This makes them more vulnerable to being vampirised. The clinic staff are full of sadists, vampires and ghouls. The companies who run this operation are a virtual cartel, in collusion with the government agencies that are supposed to be watching out for patient interests. This is just another evil situation in the world today, but, in a sense, it is a microcosm of the larger picture. In Japan and Western Europe, for the most part, the emphasis is on rehabilitation and returning patients to as full, enjoyable and worthwhile life as possible.
Quitting dialysis is practically unheard of there.
Their standards are much higher. The two main companies, Gambro and Fresenius, acquired a part of another company, Pharmacia-Upjohn, are based in Europe, but run their US clinics in a manner they could never get away with in their own countries. They essentially treat us like a third-world country, providing minimal service for maximum profit. Patients are treated just like herds of cattle. We are kept so weak that we are barely able to survive, let alone fight back.