Dialysis vascular access outcomes in the U.S. are moving in the wrong direction. Catheter use among new dialysis patients has surged to nearly 85%, and mortality rates continue to climb. The Healthy People 2030 initiative offers a roadmap to reverse these trends, but only if policymakers act now. Read the Op-Ed by Terry F. Litchfield on Healio: "Healthy People 2030: Wake-Up Call Dialysis Care Urgently Needs"