kidney foundation travel insurance

Travel insurance for kidney patients

Travel insurance is important for anyone travelling, but getting a quote for travel insurance can be challenging if you live with kidney disease

Don’t put off buying insurance until the last minute. Arrange it as soon as you have booked your travel so that you are covered in case you need to cancel.

Insurance companies may charge more for travel insurance if you have kidney disease, so it's a good idea to shop around and get quotes from a variety of insurance providers.

Companies will normally require details of any medical conditions, and giving as much information as you can helps to find cover that meets your needs.

It is very important you check what is and what isn't covered by your insurance.

Do I need travel insurance if I have a Global Health Insurance Card (GHIC)?

Yes, you need to buy travel insurance. The free European Health Insurance Card (EHIC) or Global Health Insurance Card (GHIC) is not a replacement for comprehensive travel insurance.

You will need to arrange both an EHIC/GHIC and medical travel insurance before you travel.

The EHIC/GHIC will allow you to access medically necessary state-provided healthcare when you're visiting an EU country or Switzerland.

Find out more about using an EHIC/GHIC card and travelling in Europe on the NHS website and read the Kidney Care UK guide to arranging a trip abroad if you are living with kidney disease.

Finding medical travel insurance when you are living with kidney disease

Some companies exclude claims relating to pre-existing medical conditions, and some may cover them at an additional cost. Travel insurance quotes may be high because they are calculated on the likelihood of you needing to make a claim.

Search for medical travel insurance to find a company that provides tailored cover for travellers with pre-existing medical conditions. To choose the best policy for you, compare prices and coverage from a few different companies.

By law, we cannot recommend any insurer or financial services provider, but these are some of the options you may want to consider when you are choosing the travel insurance policy that best suits your needs.

UK medical travel insurance: find the right policy for you

At Kidney Care UK we work with a few firms who will make a donation to the charity for every policy sold, at no additional cost to you. But please note that we are not endorsing them as exclusive providers of cover.

• Medical Travel Compared (medical travel insurance comparison site)
• Goodtogoinsurance.com (travel insurance with cover for medical conditions and no age limit) or call 0330 024 9906. Please quote Kidney Care UK if you complete a quote over the phone.
• Just Travel Cover (medical travel insurance comparison site) or call 0800 542 7167. Please quote Kidney Care UK if you complete a quote over the phone.

Travel insurance companies used by other kidney patients

People with kidney disease have used these companies and have had positive experiences, which they have shared with us in our online community group on Facebook .

Please note that Kidney Care UK cannot recommend or endorse any of these insurers and we do not make an independent assessment of their services. If have any feedback about your experience with these companies, please let us know by emailing [email protected]

• All Clear - 0800 848 8608
• Insure and Go - 0330 400 1383
• Cover Cloud - 0345 812 0033
• Insurance With - 020 3829 3875
• OK to Travel - 01223 446 920
• Free Spirit - 02392 419 070
• Saga - 0800 015 0757
• JD Travel Insurance - 0344 247 4749
• Puffin - 0333 772 0346
• Asda - 0800 138 2373
• Get Going - 0203 8296 613
• Esure - 0345 600 3949
• World First - 0345 90 80 161
• Medisafe - 01279 621 640
• Post Office - 0330 123 3690

BIBA's Travel Medical Directory

The British Insurance Brokers' Association offers BIBA’s Travel Medical Directory , which lists approved specialist providers and is free to use.

When you contact different insurance companies to enquire about cover, start your conversation by outlining the details of your condition to make sure you don't find out you wouldn't be eligible until you've spent time sharing your details. For example:

• "I am a dialysis patient. Do you offer medical travel insurance for dialysis patients?"
• "I am a transplant recipient. Do you cover transplant recipients under your medical travel insurance policy?"

Remember to take your insurance documents with you in case you do need to make a claim when you are away.

Last updated 6 December 2023

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Travel considerations

Medications and vaccinations

Depending on where you are travelling to and your unique circumstances, you may need to consider additional medications or vaccinations for your trip.

Learn about your travel destination in advance. Some areas have a greater risk for certain viruses and diseases. Check with your family doctor or a member of your health care team to make sure you are able to have these vaccinations.  

Travel insurance

It is advisable to seek out travel insurance and consider how you might access medical services away from home, in case they are required. Obtaining travel insurance when you have CKD can be challenging, but it is possible.

The information here is general in nature and does not cover all circumstances. Speak to a member of your health care team as well as a travel professional to assist you with your individual travel needs.

When purchasing travel insurance:

• Read and understand all the exclusions and limitations of your insurance policy. For example, some policies will not provide coverage if you have changed medications.
• If you are using travel insurance provided by your credit card, make sure you understand all the exclusions, limitations, and clauses for pre-existing conditions so that you know what is covered.
• Look for insurance that covers the person (assessed at the time you apply for coverage) rather than the trip (assessed at the time you make the claim).
• Check the policy for the number of days of travel coverage. Ensure you are covered for all days of your trip.

