title: What a difference a year makes--for better and for worse.
abstract: These are times of turbulence and change at many levels-for the nation at large, within the health care delivery arena broadly, and for nephrology specifically. The factors outlined above have created a degree of complexity in developing solutions for these issues never seen before. We'll see how the next 12 months unfolds.
authors.affiliation: Renal Physicians Association, Rockville, MD, USA.
authors.forename: Rob
authors.initials: R
authors.lastname: Blaser
mesh_terms: D005245:Fee Schedules / Q000639:trends; D005544:Forecasting; D018166:Health Care Reform / Q000639:trends*; D020408:Health Insurance Portability and Accountability Act / Q000639:trends; D006297:Health Services Accessibility / Q000639:trends; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D006278:Medicare / Q000639:trends*; D009398:Nephrology / Q000639:trends*; D011057:Politics; D006435:Renal Dialysis / Q000191:economics / Q000639:trends; D014481:United States