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The Jordan Harbinger Show

1336: Dialysis | Skeptical Sunday

The Jordan Harbinger Show

Jordan Harbinger

Science, Business, Education

4.8 β€’ 12.3K Ratings

πŸ—“οΈ 31 May 2026

⏱️ 77 minutes

🧾️ Download transcript

Summary

This Skeptical Sunday, Jessica Wynn explains how dialysis became a $50B industry where under 40% of patients survive five painful years of dependence.

Welcome to Skeptical Sunday, a special edition of The Jordan Harbinger Show where Jordan and a guest break down a topic that you may have never thought about, open things up, and debunk common misconceptions. This time around, we’re joined by writer and researcher Jessica Wynn!

Full show notes and resources can be found here: jordanharbinger.com/1336

On This Week's Skeptical Sunday:

  • Dialysis is a life-sustaining external filtration system for the roughly 800,000 Americans in kidney failure β€” but it's grueling. Most patients endure three to five hours per session, three times a week, indefinitely, and fewer than 40% survive beyond five years.
  • The financial structure is staggering. Dialysis is a $50 billion-a-year US industry, with Medicare spending about $36 billion annually β€” roughly 7% of its entire budget for under 1% of the population. Two companies, DaVita and Fresenius, control about 70% of all clinics.
  • The system rewards permanence over cure. Since 1972, Medicare has covered kidney failure for everyone regardless of age, creating guaranteed, indefinite revenue. Transplants and home dialysis are cheaper and better for patients, yet under-incentivized because they cost providers customers.
  • The human and safety toll is severe. Infections cause 36% of dialysis deaths, sepsis mortality runs 100 to 300 times higher than average, and understaffing worsens outcomes. Many patients lose their jobs, mobility, and social lives β€” some choose to stop treatment entirely.
  • The hopeful part: much kidney disease is preventable or delayable, and you have real power here. Manage diabetes and hypertension aggressively, get your kidneys checked with a simple blood and urine test, and see a nephrologist early β€” catching it sooner can dramatically slow progression.
  • Connect with Jordan on Twitter, Instagram, and YouTube. If you have something you'd like us to tackle here on Skeptical Sunday, drop Jordan a line at jordan@jordanharbinger.com and let him know!
  • Connect with Jessica Wynn at Instagram (and Instagram!), and subscribe to her newsletters: Between the Lines and Where the Shadows Linger!

And if you're still game to support us, please leave a review here β€” even one sentence helps!

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Transcript

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0:00.0

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0:02.0

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0:06.4

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0:12.9

Visit Lufthansa.com and search for Allegra's to learn more.

0:15.9

Lufthansa Allegrais.

0:17.1

All it takes is a yes.

0:22.5

Welcome to Skeptical Sunday. I'm your host, Jordan Harbinger. Today I'm here with Skeptical

0:26.6

Sunday co-host writer and researcher Jessica Wynn. On the Jordan Harbinger, you know it's funny,

0:30.9

Jessica. I was doing comments on Spotify. You can look at people's comments and stuff, and I like

0:36.0

to engage there. I like to engage wherever people comment about the show. And people were like, I don't know what it is with Jordan, but he just sucks up to this guest, Jessica. And I was like, you do. You know, what a weird thing to say about somebody that you work with that you've known for a long time? Like, I would get it if it was like a celebrity, no offense. I would get it if it's like a celebrity or something like that, like, oh, look at this guy. And I'm like, is it weird to get along with people that you were,

0:57.9

I don't know, that's the age of the internet that we're in right now, where it's actually weird. Right, be mean to me. Yeah. You shut up, Jessica. Who said you could talk on this episode of the show where I pay you to talk. I mean, what am I supposed to do? Like, I'm supposed to talk down to you and make you

1:13.0

look stupid on this show. That's- Yeah, please. That's entertainment, Jordan. It is. Well, that's what passes for entertainment. And the other thing that's weird about it is it's like, if I were rude to you, I would like to think, I would hope that I would get more comments about how I'm not treating you well, but treating someone too well, I don't know, and people, like someone's like, I agree with Tom or whatever, Nick, I agree with Nick, said that sucks up to it. And I'm just, I was thinking, because of course, me being the neurotic podcast host that I am, I'm like, well, now I have to think about every single thing I've ever said to you and what it might, the vibe of that might be. I don't know. I just thought that was such a funny.

1:47.3

I meant to share that with you earlier, but I think it's a funny thing to share with the audience as well because, I don't know, I guess we're not supposed to get along. I don't know. Okay, let's be more combative today. Yeah, let's do that, huh? That's a good idea. Finally, you've had a good idea.

2:00.0

All right, shut up.

2:01.6

On the Jordan Harbinger Show, we decode the stories, secrets, and skills of the world's most fascinating people and turn their wisdom into practical advice that you can use to impact your own life and those around you.

2:11.6

Our mission is to help you become a better informed, more critical thinker. During the week, we have long-form conversations with a variety of amazing folks, spies, CEOs, athletes, authors, thinkers, and performers. On Sundays, though, it's skeptical Sunday, a rotating guest co-host and I will break down a topic you may have never thought about and debunk common misconceptions about that topic, such as recycling, chemtrails, which are not a thing, astrology, which is a thing, but also not a thing. Well, that's the theme of the show, right? It's a thing, but it's not what you think. Diet supplements, the lottery, reiki, healing, and more. If you're new to the show or you're looking for a handy way to tell your friends about the show, we've got starter packs. There are collections of our favorite episodes on persuasion, negotiation, psychology, disinformation,

2:52.1

junk science, crime and cults, and more that'll help new listeners get a taste of everything we do here

2:56.4

on the show. Just visit jordanharbinger.com slash start or search for us in your Spotify app to get

3:01.9

started. Today on the show, we're talking about something most people never think about until it

3:06.0

becomes everything they think about. Dialysis. It's one of those words that live somewhere in the back of your brain. You kind of know maybe it's kidney related. You know it sounds serious. You hope you never need to know more than that. And then one day, it's your life on the line or that of somebody you love. And suddenly, that word isn't medical trivia. It's a machine you're hooked up to three times a week. There's something about this that feels very American. Look, we can build a device that keeps you alive and also quietly bankrupt to you. I mean, it's just a miracle of modern science. Here to help us filter the stream of info on dialysis is writer and researcher Jessica Wynn. So quick heads up, by the way, we're going to be discussing some medical stuff that's going to make some people squeamish. So if you're one of those people's like, I'm listening while I'm eating, and if it's going to be gross, you've got to tell me this might be one of those. Jess, dialysis, I'll be honest, I kind of know that it has to do with kidneys and blood cleaning, and there's a machine involved, and there's franchises. That's kind of where my knowledge ends, which I think that puts me in

4:01.9

with about 99% of Americans. Yeah, definitely. And the invisibility is the whole story. So I didn't

...

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