Medication Tips

• Keep your medication in their original containers with labels.
• Carry a list of your medications with you.
• Carry your medications with you in your carry-on bag.
• Make sure you pack enough medications for the length of the trip and extra in case there are travel delays. For short trips, double the normal amount of medication you would take. For long trips, pack enough medication to last at least two weeks or longer than the length of your trip.
• If you are carrying liquid medication or syringes, carry a letter from your doctor stating you need to travel with your medications. This will help avoid delays or issues at security checkpoints.
• If travelling to a location where diarrhea is a common concern among travellers, be sure to discuss safe treatments with your doctor or pharmacist. Take a supply of the recommended medications with you. For more information, refer to our sick day medications resource.
• Wear medical identification that lets people know that you have diabetes, to help ensure you receive appropriate care.
• Diabetes medication
• Insulin and supplies/cold pack
• High and low blood sugar treatments (e.g. glucagon kit)
• Blood sugar meter, batteries, test strips, lancet

Accessing health care away from home

• In Canada, the health coverage agreement among the provinces and territories allows you to receive health care anywhere in Canada at no additional cost to you.
• If travelling outside of Canada, you may require medical care due to a medical emergency, such as an injury or illness. This may come at an additional cost to you if you do not have adequate travel health insurance.
• If you get sick when you are travelling abroad visit:  Medical Emergencies Abroad .

Government of Canada Resources:

• General Travel Insurance Information  Why you need travel insurance and what to consider when purchasing travel insurance. Includes an informational video.
• Well on Your Way – A Canadians Guide to Healthy Travel Abroad  A printable booklet with comprehensive information about travelling abroad, including medication and vaccination considerations, and what to do if you need medical help abroad.
• “Say Yes to Travel Insurance”  A printable leaflet with information on why travel insurance is important, how much you might need, and pre-existing conditions.
• Travel Health Kit Helpful tips on packing a travel health kit.
• Medical Emergencies Abroad  General considerations when experiencing a medical emergency abroad, including a helpful link to find the nearest Canadian government office and how they can help you if you have a medical emergency.

Other Resources:

• Travel Insurance Tips  A resource from the Kidney Foundation of Canada with tips on purchasing insurance and special considerations for people with CKD.

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Life with Kidney Disease

Traveling outside of the u.s. on dialysis.

By DaVita® Social Worker Rob Ross, LSW

Traveling outside of the United States may be a daunting proposition when you start to think about scheduling your dialysis treatments and not being close to your home or by your familiar dialysis center. But there is no need to give up your dreams of vacationing or your plans of working abroad just yet. It can be done. Maintaining quality of life is an important aspect of living with a medical condition, and if traveling abroad is an important goal, you can make it a reality.

Give yourself time to plan

First, give yourself plenty of time to make travel arrangements. At least 10 weeks' lead time is recommended. A language barrier or other unforeseen issue may slow down your plans to get dialysis while you’re abroad.

Your first destination: the Internet

The more you learn about your destination, the more confident you will feel about your trip. In addition to providing general travelers’ information, the Internet can help answer the big question that needs to be asked before buying a ticket such as, do they have reliable treatment centers there?

Another resource is Dialysis and Transplant magazine, which maintains a list of dialysis centers in the United States and abroad. It is referred to as “The List” and is often sent to dialysis centers. Ask your social worker  for copies of this publication or similar ones that may be helpful in your search.

Social workers can help

Now that you’ve identified a country to visit and a center to go to for treatment, what’s next?  For people who dialyze with DaVita, our Guest Services group can assist with paperwork. Call 1-800-244-0680 and provide contact information for the overseas center you plan to visit. They will contact the dialysis center and fax your necessary paperwork, including:

• Name, address, phone number
• Recent physical exam, lab and dialysis treatment reports
• Type of dialysis access
• Special medical needs
• List of medicines you take
• Where you’ll stay during your trip

Provide DaVita Guest Services with the name of more than one clinic if possible in case your preferred clinic is unable to accommodate you, because they are unable to recommend or locate clinics overseas.

If there is not a language barrier, you can call the facility abroad and request a spot for your treatments. You can then work with your facility to coordinate the transfer of records. If you’re on peritoneal dialysis (PD) , you can also ask for help concerning the transfer of your supplies. Although this process is different due to the supplies involved, you can still travel overseas. Discuss any travel logistics with your PD nurse and the supplier.

Paying for dialysis while vacationing abroad

When you vacation and have dialysis in another country, you have to consider that your health insurance may not cover your treatment costs. As a rule of thumb, Medicare covers only regular treatments within the U.S. and its territories.

There are some instances in which private insurance may cover foreign travel medical expenses. If you have private insurance, call your insurer directly and inquire about any foreign travel benefits. If it turns out that you’ll have to pay for treatments yourself, ask the center where you will be how much they charge. If you are a citizen of the country you will be visiting, ask if you can receive any sort of benefit or subsidy.

