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The article discusses the result of a survey by the Dialysis Advisory Group of the American Society of Nephrology, which compared reimbursement policies for dialysis care in Canada, the U.S., France, Germany, Great Britain, the Netherlands and Belgium. The survey made a comparison of the reimbursement rates for hospital dialysis and home dialysis strategies, as well as reimbursement between peritoneal dialysis and hemodialysis. Recommendation that will improve home-based dialysis are offered.