My father-in-law was on dialysis several years before he had a transplant. In our state, Georgia, he gets help with the cost of the anti-rejection drugs. It took him a couple of years to decide he wanted to be on the list for a transplant. Maybe your friend's husband will decide he would like to be on the list later. Dialysis is such a hassle. We couldn't go on family vacations anymore because he didn't feel comfortable having dialysis anywhere but his regular center. My FIL received his kidney two years ago this month and it was an answer to our prayers.