Patients on peritoneal dialysis (PD) can often have their PD supplies delivered to major cities in many parts of the world. This is something that DaVita Guest Services should be able to help you with. You can call them at 1-800-244-0680.

Diet while traveling overseas

One of the joys of travel is the opportunity to try new and exotic foods. For dialysis patients, this can pose a problem since it may be difficult to know how much salt , phosphorus or potassium some new foods may have.

It may be worth doing some homework regarding the various foods that you are likely to encounter while traveling abroad, and then discussing them with your renal dietitian before leaving. This way you know in advance which foods are safe to eat.

Additional tips for traveling abroad

The National Kidney Foundation (NKF) recommends that you also keep in mind the following regarding foreign travel:

• Carry on essential medical information, your medicines and other medical supplies in case of the unexpected, such as lost luggage. In most cases, you will not be allowed to carry on peritoneal dialysis solutions. However, you will want to bring a few bags of solution in your luggage in case there is a delay in delivery of dialysis solution to your destination.
• Bring enough of your medications to last for your entire trip, as well as extra to help during possible emergencies. Also carry written prescriptions, just in case you need more.
• If you need assistance boarding a plane or train, inform personnel when you check in so they can give you special instructions.
• If you plan to travel by plane or train, make arrangements for special meals such as low-salt, low-fat or diabetes-specific when you make your reservations.
• If stairs or walking distances are a problem, request a first-floor room or handicapped-accessible room when making a hotel reservation.
• If you use a travel agent, tell the agent about any special needs you may have. The agent can also advise you about special considerations regarding safe transport of dialysis supplies.

Traveling abroad made easy

Traveling outside of the U.S. when you’re on dialysis is possible. By researching your destination and relying on help from your DaVita social worker and Guest Services team, preparing for overseas dialysis treatment won't be the primary focus of your time away. Bon voyage!

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National Kidney Registry Expands Donor Shield Travel and Lodging Reimbursement to $3,000 Max

The National Kidney Registry (NKR) announced today the expansion of its Donor Shield program, increasing the maximum allowable travel and lodging reimbursement from $2,000 to $3,000 per donor. The reimbursement covers travel and lodging expenses related to kidney donation for the donor and a caregiver. Any donor who donates on or after July 6, 2021, is eligible for the increased travel and lodging reimbursement under the Donor Shield program.

“The NKR’s pioneering Donor Shield program was the first in the country to reimburse wages lost by living kidney donors due to the process of living kidney donation. The announced increase in the amount of travel and lodging reimbursement that will be provided by the Donor Shield is a welcome additional step toward reducing financial disincentives to living kidney donation,” said Didier Mandelbrot, Medical Director of Kidney and Pancreas Transplantation at University of Wisconsin, Madison and the author of research, linked here , on wage, travel, and lodging reimbursement.

Donor Shield protects and supports approximately 25% of all living kidney donors in the United States. Donor Shield eliminates disincentives to living donation and includes lost wage reimbursement; travel & lodging reimbursement; donation life insurance; donation disability insurance; legal support; financial coverage for medical costs due to uncovered complications; travel, lodging and wage reimbursement for uncovered complications; and fair access to life insurance.

About Donor Shield

Donor Shield ( www.donor-shield.org ) is the only comprehensive program in the world supporting and protecting living kidney donors. Donor Shield is backed by the National Kidney Registry, which is the largest paired exchange program in the world. All donors that participate in a National Kidney Registry swap or donate at a Donor Shield Direct Center are automatically enrolled in the Donor Shield program.

Travel Loans

Assistance to make travel a reality for individuals requiring hemodialysis , ontario application process .

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• Section 3 - Travelers with Disabilities
• Section 3 - Highly Allergic Travelers

Travelers with Chronic Illnesses

Cdc yellow book 2024.

Author(s): Noreen Hynes

Although traveling abroad can be relaxing and rewarding, the physical demands of travel can be stressful, particularly for travelers with underlying chronic illnesses. With adequate preparation, however, these travelers can have safe and enjoyable trips. For more detailed information on assisting immunocompromised travelers , travelers with disabilities , highly allergic travelers , and travelers with substance use disorders prepare for international travel, see the respective chapters in this section.

Patients should see their established health care providers well in advance of travel to ensure that all chronic conditions are controlled, and management is optimized. Clinicians should encourage patients to seek pretravel consultation prior to paying for nonrefundable trips, and at least 4–6 weeks before departure to ensure adequate time to respond to immunizations, try new medications before travel, or redefine the itinerary based upon pretravel consultation recommendations.

General Approach

Advising travelers.

Adequate preparation for patients with chronic illnesses for international travel requires the active participation of both the traveler and the travel health provider. Box 3-03 includes a checklist of pretravel activities for travelers with chronic illnesses.

Box 3-03 A checklist for travelers with chronic illnesses preparing for international travel

☐ Carry copies of all prescriptions.

