Is access to CLL going to be harder in the future?

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It's just a simple question. I'd like to know what do you think about it, especially those who personally met with doctors and had experience with this surgery. As a number of such doctors is probably going to be lower in the future (I think it's rather not a popular career option and there are only few doctors around the world that could train new specialists). And costs of developing new tools/nails etc. are high (companies and their shareholders want their money back after all those costly reasearch and product development). So it's kind of convenient to think that a future price is going to rise because of aforementioned factors.

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Taking a very long view here, but I think if anything it will become easier and more widespread, as the technology continues to iterate and the convergence of medicine and AI/robotics continues, the barriers to surgery in places like the developing world will continue to be lowered and cosmetic surgery/body modification will become more routine and accepted/mainstream as it becomes simultaneously less invasive/risky and cheaper.

A somewhat unrelated example, this AI easily beat some of the best doctors in China at tumor diagnosis:

https://www.thenextweb.com/science/2018/07/02/chinese-ai-beats-15-doctors-in-tumor-diagnosis-competition/

That's right now, in its embryonic form, like the cute little beige box Macintosh computers of the 70s/80s. Imagine 20 years from now, a robot surgeon powered by an advanced AI that can implant lengthening nails perfectly around the clock, faster than any human surgeon with a less than .0001% error rate. The economies of scale will make building thousands of these robots economically feasible, akin to building and selling MRI machines, and they would operate for the cost of electricity without salary or 20 years of training. Dr. Paley could supervise a “team" of dozens of these machines, performing hundreds of procedures per day.

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If there is something history shows us is that cll is getting more and more expensive with time.