It is my belief, as a Canadian who has lived in the U.S. for several years now and writes about drug development and medicine for a living, that standard of care isn't good enough when standards of care are poor. Why stick to a treatment regimen for all patients when the results are so dismal? In the absence of anything better to offer, why not at least offer patients and their families choice? There are many things that I admire about the Canadian healthcare system. Inflexibility is not one of them.