☐ Check with the foreign embassy or consulate for your destination country in the United States to clarify whether any medication restrictions exist. Some countries do not allow visitors to bring certain medications into the country, especially narcotics and psychotropic medications.

☐ Favor travel to destinations that have access to quality care for your condition (see Sec. 6, Ch. 2, Obtaining Health Care Abroad )

☐ Obtain an established provider letter. The letter should be on office letterhead stationery and outline existing medical conditions, medications prescribed (including generic names), and any equipment required to manage the condition. By law, some states do not permit a travel health specialist to furnish such a letter if the specialist is not also the primary care provider or established provider of record.

☐ Pack a travel health kit (see Sec. 2, Ch. 10, Travel Health Kits ). Take health kits on board as carry-on luggage, and bring all necessary medications and medical supplies (e.g., pouching for ostomies) in their original containers.

☐ Select a medical assistance company that allows you to store your medical history so it can be accessed worldwide.

☐ Sign up for the Smart Traveler Enrollment Program , a free service of the US Department of State to US citizens and permanent residents, to receive destination-specific travel and security updates. This service also allows the Department of State to contact international travelers during emergencies.

☐ Stay hydrated, wear loose-fitting clothing, and walk and stretch at regular intervals during long-distance travel (see Sec. 8, Ch. 3, Deep Vein Thrombosis & Pulmonary Embolism ).

☐ Wear a medical alert bracelet or carry medical information on your person. Various brands of jewelry or tags, even electronic ones, are available.

Health Care Provider Roles & Responsibilities

Health care providers play a critical role in helping patients with chronic underlying conditions travel safely. Ask patients about previous health-related issues encountered during travel (e.g., complications during air travel). In addition to sharing the advice found in  Box 3-03 , ensure the traveler has sufficient medication (and proper storage conditions) for the entire trip, plus extra in case of unexpected delays. Because medications should be taken based on elapsed time and not time of day, offering travelers guidance on scheduling when to take medications during and after crossing time zones might be needed. Educate travelers on possible drug interactions (see Sec. 2, Ch. 4, Interactions Between Travel Vaccines & Drugs ). Some medications used to treat chronic medical illnesses (e.g., warfarin) can interact with prescribed self-treatment for travelers’ diarrhea or malaria chemoprophylaxis. Discuss all medications patients use, including medications taken daily, those taken on an as-needed basis, and dietary supplements or herbal products. In addition, discuss supplemental insurance options for travelers, including policies that cover trip cancellation in the event of illness, supplemental medical insurance, and medical evacuation insurance. Supplemental medical insurance can reimburse travelers for money paid for health care abroad; most medical insurance policies do not cover the cost of health care received in other countries. Medical evacuation insurance covers moving the person from the place of illness or injury to a place where they can receive definitive care. Travelers might need assistance to identify supplemental insurance plans that will cover costs for preexisting conditions (see Sec. 6, Ch. 1, Travel Insurance, Travel Health Insurance & Medical Evacuation Insurance ).

Help patients devise a Personal Travel Health Plan. This plan should give instructions for managing minor problems or exacerbations of underlying illnesses and should include information about medical facilities available in the destination country (see Sec. 6, Ch. 2, Obtaining Health Care Abroad ).

Specific Chronic Medical Conditions

Chronic illness or acute illness affecting underlying chronic disease might affect the recommendations clinicians make to a traveler after completing the risk assessment conducted as part of the pretravel consultation (see Sec. 2, Ch. 1, The Pretravel Consultation ). Some online resources for travelers who have ≥1 chronic medical conditions can be found in Table 3-05 (in Sec. 3, Ch. 2, Travelers with Disabilities ) and Table 3-07 .

Chronic conditions include those affecting the cardiovascular, endocrine, gastrointestinal, genitourinary, hematological, hepatic, neurologic, and respiratory systems. Table 3-08 addresses issues and recommendations related to specific chronic medical illnesses and should be used in conjunction with the other recommendations given throughout this book.

Travelers also might want to investigate international health care accreditation agencies to identify health care facilities at the travel destination that have received recognition or accreditation for high care standards and good patient safety records. If travelers or their health care providers have concerns about fitness for air travel or the need to obtain a medical certificate before travel, the medical unit affiliated with the specific airline is a valuable source for information.

Travelers who require service animals, including emotional support animals, should check with the airline and the destination country to ensure both the air carrier and the country will allow the animal; documentation and permits might also be required (see Sec. 7, Ch. 6, Traveling with Pets & Service Animals ). Travelers planning to use supplemental oxygen on the aircraft or needing other equipment (e.g., a wheelchair) must inform the airline far in advance of planned travel. The Transportation Security Administration (TSA) Cares Helpline (toll-free at 855-787-2227) or TSA Cares online assistance also can provide information on how to prepare for the airport security screening process for a particular disability or medical condition.

