocked,you know, because I was one ofthese people who
was kind ofscared to go and ask, Hey can yougive me a kidney? She
offered togive me a kidney. I was reallysurprised. I was kind of
hesitantbut I accepted. They assured methat it didnt affect the
person whois giving you the organ. You canoperate perfectly well
kidney.And another thing I just have
to mention this point sometransplants are from living
donors,some are from cadaver donors. Iwas in the hospital with my
friendand her sister was dying from amassive brain problem. They
weregoing to disconnect everything.The transplant people came up
andtalked to the family and asked themif they could harvest organs.
Thatwas something I never wanted: tobe the person to ask that to a
personwhose family member is dying, butthey had a team that went
aroundand they did that and the daughtersaid, No, I think my mother
mayneed her organs wherever shesgoing.
Most people dont realize thatif youre buried under a
normalfuneral, normal burial, you donttake those organs with you
theycome out anyway before youreburied.
AM: Edith, let me join the
Richard Allen Williams recentlyauthored the book Eliminating
Health Disparities in America
published in 2007. He is the
current president of Minority
Health Institute and the founder
of the Association of Black
In medicine - one size doesnot fit all; the patients health,not
the insurance companysfinancial bottom line, isprimary. The best
judge of apatients drug needs is thedoctor. Those have long
beenbasic principles in medicine. Nolonger. Today, cost-driven
drugswitching is endangering those
basic principles. And itsendangering and our health.Health
pressuring doctors to takepatients off a medicine thatworks well
for them and toswitch them to a substitutemedicine, often with
active ingredients, not out ofconcern for the patients
wellbeing, but to save money.
Cost-based drug switching is anethically dubious andpotentially
dangerous trend thatis fast becoming a commonpractice across the
In Massachusetts, newsreports recently revealed thathealth
insurers are givingdoctors incentives, sometimesin cash, to switch
patients froma brand-name cholesterol-lowering medication to
genericbrands. These payments arelegal, but they raise
ethicalquestions if patients are not toldthe reasons behind the
Last year in Michigan, BlueCare Network paid 2,400
doctors $2 million to switchtheir patients at a rate of$100 per
patient from thename brand cholesterol drug toa generic
And just a few months ago,Blue Shield of California
mailedthousands of letters to member
doctors and coupons to patientsurging them to switch fromLipitor
to Zocor. The reason: tolower costs for the insurance
company.Whats the harm? The
practice is hurting patientsafety. Those who insist thatdrug
switching is safe shouldpick up a copy of the BritishJournal of
Cardiology study thatis sounding the emergencyalarm.
In the study, patients whoswitched from Lipitor to ageneric
version were morelikely to suffer strokes, heartattacks, and death,
according tothe study. Researchers reporteda 30% increase in risk
for majorcardiac events or deaths from allcauses among patients
switched from Lipitor to thegeneric simvastatin.Medicines
intended to treat
the same condition havedifferent active ingredients andwork in
different ways.Physicians should always be theones to consider the
factors when they prescribemedicine for a patient, factorsthat
insurance companies do notconsider or even know about
when they encourage switching.But pressure by health care
providers to switch to lesscostly drugs is stubbornlyinterfering
in the physician-patient relationship. Patientsafety and health
iscompromised when insurancecompanies meddle withtreatment
decisions madebetween physicians andpatients.
Cost-driven switchingaffects not just individualpatients but the
entire healthcare system. The short-termsavings that may result
fromswitching to a less expensive
substitute drug will inevitablybe offset by higher costs
inconsultations with physicians,increase in prescriptions,increases
in emergency roomvisits, as well as longer-termhealth
Considering that more than
34 million Americans sufferfrom high cholesterol, andnearly 65
million suffer fromhigh blood pressure, pervasive
insurance company-drivenswitching will have a majorimpact on the
Many minority medicalpractitioners also stronglybelieve that the
growingsubstitution of generic drugsrepresents the rise of
second-class form of medicine,especially for racial and
ethnicgroups, the elderly and others.
Minorities are beingsubjected to a form of socialinequality that
places them onthe systemic bottom shelveswhich are stocked with
cheaper,less effective, or questionably
effective medications. Thepractice is insidious because itcomes
under the benevolentguise of cost-savings for low-income
But, cost-based drugswitching carries even more riskto the poor,
elderly and minority
populations, groups that arealready underserved. Thesepatients
should not be forcedinto substandard health care bythe system
simply because of
their financial situation.Physicians with
stethoscopes, working closelywith their patients, are the
oneswho should be making treatmentdecisions, and not
insurancecompanies with calculators.
