Multiple Sclerosis does not discriminate based on geographic boundaries, but treatment, management, and even awareness relies strongly on national ties. In one country, an MSer has access to state-of-the-art diagnostics, doctors and disease-modifying treatments. In another neighboring country, an MSer does not even know what is happening and has no idea where to go or what to ask. Some doctors do not have diagnostic tools or training, and there are few treatments available anyway. The difference is circumstance of birth country. MS is everywhere, but managing MS differs drastically in different countries.
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