Access to insurance coverage, both primary and secondary, is critical for all ESRD patients. Some patients, are unable to afford the high premiums associated with either type of coverage. Organizations such as the American Kidney Fund provide financial assistance in these cases to ensure patients are able to secure the coverage they need. Insurers have tried to refuse such assistance in order to remove the sickest patients, like ESRD patients, off their plans. DPC continues to fight for maintaining patient choice in coverage as well as against discriminatory policies by insurers to prevent patient assistance.