Table 3-07 Online resources for travelers with chronic illnesses: disease & condition-specific

DISEASE / CONDITION

ORGANIZATION / SOURCE

ANTICOAGULATION

Anticoagulation Forum

Centers of Excellence Resource Center

American Cancer Society

Eat Right and Stay Active while Traveling

CELIAC DISEASE

National Celiac Association

Eating GF when traveling abroad

CHRONIC PAIN

International Pain Foundation

Top Tips for Traveling Abroad with Chronic Pain

American Diabetes Association

Air Travel and Diabetes

Epilepsy Foundation

Travel and Holidays

Epilepsy Society (UK)

Travel and holidays for people with epilepsy

HEART CONDITIONS

American Heart Association

Healthy Travel

INFLAMMATORY BOWEL DISEASE

Crohn’s & Colitis Foundation

Traveling with IBD

KIDNEY DISEASE

American Association of Kidney Patients (AAKP)

International Travel while on Dialysis

National Kidney Foundation

Foreign Travel Tips for Dialysis Patients

Global Dialysis (UK)

Travel Advice

LUNGS & CHEST

American Lung Association

Traveling with Oxygen

MULTIPLE SCLEROSIS

Multiple Sclerosis Foundation

Tips for Traveling Abroad with MS

SLEEP APNEA

American Sleep Association

Travel: CPAP Machines

American Sleep Apnea Association

US Travel Tips for CPAP Users

Table 3-08 Special considerations for travelers with chronic illnesses

Abbreviations: AAKP, American Association of Kidney Patients; AICD, automatic implantable cardioverter defibrillator; CABG, coronary artery bypass graft; CHF, congestive heart failure; CKD, chronic kidney disease; CNS, central nervous system; COPD, chronic obstructive pulmonary disease; COVID-19, coronavirus disease; CrCl, creatinine clearance; CVA, cerebrovascular accident; DVT, deep vein thrombosis; ECG, electrocardiogram; FSBG, fingerstick blood glucose; GI, gastrointestinal; Hgb, hemoglobin; HIV, human immunodeficiency virus; IGRA, interferon-γ release assay; INR, international normalized ratio; PNS, peripheral nervous system; PPIs, proton-pump inhibitors; PTX, pneumothorax; TD, travelers’ diarrhea; TIA, transient ischemic attack; TNF, tumor necrosis factor; TST, tuberculin skin test; YF, yellow fever.

a There is a spectrum of airline travel–related risk that depends on the cardiovascular disorder, the defined risk group within the disorder, and the time since the acute event (if applicable). Evidence basis for recommendations is suboptimal, however.

b See Sec. 5, Part 3, Ch. 16, Malaria , for additional details.

The following authors contributed to the previous version of this chapter: Deborah Nicolls Barbeau, Gail A. Rosselot, Sue Ann McDevitt

Bibliography

Aisporna C, Erickson-Hurt C. End-of-life travel: A bucket list desire for patients with life limiting illnesses. J Hospice Pall Nursing. 2019;21(5):397–403.

Furuto Y, Kawamura M, Namikawa A, Takahashi H, Shibuya Y. Health risk of travel for chronic kidney disease patients. J Res Med Sci. 2020;25:22.

Heng S, Hughes B, Hibbert M, Khasraw M, Lwin Z. Traveling with cancer: A guide for oncologists in the modern world. J Glob Oncol. 2019;5:1–10.

International Air Transport Association. Medical manual, 12th edition; July 2020. Available from: www.iata.org/en/publications/medical-manual .

Josephs LK, Coker RK, Thomas M; British Thoracic Society Air Travel Working Group. Managing patients with stable respiratory disease planning air travel: a primary care summary of the British Thoracic Society recommendations. Prim Care Respir J. 2013;22(2):234–8.

McCarthy AE, Burchard GD. The travelers with pre-existing disease. In: Keystone JS, Kozarsky PE, Connor BA, Nothdurft HD, Mendelson M, Leder K, editors. Travel medicine, 4th edition. Philadelphia: Saunders Elsevier; 2018. pp. 263–6.

Pinsker JE, Becker E, Mahnke CB, Ching M, Larson NS, Roy D. Extensive clinical experience: a simple guide to basal insulin adjustments for long-distance travel. J Diabetes Metab Disord. 2013;12(1):59.

Ringwald J, Strobel J, Eckstein R. Travel and oral anticoagulation. J Travel Med. 2009;16(4):276–83.

Smith D, Toff W, Joy M, Dowdall N, Johnston R, Clark L, et al. Fitness to fly for passengers with cardiovascular disease. Heart. 2010;96(Suppl_2):ii1–16.

US Department of Justice. Exemption from import or export requirements for personal medical use. Title 21 CFR §1301.26. 2004 Sep 14. Available from: www.deadiversion.usdoj.gov/fed_regs/rules/2004/fr0914.htm .

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Guest Essay

Let People Sell Their Kidneys. It Will Save Lives.

