When the patient delivers a low-birth-weight infant that requires extensive time in the neonatal intensive, should she be held responsible? Where do we draw the line? More importantly, on what basis do we draw the line?
An adolescent patient with poor social support who has already lost one transplanted kidney due to complications of nonadherence may not automatically be inappropriate to list for a second transplant if he can prove his ability to adhere to the demands of a dialysis regimen.