Tommy Alba could be a pain in the ass.
It's how he ran two bustling cafes in coastal Virginia. His linebacker physique and booming baritone, with more than a hint of a childhood New Jersey accent, could make him intimidating. Even Lorene Alba, who adored her baby brother, said he wouldn't take no for an answer. This obstinance served him well, not just in business, but also for the dialysis treatment he received after his kidneys failed in 2011. He lacked health insurance, and his diabetes and high blood pressure had gone undiagnosed for years, working quietly in concert to destroy his kidneys.
For at least four hours, three times a week, in a dilapidated strip mall on busy Jefferson Avenue in Newport News, staffers at a dialysis clinic attached Tommy to machines that removed toxins from his blood, a process that often left him weak and exhausted. While his life had once revolved around his cafes, the machines that mimicked the work of his kidneys were now at the center of everything. Without dialysis, his doctor told him, he would die within days. Tommy's clinic was one of nearly 3,000 US dialysis centers run by a company called DaVita. Together with rival Fresenius, the two corporations control more than three-quarters of dialysis centers in the United States.
Hemodialysis requires intense poking and prodding: Large-bore needles connect the veins in a patient's neck, arm, or wrist to a device that draws their blood, detoxifies it, and then returns it to their body.
Denne historien er fra May/June 2024-utgaven av Mother Jones.
Start din 7-dagers gratis prøveperiode på Magzter GOLD for å få tilgang til tusenvis av utvalgte premiumhistorier og 9000+ magasiner og aviser.
Allerede abonnent ? Logg på
Denne historien er fra May/June 2024-utgaven av Mother Jones.
Start din 7-dagers gratis prøveperiode på Magzter GOLD for å få tilgang til tusenvis av utvalgte premiumhistorier og 9000+ magasiner og aviser.
Allerede abonnent? Logg på
In the Name of the Mother - How Shyamala Gopalan Harris raised a presidential contender
Shyamala Gopalan Harris did not believe in coddling. Pay her daughters, Kamala and Maya, an allowance for doing chores? “If you do the dishes, you should get two dollars,” scoffed the woman who this past summer, almost two decades after we spoke, would launch a million coconut memes. “You ate from the damn dishes!” Reward the future vice president of the United States—and possible future president—for good grades? Ridiculous. “What does that tell you?” her mother chided. “It says, ‘You know, I really thought you were stupid. Oh, you surprised Mommy!’ No.”
Kill the Messenger - The anti-disinformation field is retreating under attack.
A few months ago, a man crawling along a rooftop in Pennsylvania tried to murder Donald Trump at a campaign rally. Hours later, press releases started to circulate, from analysts, think tanks, politicians, and pundits, all offering to cut through the swell of confusion and misinformation.
Food + Health / Global Warning - Why Project 2025 is an environmental catastrophe in the making
When President Joe Biden took office, Democrats held a slim majority in the House of Representatives and a single-vote edge in the Senate. Despite the monumental odds, he has presided over the most productive presidential term for climate action in American history. Under Biden’s direction, the federal government took up the arduous task of incorporating climate considerations into scores of administrative operations and procedures. The epa cracked down on superpollutants and issued stricter emissions regulations for passenger vehicles. The Inflation Reduction Act, the biggest climate spending bill Congress has ever passed, brings the nation closer to its goal of slashing carbon emissions in half by 2030.
Trumpnesia - To get a second chance, Trump needs voters to forget his disastrous presidency.
One of the most oft-quoted sentences ever penned by a philosopher is George Santayana’s observation that “those who cannot remember the past are condemned to repeat it.” In 2024, this aphorism is practically a campaign slogan. Donald Trump, seeking to become the first former president since Grover Cleveland to return to the White House after being voted out of the job, has waged war on remembrance. In fact, he’s depending on tens of millions of voters forgetting the recent past. This election is an experiment in how powerful a memory hole can be.
WHEN IN DROUGHT
This obscure yet adaptable grain could be a healthy staple for a warming planet.
BAD HABITS
A spate of recent horror movies recycle tired tropes about nuns-and reveal society's ongoing discomfort with independent women.
Taking the Fifth For a glimpse of the Supreme Court after a second Trump term, look at the radical circuit court that's already driving America to the right.
Imagine obamacare is dead and millions of Americans have lost health coverage.
THE ARCHITECT
TRUMP WANTS TO BE KING. RUSS VOUGHT HAS A PLAN TO MAKE IT HAPPEN.
Losing Faith
As an evangelical leader, I enticed lawmakers and federal judges to adopt a conservative Christian agenda. Donald Trump’s rise proved how wrong I was.
GOD'S COUNTRY
These Christian nationalists have a plan to take over Americafrom small towns to the highest court in the land.