By Dylan Walsh

Mr. Walsh is a freelance journalist who focuses on science and the criminal justice system.

I owe the past 25 years of my life to my father, who dozed under general anesthesia as a surgeon cut eight inches from stomach to spine, removed one of his kidneys, placed it on ice and sent it to a nearby operating room, where it was fitted into my abdomen. My brother had a kidney transplant the same week, six days before I did. His new kidney came from a man we never knew who had died in a car accident in the mountains.

We were teenagers, afflicted with a congenital kidney disease. But we were lucky.

There are 100,000 people in the United States waiting for a kidney. More than half a million are on dialysis, which from my experience I know to be more of a means of survival than a form of living. About 4,000 people die each year while waiting for a kidney. Another 4,000 become too sick to undergo surgery — a gentler way of saying that they, too, die. The National Kidney Foundation estimates that without more investment in preventing diabetes and other ailments, more than one million people will be suffering from kidney failure by 2030, up from over 800,000 now .

These numbers illuminate a story of largely preventable suffering. Hundreds of millions of healthy people walk the streets quietly carrying two kidneys. They need only one. The head-scratcher is how to get kidneys from the people who have one to spare into the people who need one. Getting them from genetically modified pigs , as was recently found possible, won’t be a widespread solution for a very long time.

There’s a simpler and long overdue answer: Pay people for their kidneys.

Creating a market for kidneys is not a new concept, but it’s historically been met with disgust: Sell what? To be fair, some of the ways to structure such a market would be irresponsible, coercive and deserving of that disgust.

But others are more thoughtful and prudent. One approach is to make the federal government the sole purchaser of kidneys. Donor and recipient would never meet. Compensation would be fixed, haggling impossible. After the kidney is acquired, the transplant process would unfold in the typical manner.

This idea fits nicely within today’s health economics. Through a quirk of a 50-year-old law , Medicare is the primary insurer for anyone of any age in need of dialysis or a transplant. This has extended the lives of hundreds of thousands of people. It has also been costly, with end-stage renal disease patients accounting for about 7 percent of Medicare’s spending, despite constituting 1 percent of its users. Because transplants are ultimately cheaper than dialysis, if Medicare started paying people to donate kidneys, fewer people would need to survive on dialysis, and Medicare would need less taxpayer money to cover it.

Federal law presents the first and most significant hurdle to a market for kidneys. The 1984 National Organ Transplant Act, NOTA for short, makes it unlawful “to knowingly acquire, receive or otherwise transfer any human organ for valuable consideration for use in human transplantation.” Though markets exist for human tissue, bone, amniotic stem cells and blood plasma and for the use of a woman’s womb and her eggs, organs cannot legally be bought and sold.

For several decades, efforts to persuade people to become kidney donors haven’t increased the number of volunteers. There were roughly 6,000 living kidney donors in 2000; there were roughly 6,000 in 2023. The only way to get more donors is to change the law.

One organization, the Coalition to Modify NOTA, hopes to legalize compensation and then pass a federal law it has titled the End Kidney Deaths Act . As it’s written, it would award living donors $50,000 over five years — $10,000 per year — through refundable tax credits. The coalition says it has held meetings with nearly 100 legislators from both parties and has been encouraged by the level of support for its idea (though the bill still has not been brought to the floor of Congress).

Other proposals meant to solve kidney donation shortages abound. Several bills have recently been introduced to Congress, including one that would prohibit life and disability insurance companies from denying coverage to or increasing premiums for donors, and another that would reimburse donors for expenses they incur during donation. Two Colorado state representatives, one Democratic and one Republican, have drafted their own proposal for a statewide tax credit of up to $40,000 for organ donors; a representative in New Hampshire is trying to create an open market for organs in his state.

Some people who are opposed to the idea of selling organs argue that we should instead improve the process of capturing organs from people who have died. But even a flawlessly functioning system that recovered and transplanted 100 percent of available organs would not meet demand. And deceased-donor kidneys don’t last as long as those from living donors.

One of the most consistent and vociferous objections to a kidney market centers on the fear of coercion or exploitation: If you pay people to do something, particularly if you pay them a lot, then you will drive those who are most desperate and socially precarious to take steps they later will regret.

Ned Brooks, a co-founder of the Coalition to Modify NOTA, told me there are ways to mitigate “the concern that someone is going to donate a kidney because they have a gambling debt or they are losing their house to foreclosure or you name it.” His organization’s proposal, for example, would split the $50,000 payment into installments arriving only around tax season to weaken donation as a get-rich-quick scheme. Even now, donation requires a weeks- to monthslong process of physical and psychological evaluation .

Compensating donors could also go a long way to reducing current inequities. Black patients are more than three times as likely to develop kidney failure as white patients. And under today’s system, white patients are about four times as likely as Black patients (and approximately two times as likely as Asian and Hispanic patients) to receive a living kidney donation within two years of needing one . While there are many reasons for this imbalance, one critical factor is that white people generally possess social networks saturated with volunteers who are able to make the kinds of accommodations needed for major surgery. Compensation would broaden the pool of available kidneys for those who lack these social networks.