Physicians should make treatment decisions, not insurance
ByDr. Richard WilliamsGuest Commentary
Dr. Richard Williams
9HEALTH TURN TO
8/9/2019 Pt3 Organ Donation
Send community events to us by:email, [email protected], byax:
612-588-2031, by phone: 612-
588-1313 or by mail: 1815 BryantAve. N. Minneapolis, MN
55411,Attn: Ben Williams. Free or lowcost events preferred.
Visitwww.insightnews.com/community.asp for more events.
Jordan New Life Hub hosts apolitical candidate forum Oct.20Mon,
Oct. 20, Meal begins 5:30pm, Forum begins 6 pm and endsat 8:30 pm.
Jordan New Life Hub ,1922 25th Ave N. (corner of 26thand Newton Ave
N.)., Mpls.Invited candidates includecandidates from 5th
CongressionalDistrict, District 58B andMinneapolis School
Cold Weather Safety Dos andDonts Oct. 20Mon., Oct. 20, 6 8 pm at
Plymouth Ave. N., Mpls. Acommunity forum with guests:Minneapolis
Fire Department,Xcel Energy (Applicationsavailable for energy
assistance).Hosted by the Minneapolis UrbanLeague and 1 Family,
Customer Service workshop Oct. 21Tues., Oct. 21, 6:00 7:00 p.m.
atRondo Community Library, 461Dale Street, St. Paul. Learn how
togive your business a boost by usingsuperior customer
servicetechniques in this free workshopfrom the
NeighborhoodDevelopment Center. Preregister
with Bonita at 651-379-8430
Choosing a Career or Business Oct. 22Weds., Oct. 22, 6:00 7:30
p.m. atRondo Community Library, 461Dale Street, St. Paul. This
freeworkshop from the NeighborhoodDevelopment Center provides
thetools needed to make wisedecisions on choosing a career
orbusiness that is right for you. Pre-register with Bonita at
Transforming Justice:Community Dialogues onRestorative Practices
Oct. 22Weds, Oct. 22. Doors open at 6:30
pm and panel discussion goes from7:00 until 8:30 pm at St. Joan
ofArc Church, Hospitality Hall(4537 3rd Ave. S.), Mpls.Registration
is FREE but limited.More info or to register:www.amicususa.org or
www.rjca-inc.org, 612-348-8570, 612-746-0782.
Seniors have programs to helpthem remain in their homes Oct.
22Weds., Oct. 22, 10 - 11 am,Brookview Community GolfCenter, 200
Brookview Parkway,Golden Valley. $2 fee per personcollected at the
door by the GoldenValley Seniors to cover the cost ofrefreshments.
To register, go towww.co.hennepin.mn.us/forms/cfasd/DDcontact.htm
or call (612)596-6631. Call 763-512-2340 fordirections to the
Informed and Engaged: CivilRights, Social Justice and the2008
Elections topic of law
school forum - Oct. 22Weds., Oct. 22., 4 to 6 pm atUniversity of
St. Thomas, SchulzeGrand Atrium located at 11thStreet and Harmon
Place indowntown Minneapolis.Participants are asked to
register(free) atwww.stthomas.edu/law/rsvp . Formore information,
call (651) 962-4960.
Styled to Glow Networking andFashion Night Oct. 23Thurs., Oct.
23 at ChateauLaMothe in Burnsville from 6:30 9:00 p.m. Styled to
Glow, a newly-formed company dedicated tohelping women create
personal style, is hosting a night ofNetworking and Fashion
tips. $10.Cash bar. Limited seating. Registerat
West 7th NeighborhoodSpaghetti Dinner Oct. 23Thurs., Oct. 23,
4:30 to 7:30 pm inthe West 7th Community Centergym located at 265
Oneida Street,St. Paul. Tickets are available at thedoor for $8 ($4
for children), with$1 advance ticket discountsavailable through
October 17th.(651) 298-5493, www.west7th.org.
LEAP Landscape Awards andGoing Native Oct. 23Thurs., Oct. 23,
6:30 8:30 pm at
H.B. Fuller, 1200 Willow LakeBoulevard in Vadnais Heights.Light
refreshments will be served.Please RSVP to Shelly at (651)792-7965
Wenso Ashby featuring Zsam Oct. 23Thurs., Oct. 23, 6:30 9:30
pm.The club party Urban JazzAffair, hosted by Babalu, 800Washington
Ave North, Mpls. $5.(651) 428-7118.
Management workshop forrental property owners Oct. 23Thurs.,
Oct. 23, 5 9 pm(Registration at 4:30 pm), at St.Marys Greek
Orthodox Church,3450 Irving Ave. S., Mpls. RSVPby Thursday, Oct. 16
Sanford Middle School Alumni1924 thru 2008 Class Reunion Oct.
