“…An interview study among medical specialists in The Netherlands, Turkey and the United States (US) reports that accessibility to these programs is hampered by practical constraints, including lack of funding, demands on time and effort, and limited supply. 21 Furthermore, in most countries, including the Netherlands, many other European countries, and the US, there is no routine reimbursement of expanded access. This means that pharmaceutical companies, hospitals, or health insurers would have to pay for the cost of treatment, and neither of them may be willing or able to do so.…”