Alongside the flurry of political activity surrounding organ donation, a shift in attitudes among the public seems to be underway, making this moment particularly ripe for legislative change. A 2019 study found that roughly 60 percent of Americans would favor compensation through a public agency — and this number, depending on the form of compensation, would increase to 70 percent to 80 percent if such a system eliminated kidney shortages. This is a rare nonpartisan idea at a highly polarized moment and could save the dozen people who die every day waiting for a kidney.

My kidney has been ticking along since August 1998, far longer than the average transplantation. It will give out sometime, maybe before my children graduate from high school. It will almost certainly fail before any children they may have are born. Still, I’ve lived 25 years I would not have had otherwise. I hope for a world in which others — many others — are given such an exquisite gift.

Dylan Walsh is a freelance journalist in Chicago who focuses on science and the criminal justice system.

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40 facts about elektrostal.

Written by Lanette Mayes

Modified & Updated: 02 Mar 2024

Reviewed by Jessica Corbett

Elektrostal is a vibrant city located in the Moscow Oblast region of Russia. With a rich history, stunning architecture, and a thriving community, Elektrostal is a city that has much to offer. Whether you are a history buff, nature enthusiast, or simply curious about different cultures, Elektrostal is sure to captivate you.

This article will provide you with 40 fascinating facts about Elektrostal, giving you a better understanding of why this city is worth exploring. From its origins as an industrial hub to its modern-day charm, we will delve into the various aspects that make Elektrostal a unique and must-visit destination.

So, join us as we uncover the hidden treasures of Elektrostal and discover what makes this city a true gem in the heart of Russia.

Key Takeaways:

• Elektrostal, known as the “Motor City of Russia,” is a vibrant and growing city with a rich industrial history, offering diverse cultural experiences and a strong commitment to environmental sustainability.
• With its convenient location near Moscow, Elektrostal provides a picturesque landscape, vibrant nightlife, and a range of recreational activities, making it an ideal destination for residents and visitors alike.

Known as the “Motor City of Russia.”

Elektrostal, a city located in the Moscow Oblast region of Russia, earned the nickname “Motor City” due to its significant involvement in the automotive industry.

Home to the Elektrostal Metallurgical Plant.

Elektrostal is renowned for its metallurgical plant, which has been producing high-quality steel and alloys since its establishment in 1916.

Boasts a rich industrial heritage.

Elektrostal has a long history of industrial development, contributing to the growth and progress of the region.

Founded in 1916.

The city of Elektrostal was founded in 1916 as a result of the construction of the Elektrostal Metallurgical Plant.

Located approximately 50 kilometers east of Moscow.

Elektrostal is situated in close proximity to the Russian capital, making it easily accessible for both residents and visitors.

Known for its vibrant cultural scene.

Elektrostal is home to several cultural institutions, including museums, theaters, and art galleries that showcase the city’s rich artistic heritage.

A popular destination for nature lovers.

Surrounded by picturesque landscapes and forests, Elektrostal offers ample opportunities for outdoor activities such as hiking, camping, and birdwatching.

Hosts the annual Elektrostal City Day celebrations.

Every year, Elektrostal organizes festive events and activities to celebrate its founding, bringing together residents and visitors in a spirit of unity and joy.

Has a population of approximately 160,000 people.

Elektrostal is home to a diverse and vibrant community of around 160,000 residents, contributing to its dynamic atmosphere.

Boasts excellent education facilities.

The city is known for its well-established educational institutions, providing quality education to students of all ages.

A center for scientific research and innovation.

Elektrostal serves as an important hub for scientific research, particularly in the fields of metallurgy, materials science, and engineering.

Surrounded by picturesque lakes.

The city is blessed with numerous beautiful lakes, offering scenic views and recreational opportunities for locals and visitors alike.

Well-connected transportation system.

Elektrostal benefits from an efficient transportation network, including highways, railways, and public transportation options, ensuring convenient travel within and beyond the city.

Famous for its traditional Russian cuisine.

Food enthusiasts can indulge in authentic Russian dishes at numerous restaurants and cafes scattered throughout Elektrostal.

Home to notable architectural landmarks.

Elektrostal boasts impressive architecture, including the Church of the Transfiguration of the Lord and the Elektrostal Palace of Culture.

Offers a wide range of recreational facilities.

Residents and visitors can enjoy various recreational activities, such as sports complexes, swimming pools, and fitness centers, enhancing the overall quality of life.

Provides a high standard of healthcare.

Elektrostal is equipped with modern medical facilities, ensuring residents have access to quality healthcare services.

Home to the Elektrostal History Museum.

The Elektrostal History Museum showcases the city’s fascinating past through exhibitions and displays.

A hub for sports enthusiasts.