24Fri., Oct. 24, 6-9pm at SanfordMiddle School, 3524 42nd Ave
S,Mpls. RSVP: Vicki Jones, (612)668-4914 or
Cubas Contribution to AfricasLiberation: A film and lecture Oct.
25 Sat., Oct. 25, film: 1:30;lecture:7:00; at Blegen Hall 10,
Universityof Minnesota. Info: [email protected] or
4th Annual Teen RelationshipSummit - Oct. 25Sat., Oct. 25, 9 am
to 2 pm at
Camphor Memorial UnitedMethodist Church, 585 FullerAve., St.
Paul. Info: Call JulietMitchell at (651)
Minneapolis Urban LeagueGuilds Arts and Crafts Fair Oct. 25Event
is Sat., October 25 from 10am 5 pm at the MinneapolisUrban League,
2100 PlymouthAvenue N., Mpls. For moreinformation, or to reserve a
table:Contact Lucretia, (612) 730-1904,[email protected]
Lex-Ham Music Festival Oct.25
Sat., Oct. 25, 1 to 5:30 pm at theJimmy Lee Rec Center,
MarshallAve. and Lexington Parkway, in St.Paul. Free. Info:
Photography reflecting Hmongculture on display at theHennepin
Gallery Now thruOct. 29Journey through the Lenses: Arepresentation
of the past, presentand future will be featured in theMonday
through Friday, 7:30 am
to 6 pm, at the Hennepin CountyGovernment Center, A Level, 300S.
Sixth St., Mpls.www.hennepin.us.
Ragamala Music and DanceTheater presents: Halloweendinner,
Indian-style Oct. 30Thurs., Oct. 30, at Als Breakfast,413 14th
Avenue SE, Dinkytown .Come anytime between 5:30 and8:30pm. Minimum
donation: $12 aplate. www.ragamala.net
Halloween at Midtown GlobalMarket Oct. 31Fri., Oct. 31, 5 p.m.-8
p.m. atMGM, Lake St. and 10th Ave., S.Mpls. Trick-or-treating,
dinner specials, live entertainment.
Celebrate Fall at the Oak ParkCenter Oct. 31Fri., Oct 31, come
anytimebetween 5 - 7 pm at 1701 Oak ParkAvenue N. Mpls. All youth
must beaccompanied by an adult. Pleasecall Nancy at (612)
Beauty That Speaks Ongoing(Aug. Oct.)A series of exhibitions
andpresentations addressing the basic
needs in communities that makefor wholeness and justice for
all,from August through October,2008. For more information,
Saturday puppet shows for kidsOctober thru NovemberShow times
(donations accepted):10 am and Noon. Make-n-Takeworkshops ($4 per
person): 11 am.In the Heart of the Beast Puppet &Mask Theatre,
1500 East Lake St.,Mpls. (612) 721-2535,www.hobt.org.
http://insightnews.com Insight News October 20 - October 26 Page
Students from the Minneapolis Urban League High School teamed-up
with members of the Election Day Community Coalition todistribute
non-partisan voter education materials in North Minneapolis Tues.,
October 7, 2008 from 10:00 am until 12:00 noon. Thestudents
canvassed over six blocks North, East, South and West of the MUL,
2100 Plymouth Avenue. The students worked with the
Election Day Community Coalition registering voters. They set a
goal of registering 1,000 new voters before the
pre-registrationdeadline of October 14. For more information on the
Election Day Community Coalition, contact Cheryl Morgan Spencer at
theMinneapolis Urban League (612) 302-3100.
community and your brother inthanking you for stepping
forward.What was in your mind and whydid you make the decision to
be adonor to save your brothers life?Its a no brainer question, but
Imasking it anyway.
EDITH: Well Al, I thought aboutit for just a minute when I
foundout about it. There was no chance
that I could walk around with twokidneys and allow my brother
todie for want of one, so I thought Idshare.
AM: And so how do we get ourpeople to think more and to knowmore
and to be more positive andproactive? What do you think?Are you
talking about this in yourfamily?
E: Yes, Im talking about it in thefamily. My former sister in
law,Virginia and I, were talking about itand she said, Thats
something Iwould never, ever, do. I could notallow them to cut on
me to takeanything out of me. I came with it
and Im going with it. So thatssomething that we believe in
theBlack community for a lot of us, alot of people in the
Blackcommunity. That needs to be
NORMA: My name is Norma andfirst of all I would like to
thankeveryone for their comments today.One of the questions you had
ishow do we raise awareness andthere was a comment earlier
aboutassets. I am a nine year survivor ofcancer. I had a stem-cell
transplantten years ago. The University ofMinnesota is celebrating
the 40thanniversary of the first bone
marrow transplant and all of us inthis room are assets. All of
uslistening have the power and theability to change the
situation.When I was diagnosed, as I wasbeing tested for the final
test togive the definitive diagnosis, Iasked my doctor if he was
testingme for cancer, and he said no. Andtwo hours later I received
mydiagnosis. My reason for sayingthat is that we absolutely have
toraise awareness we have todiscuss this, as you mentioned,around
the dinner table and we, asassets, have the ability to changethe
discussion in this country about
health care and the disparity thatgoes on every single day and
theinability of patients to receivetreatment that should be
availablefor every single person in theUnited States.
