There is a great discrepancy between the modality that nephrologists would choose if they themselves were to start dialysis and the reality of the current dialysis situation in the United States. In a 2010 survey reported by Merighi et al,1 629 practicing US nephrologists were asked “If your kidneys failed and there was a 5-year wait for a transplant, which type of dialysis would you choose?” Only 6% chose in-center hemodialysis (HD); by contrast, of the prevalent dialysis population in that same year, 92% were receiving in-center HD.