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epa07708420 US President Donald J. Trump delivers remarks on 'Advancing American Kidney Health' at the Ronald Reagan Building and International Trade Center in Washington, DC, USA, 10 July 2019. Trump signed an executive order aiming to reduce end stage kidney disease by 25 percent by th ear 2030 as well as providing kidney dialysis at home and early transplants to people with failed kidneys. EPA/ERIK S. LESSER