WM: Al, I was saying the samesorts of things when I was
ondialysis at Hennepin County. Mydoctor Dr. Kafee and her team
tookcare of me and kept me alive to getme to dialysis. I was sick
for yearsand I had no idea why I was tiredand getting bigger. I was
like,whats going on? So when I had
a hip replacement and the doctorcame and said, Well Wain,
youneed a new kidney, I said, Awman!
So that whole process startedand then I went on dialysis
forabout a year and four months as wewent through our family.
Mybrother Raymond tried. Mybrother Juju tried, different onestried
and they had different thingspreventing them from beingdonors, so
that we went to the nextlevel. My sister Patricias daughterYai,
donated one of her kidneysand what I was trying to say is thatthe
Doctor will tell you I came outof the operation the happiestcamper
youve ever seen. I played
guitar the whole time I was there. Iwas up in like six hours I
think,running around the hallways. Itwas amazing. My niece who
gaveme the kidneyit was harder forher.
But now today its like it didnthappen. I am trying to break
thechains of the stigma of why wethink youre going to go with
yourorgans to the ground or to ashes.
Im a donor on my driverslicense and I always look forpeople,
hope that people will dothat as well.
But lets stop it earlier. Howcan I tell my daughter to tell
herdaughter to tell her daughter aboutthe right things we should
eating this much exercise weshould be doing I believe thatsome
of this could be caught threegenerations before. We can stopwhat
has historically happened.Thats what I would like to do
If we teach ways to rethink, re-diet, re-exercise, we could stop
thechain of poor health decisions andunhealthy lifestyles. Im
saying, Ithink my dad was a big guy, I atelike my dad. My mom is
bigwoman. I ate like my mom. Mydaughter eats like me. Herdaughter
eats like her. Herdaughter doesnt have to do that.The point is
youve got to break the
chain of historicity. Some thingsare hereditary and some things
youlearn. But we could certainly helpprevent and slow the process
downwith education and reeducation ofwhat weve always been
taughtand have been afraid of. So thatsmy story and Im sticking to
AM: Thats a great question. Ivegot a confession to make, youknow
I just got my new license acouple of days ago and Iremembered them
asking me, Do
you want to be a donor if you die?And I said, No. But Im
thinkingdifferently right now.WM: I was in California ondialysis. I
went to dialysis onWilshire Boulevard. Its verykickin, right by
where all the starsare. But a block behind where allthe famous
things are is the dialysisunit. So like you walk over JohnWayne(s
star) or somebody andthen you go to dialysis. I went inthere and it
was all Asian, allKorean, specifically and threeMexicans and four
Black people.So Im saying, Well where are allthe white people in
dialysis?Then I went to dialysis down inRed Wing and that was, I
only Black person there and threeNative Americans. And I went
todialysis in New York once and thatwas kind of still heavy on
theBlack side, but it was really weirdto go around the country and
go ondialysis! Just I mean the only wayyou know is if you do
AM: The dialysis tour.
WM: I can actually speak becauseI was there; its not out of a
book. Iwas there. Its interesting. WestCoast, East Coast, Middle
Coast.But theres still not balance.AM: Doctor, put this in
DR. PRIETO: Yes, well there isundoubtedly there is
adisproportionate amount of AfricanAmericans on dialysis. Its
about40% which is a lot more than thepopulation of African
Americans.And there are multiple factors.One of them is that there
is higherincidents of kidney disease inAfrican Americans and thats
trueand it has some genetic factors andother things but its true
too that a
lot of times when whites or affluentpeople in general, they get
theCadillac treatment which is to get akidney transplant from a
relativeeven before you ever need dialysis.Thats I would say the
idealtreatment and in most cases can bedone. The more you go
tounderdeveloped regions or themore you go toward minoritysettings
that is less and lesscommon and thats what need to bechanged. It
needs to be changed atthe level of the health care facility.
We need to elevate the level ofeducation and the level of
expertisein all the hospitals that serve thoseunderdeveloped areas
to bringthem up so that everyone can getwhat we all agree today
that is theideal treatment for any stage ofrenal disease which is
getting atransplant before you ever see adialysis unit.
Henry Sullivan (Left) with sister Ester Sullivan who donated a
kidney to him.