[Spending review, personal view, water and waste in (home) hemodialysis].

In a moment of particular attention to the health care costs, of global crisis and of concerns not only for the economic future of our Society, but also for the precarious health of our Planet, it is worth reading an Australian article entitled Personal viewpoint: hemodialysis-water, power, and waste disposal: rethinking our environmental responsibilities, by Agar, one of the spokesman of the "ecological dialysis". The article describes, with some irony, some paradoxes of the ecological and economic costs of dialysis. Among these, 156 billion of liters of water per year and a minimum of 625000 tons of waste products, at least partly potentially reusable. With regards to his battle for a planet friendly dialysis, Agar comments that perseverance is not a diffused virtue. Keeping in mind the cost of waste disposal, reading this paper can be an invitation to an intelligent saving policy that directs attention to the economy and to the world around us.