End stage renal disease (ESRD) affects almost 650,000 people per year in the United States. Oh, and the bad news is, the average cost of hemodialysis or peritoneal dialysis is about $89K a year for these patients.
You do the math, but, that is a lot of money. Currently medicaid and medicare assumes much of the costs for these patients. In fact, dialysis costs are about 7% of the medicare and medicaid overall cost to the taxpayers.
Kidney transplants are the way to go here, because they cost an average of about $32K and will cost about half that the following year to check for rejection, and the administering of rejection drugs and therapy. But, after the 2nd year of therapy, the patient has about a 97% survival rate after transplant.
This is just one of the many high-cost diseases and treatments in the world. But, as you can see, it is tough for Insurance companies to want to cover this kind of treatment with ordinary health insurance. There are many other high cost diseases, that many insurance companies refuse to cover.
Some more bad news is that ESRD is on the rise within our own population as it seems to increase about 5% - 7% every year.
And of course there are a lot of Republicans who will say, "Let em' fucking die"! Well, that is unless they themselves have ESRD, or their spouse, or child, or grand child has ESRD.
But, of course, here in America, we are better than that. And quite naturally, we are a caring nation who cares for it's own.
https://pharm.ucsf.edu/kidney/need/statistics