A Dialysis Machine Alone Does Not Create a Nephrology Programme

Kidney services become fragile when treatment technology arrives without prevention, workforce, diagnostics, financing and dependable supplies. The paper emphasized earlier CKD recognition, patient education, basic measurement, workforce development and affordable renal-replacement options alongside dialysis itself. The systems lesson is that prevention, information, workforce, financing and treatment capacity are interdependent; no machine can substitute for the programme around it.