Transplants are limited by the availability of transplant organs. the problem with home care is complexity and compliance. A lot of dialysis patients have issues (drug addiction, tendency of negligence, mental etc) and home care requires skill , compliance, hygiene and a partner who can support, when something goes wrong. A lot of patients probably couldn’t do the necessary task them selves at this point or wouldn’t comply. While home care is preferable from a clinical POV (the more frequent treatment cycle causes less issues), the home dialysis systems need to be simplified from a users perspective to increase the addressable market.