Hello Andrea,
The fact is that there are very few individuals in India (for example)
and the Middle East who practice this profession. You may recall my
presentation at Washington DC. on the three tier system, whereby one
relates to products using state of the art techniques, another relates
to the conventional techniques which most of us use presently, and yet
another which develops indigenous technology. In practice it may be
most practical to use conventional and indigenous technology as the
majority of patients would be from the middle income and lower income
groups. For the few who could afford to go to the WEST for a state of
the art quality and are willing to bear the expense, but for whatever
reason are unable to go abroad, this outsourcing may be a better
idea.
To answer your question as to why anaplastologists in the East cannot
provide the complete service, is as I mentioned in the previous para,
because they are very few in proportion to the population. Thus it
boils down to training more Anaplastologists, as neither materials or
facilities should pose an obstacle. However as with most nations who
look to the WEST for technology, there is the ever present tendency to
import a whole system without factoring in the end users. For example
what would you say is the primary concern for patients who have
osseointegrated implants installed for retention of facial prostheses?
Would it be hygiene, the lack of which may lead to infection? This, as
you may agree, is an elaborate subject. But suffice to say that
systems are best created around the end user for any measure of
success.
> > finished product can then be sent by courier to the EAST.- Hide quoted text -
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