Approximately 80,000 Californians with kidney failure rely on dialysis to stay alive. Proposition 23 would put dialysis patients’ lives at risk and hurt all Californians by making us wait longer to see our doctors and increasing health care costs by hundreds of millions annually.

Get the Facts


“Prop 23 would unnecessarily increase health care costs and make the doctor shortage worse for all Californians by moving thousands of practicing doctors into non-caregiving roles in dialysis clinics.”

– Peter N. Bretan, M.D., President, California Medical Association.
“Prop 23 dangerously reduces access to care, putting vulnerable dialysis patients at serious risk.”

– Marketa Houskova, RN, Doctor of Nursing Practice, Executive Director, American Nurses Association\California
"By moving nephrologists and experienced Physician Assistants (PAs) out of the hospital and offices, where a significant amount of our most vital work is done, Prop 23 will put all nephrology patients at risk.”

– Kim Zuber, Executive Director, American Academy of Nephrology PAs
“Prop 23 will lead to clinic closures and cutbacks that will reduce access for patients and put their lives in jeopardy.”

– Hrant Jamgochian, Chief Executive Officer, Dialysis Patient Citizens, a nonprofit, dialysis patient-led advocacy group representing 28,000 patient members.
“Prop 23 will disproportionately hurt underserved patients and those in disadvantaged and low-income communities.”

– Alice Huffman, President, California State Conference NAACP.

Dialysis Explained

Patients with kidney failure must receive dialysis three days a week, three to four hours at a time, to stay alive. Watch patients and doctors explain this life-saving treatment.

Sapna Patel, M.D.
Kidney Specialist, Long Beach

Marc’s Story

Watch patient Marc Burling share his story about life on dialysis.

“I’m considered on life support…”

Marc Burling
Dialysis Patient, Anaheim Hills