What is the incentive for the eastern European IR to pull this all together?
In many European countries, health care is financed by government and hospitals are owned by state or municipilaties. Doctors get a fix salary just like other people get in other profession. Why would doctors do this? Why do they do other operations? It is their job here.
The idea is to take profit already earned and use it to pay for follow-up dopplers and neurologist exams at no charge for local patients?
The idea is not that we use already earned money for follow-ups, but that the price you pay (USD 10,000) should cover both the CCSVI operation and the follow-ups. You can even break it into pieces if you like it that way better.
I must say that my fist operation was done at a state owned hospital in Serbia and I paid less than USD 3,000 and that also covers my follow-up visit. So it can be done.
In our health care system, follow-ups are part of the treatment and it is a very important element of it.
This is out of the belief that the profit is misbegotten, that they should not be charging the going rate when that rate goes so much further in their country?
It is still not a RCT, it does not prove much, and it's a lot of work with no benefit to the IR, only to science. This is not a charity and it is a business model, much as we would have it be otherwise.
I can not imagine any healtcare treatment without follow-ups. When I had surgery I had to go back for control.
IRs here say that any operation could have complications, so this is why you have to show up for control. This is their best interest also, because any complications might bring them into court. As this is not an ordinary operation, they think it is even more important that we should have control. Gaining data from this would be a fringe benefit as every doctor visit is documented here.
Personally, I am upset about the Polish, Bulgarian, etc. practices and their very poor administration, because I know it turned off several IRs in this region who wanted to do what I outlined here with the support of neurologists at state owned hospitals.
As I said previously, I was sent to MRV by a neurologist and a team was set up to examine lots of MS patients and do the CCSVI operations. The project was stopped after the MRVs when IRs went to Euromedic to examine their results and they got dissappointed.
As I said before the US is a different ball game, because it is a huge country with great distances and the health care is financed differently. I still beleive that our best chance to get proper documentations of patients with follow-ups is Europe, because of the shorter distances in a country.
I hope once this dream comes true for our best interest.