Depending on who you speak with, you'll get a different opinion about why this hasn't been shouted from the rooftops. My pet theory is this has to do with capacity -- the medical systems of the world cannot absorb such a huge surge of patients needing testing and treatment without iron clad proof. If politicans go to taxpayers and say "pay for this with increased taxes" and it doesn't work -- they won't be very popular. In private systems, insurance companies won't jump at the chance to pay for something if they can avoid or delay it.
To treat all of us will need enormous new infrastructure investments, personnel, and ongoing training and research. Who will pay for this based on a new theory?
In the meantime, people are paying for this out of pocket with a few scattered centres. Why would any system be in a hurry to dissuade patients from doing this on their own and pick up the tab?
I believe we will make a crack in the system and get testing and treatment (I'm from Canada), but we might not like the way this might roll out. Who gets treated first? What about re-stenosis (do they go to the end of the line)? These are difficult, ethical decisions that speak to the heart of our social net. I wouldn't want to necessarily be the one having to make those decisions, but I know they are being discussed at the very highest levels as evidence mounts indicating CCSVI is the real thing and needs to be acted upon.
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Thank you Sandra, I for one subscribe to everything you have written. It’s all about the money and the system if struggling to cope with graying populations and insatiable demand for care.~Sandra
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