Government Transplant Policy - Stupidity and Inefficiency which Result in Higher Mortality Rates for People with ESRD, Part I

See below for a brief history of ESRD coverage in the U.S.
Be aware of the following.
From the perspective of the law (as amended) as it is currently interpreted and enforced, if someone has a successful kidney transplant and only needs ~$12,000 per year for his anti-rejection medicine whereas continued dialysis and related medical costs can easily be ~$100,000, the government would pay the ~$100,000 for dialysis but not the ~$12,000 for the medicine. This actually causes people to stay on dialysis if they are concerned about being able to afford their medication after a successful transplant. Is this a broken policy, or what? By the way, life expectancy is significantly reduced and quality of life is substantially diminished for people on dialysis.

History
"On October 30, 1972, President Richard Nixon signed
section 2991 of Public Law 92–603, or the 1972
amendments to the Social Security Act. Enacted in
July 1973, provisions within this amendment established endstage
renal disease (ESRD) as the only healthcare condition to
be covered under Medicare for persons under the age of 65 and
without other disabilities." (Jonathan Himmelfarb and Glenn M. Chertow) J Am Soc Nephrol 16: 1164–1165, 2005. Check out this url for the article, in full
http://jasn.asnjournals.org/cgi/reprint/16/5/1164.pdf
See also the url below for amendment history
http://content.healthaffairs.org/cgi/reprint/18/1/161.pdf