My career in dialysis began when I “crashed” into renal failure in December 1974, at the age of 22 years, and I have elected to continue to dialyze 3 times a week in-clinic ever since. It was not until my involvement with Dialysis Patient Citizens that I began to understand and be personally committed to advocacy and the sharing of information about Medicare and kidney health-directed legislation. Watching our organization grow and continue to evolve has educated me and been a most positive experience. The DPC Patient Ambassador Program has helped me connect with numerous kidney citizens across the country, as well as my home state of Iowa. Regardless of what options for renal therapy that an individual may choose to utilize, it is important to remember the payment chain and how much our lives are dependent on adequate federal dollars to maintain optimal and accessible care. Dialysis Patient Citizens is truly committed to further building a healthy, educated, and empowered kidney citizen organization that represents all of the dialysis and CKD community.