EXHIBIT 23.2
 
                      CONSENT OF INDEPENDENT ACCOUNTANTS
 
  We consent to the incorporation by reference in the Registration Statements
on Form S-8 (No. 33-84610, No. 33-83018, No. 33-99862, No. 33-99864, No. 333-
1620, No. 333-34693, No. 333-34695 and No. 333-46887) of Total Renal Care
Holdings, Inc. of our report dated May 14, 1998, on our audits of the
financial statements and financial statement schedule of Renal Treatment
Centers, Inc. and Subsidiaries as of December 31, 1997 and 1996, and for each
of the four years in the period ended December 31, 1997 and for the six months
ended December 31, 1995 (not presented separately herein), which report is
included on page F-2 in this Annual Report on Form 10-K/A.
 
Coopers & Lybrand L.L.P.
Philadelphia, PA
May 15, 1998