Proton Beam Therapy in Small Nations: Financial Irrationality or Unique Collaborative Opportunity?

      During the past decade, the state of Israel has made dramatic progress in providing radiation therapy (RT) to a population of almost 9 million people (

      Aderet O. Israel’s population hits 8.4 million on eve of Jewish New Year. Haaretz September 8, 2015.

      ). Despite progress, RT services still encompass redundancies, including the compulsion of each linear accelerator-equipped hospital to provide stereotactic radiosurgery, intensity modulated RT, image-guided RT, stereotactic body RT, and so forth. Incongruities of functions also exist (eg, within some Tel Aviv medical centers, which house sophisticated external beam machinery but lack a complementary brachytherapy unit). Such inconsistencies belie a strategic vision that typically informs a country in which a nationalized health system has been in place for >30 years (
      • Corn B.W.
      • Symon Z.
      • Gamzu R.
      The state of radiotherapy in the state of Israel.
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