[Alastair]

Well I don't live in the USA, but from what I'm reading on these pages it looks as if USA citizen's are getting a hard deal both from the surgeons and from the insurance companies. The insurance companies look as if they do not want to spend the proper amount of money in giving extra days in hospital and follow-up for ADR treatment,and it looks as if the surgeons are having to go along with that because that's the only way they're going to get paid. It would seem also that there is a lot of lack of knowledge about aftercare because it's a new procedure.

From what I can gather ADR has been approved so I don't know why the insurance companies are declining proper care for their policyholders.

I would think that the way ahead for this is to go public in the press, those of you that are attending the New York symposium which Mark is running surely can get some quotes from the "World's Leading Spine Specialists" and push that at the press.

I don't know how you do the publicity thing in the USA but there's enough brains between the lot of you to sort something out. A lot of people have done a lot of begging to the insurance companies -- -- -- somehow you've got to get what you deserve and not what they would like to give you -- -- -- you have been given the knowledge and expertise on this board, I would ask the right questions at the right place at the right time and have the press present.
Best,
Alastair