American Journal of Transplantation: Volume 19, Number 7, July 2019

On the Cover: The United States Congress has for decades failed to adopt a means of providing sustained immunosuppressive drug coverage for recipients of kidney transplants, despite objective evidence from the General Accounting Office that doing so would save taxpayer dollars and convincing data from the federal registry of transplant outcomes demonstrating that transplant outcomes would improve and American lives be saved. This month, Hart et al ( page 1964) provide further evidence that kidney transplant graft loss is directly hastened by federal Medicare policy. Vanessa Grubbs provides a thoughtful commentary ( page 1877) asking the salient question, “Why does Congress fail to pass Medicare immunosuppressant coverage laws that save grafts—and lives?” Cover design by Lauren Halligan, Duke University Department of Surgery .