In the United States, where I used to travel often and widely, you have to pay for dialysis and it’s extremely expensive. In New York it cost me $1000 a session.
It’s worth pointing out that this is because the author is a foreign national. Americans with permanent kidney failure are guaranteed Medicare even if they’re under 65, and Medicare part B covers outpatient dialysis in full. Signing that into law is one of the few good things Richard Nixon ever did.
It depends.
Naturally-aspirated: lesbian with a shitty haircut, a denim vest, and 500 granola crunchy hippie stickers
Turbo: straight white male with a chinstrap, fake diamond stud earring, and 500 aftermarket parts supplier stickers