Elektrostal is passionate about sports, with numerous stadiums, arenas, and sports clubs offering opportunities for athletes and spectators.

Celebrates diverse cultural festivals.

Throughout the year, Elektrostal hosts a variety of cultural festivals, celebrating different ethnicities, traditions, and art forms.

Electric power played a significant role in its early development.

Elektrostal owes its name and initial growth to the establishment of electric power stations and the utilization of electricity in the industrial sector.

Boasts a thriving economy.

The city’s strong industrial base, coupled with its strategic location near Moscow, has contributed to Elektrostal’s prosperous economic status.

Houses the Elektrostal Drama Theater.

The Elektrostal Drama Theater is a cultural centerpiece, attracting theater enthusiasts from far and wide.

Popular destination for winter sports.

Elektrostal’s proximity to ski resorts and winter sport facilities makes it a favorite destination for skiing, snowboarding, and other winter activities.

Promotes environmental sustainability.

Elektrostal prioritizes environmental protection and sustainability, implementing initiatives to reduce pollution and preserve natural resources.

Home to renowned educational institutions.

Elektrostal is known for its prestigious schools and universities, offering a wide range of academic programs to students.

Committed to cultural preservation.

The city values its cultural heritage and takes active steps to preserve and promote traditional customs, crafts, and arts.

Hosts an annual International Film Festival.

The Elektrostal International Film Festival attracts filmmakers and cinema enthusiasts from around the world, showcasing a diverse range of films.

Encourages entrepreneurship and innovation.

Elektrostal supports aspiring entrepreneurs and fosters a culture of innovation, providing opportunities for startups and business development.

Offers a range of housing options.

Elektrostal provides diverse housing options, including apartments, houses, and residential complexes, catering to different lifestyles and budgets.

Home to notable sports teams.

Elektrostal is proud of its sports legacy, with several successful sports teams competing at regional and national levels.

Boasts a vibrant nightlife scene.

Residents and visitors can enjoy a lively nightlife in Elektrostal, with numerous bars, clubs, and entertainment venues.

Promotes cultural exchange and international relations.

Elektrostal actively engages in international partnerships, cultural exchanges, and diplomatic collaborations to foster global connections.

Surrounded by beautiful nature reserves.

Nearby nature reserves, such as the Barybino Forest and Luchinskoye Lake, offer opportunities for nature enthusiasts to explore and appreciate the region’s biodiversity.

Commemorates historical events.

The city pays tribute to significant historical events through memorials, monuments, and exhibitions, ensuring the preservation of collective memory.

Promotes sports and youth development.

Elektrostal invests in sports infrastructure and programs to encourage youth participation, health, and physical fitness.

Hosts annual cultural and artistic festivals.

Throughout the year, Elektrostal celebrates its cultural diversity through festivals dedicated to music, dance, art, and theater.

Provides a picturesque landscape for photography enthusiasts.

The city’s scenic beauty, architectural landmarks, and natural surroundings make it a paradise for photographers.

Connects to Moscow via a direct train line.

The convenient train connection between Elektrostal and Moscow makes commuting between the two cities effortless.

A city with a bright future.

Elektrostal continues to grow and develop, aiming to become a model city in terms of infrastructure, sustainability, and quality of life for its residents.

In conclusion, Elektrostal is a fascinating city with a rich history and a vibrant present. From its origins as a center of steel production to its modern-day status as a hub for education and industry, Elektrostal has plenty to offer both residents and visitors. With its beautiful parks, cultural attractions, and proximity to Moscow, there is no shortage of things to see and do in this dynamic city. Whether you’re interested in exploring its historical landmarks, enjoying outdoor activities, or immersing yourself in the local culture, Elektrostal has something for everyone. So, next time you find yourself in the Moscow region, don’t miss the opportunity to discover the hidden gems of Elektrostal.

Q: What is the population of Elektrostal?

A: As of the latest data, the population of Elektrostal is approximately XXXX.

Q: How far is Elektrostal from Moscow?

A: Elektrostal is located approximately XX kilometers away from Moscow.

Q: Are there any famous landmarks in Elektrostal?

A: Yes, Elektrostal is home to several notable landmarks, including XXXX and XXXX.

Q: What industries are prominent in Elektrostal?

A: Elektrostal is known for its steel production industry and is also a center for engineering and manufacturing.

Q: Are there any universities or educational institutions in Elektrostal?

A: Yes, Elektrostal is home to XXXX University and several other educational institutions.

Q: What are some popular outdoor activities in Elektrostal?

A: Elektrostal offers several outdoor activities, such as hiking, cycling, and picnicking in its beautiful parks.

Q: Is Elektrostal well-connected in terms of transportation?

A: Yes, Elektrostal has good transportation links, including trains and buses, making it easily accessible from nearby cities.

Q: Are there any annual events or festivals in Elektrostal?

A: Yes, Elektrostal hosts various events and festivals throughout the year, including XXXX and XXXX.

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