The American Kidney Fund, one of the largest charities in the country, helps pay insurance premiums for thousands of people who need dialysis. The charity has a deal with the federal government whereby it must help pay for the treatment of patient's having a financial need. However, the Fund has decided not to help patients at clinics that do not donate money to the fund. Thus, there is limited crucial help for needy patients at these clinics.
The agreement governing the relationship between the group and the companies forbids choosing patients based on their clinic.
While the Fund denies this is the case, their guidelines state, “If your company cannot make fair and equitable contributions, we respectfully request that your organization not refer patients.”