The American Samoa Diabetes Coalition is predicting a huge increase in the number of patients needing dialysis in the next ten years.
It says by 2022 the LBJ Hospital will need to spend more than 122 million US dollars to take care of them.
The Coalition is basing its projection on a 35 percent annual growth in dialysis patients.
The current 115 dialysis patients cost the hospital 4.9 million US dollars.
The coalition says in a decade there are likely to more than 2,300 diabetics needing dialysis.