“Of course, Mr. M., we would be happy to help you to receive the finest global-quality medical attention in Guatemala as soon as you arrive.” 

G.M.T. Patient Advocate: OK, now let’s review please, to be sure that I get this right….

#1 — The cancer patient has had first class work-ups at the NIH/ National Cancer Institute, Johns Hopkins Cancer Center, Georgetown U. Medical Center and MD Anderson.

#2 – All of their oncologists agree that a prescription for Yondelis/ Trabectedin chemotherapy will be the best course of treatment for the patient.

#3 – You have excellent insurance coverage with Blue Cross, and they agree to pay for all the medical expenses associated with the chemotherapy.

#4 – Yondelis was co-developed by Johnson & Johnson, approved for the European market in 2007, and is successfully used world-wide, but is still not FDA-approved in America?

Cancer Patient: Yes, that’s correct. We will need to fly from Virginia to Guatemala every three weeks for the injections.

GMT: I understand. Let’s get started right away.