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Galvanizing Events - Galvanizing Events Kidney Dialysis...

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Galvanizing Events Kidney Dialysis
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Science and Cultural Lag Kidney Dialysis Patients confronting a 100% chance of near-term  death might now have access to multi-year  survival.   Seattle Artificial Kidney Center was established.   The Center would open for business in January  1962.  It would have three beds, associated  dialysis equipment, and supporting medical  personnel.
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Science and Cultural Lag Kidney Dialysis Using the three beds, each patient would have to  be hooked up for at least 10 hours, twice weekly.   In the beginning it was decided that five patients  could be served.  Plans were put in place to  expand this to 10. Demand ran in the thousands.  Decisions would have to be made.  Who should  have access?  Who should decide?
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Science and Cultural Lag Kidney Dialysis Two committees were set up:  Medical Advisory Committee, made up of physicians and a  psychiatrist, would determine the initial pool of eligible  patients.  This screening would be based on emotional  stability and medical prognosis.  Admissions Advisory Committee made up of lawyer,  housewife, official of state government, banker, minister,  labor leader, and surgeon.  Random selection and first-come-first-served strategies were  rejected.  Decisions would be made on the basis of relative  social worth. 
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Science and Cultural Lag Kidney Dialysis Selection Criteria:  Random selection and first-come-first-served strategies were  rejected.  Decisions would be made on the basis of relative  social worth. The role of the Admissions committee “was to assess the  relative worth of a candidate to their family and the  community in terms of the degree of dependence of others  upon the candidate’s continuing existence, and the  rehabilitative potential and moral value or worth of the  candidate.”
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Science and Cultural Lag Kidney Dialysis The  uncertain  potential  for  medical  complications  led  to  elimination  of  persons  over  45  years  of  age.    The  uncertain  potential  that  children  might  be  traumatized  by  dialysis  procedures and dietary restrictions limiting normal growth meant  pre-teenagers were also eliminated. Also limited candidates to residents of the state of Washington.   They  had  to  start  somewhere  and  most  of  the  money  for  the  dialysis program had come from state taxpayers.   Beyond these rough and ready exclusionary assessments there  was little clarity.   After briefing the Admissions Committee, a doctor recalled, “We  told  them  frankly  that  there  were  no  guidelines,  they  were  on  their own.  We really dumped it on them.”
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