I saw first-hand how families are crippled, as dialysis requires at least 2 sessions per week, for 2-3 hours per session.  The patient is no longer able to keep a regular job, and needs to be accompanied by an attendant.  A family might displace education and clothing for a few months, but then financially give-up.

I saw the shortage of nephrologists in Pakistan and trained medical students.  Many dialysis centers were run by technicians, with an actual nephrologist making rare visits.  This resulted in lower quality treatment, made worse by lower quality supplies.

I could not stand by, while families suffered and patients died.  In 1994, along with philantropist Sh. Moeen-ud-Din, we established the Hope Kidney Foundation.  It took two years to save enough, buy equipment, and convince the government hospital to allow for the free dialysis center.  In 1996, we established the first ever free haemodialysis center at Sir Ganga Ram hospital.