It is interesting that in some cases time and travel are the consideration for cancer or other serious conditions. I firmly believe practices and policies are critical to the best treatment. In most major Clinic's and teaching hospitals (e.g. Lahey Clinic in Arlington, Mass, MD Anderson in Texas, Mayo Clinic in Rochester,Minn/Jacksonville, Fl., John Hopkins in Baltimore,Sloan, NY City etc) if in the case of the illness there is a question the Dept Doctor's in that speciality will sit at the end of the week and consult as to what is the best treatment, etc. If a person is facing a serious condition why not go to the known best?