Payment Systems Violate the Physics of Life: How ESRD Bundle Policies Disrupt Biological Order in Minority Communities Frita Fisher, MD, Nephrologist; Chad Worz, Pharm.D., BCGP, FASCP, Chief Executive Officer, The American Society of Consultant Pharmacists; Janice Desir, MD, MPH, CHCQM, Nephrologist and Physician Advisor; William Poirier, MBA, RN, Executive Director, Renal Healthcare Association | July 27, 2025

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