Sorry to be cynical, but this has not been approved, IMHO, because it is going to cost about $120,000.00 per year for each PD patient. Even is countries with nationalized or socialized medicine, whatever you want to call it, they ration it because of cost-you cannot get it unless you are so bad off that the cost to take care of you (in a nursing home/facility) is higher than what duodopa would cost. So even though it is available, very few people actually can get it, from what I have read. It's horrible, truly.

If you do a search and read posts by folks who live in countries where this is available, they qualify, but cannot get it because they are not yet "bad enough off", it becomes very clear why this is not yet approved here. Medicare/medicaid does not want to add this to its list of treatments, nor does any private insurer.