In Mexico I know someone who travels for 2 hours 3x a week for dialysis but that patient doesn’t have a schedule time for dialysis…the clinic serves patients on a first come first served basis…sometimes the patient waits up to 8 hours just to get on machine then after treatment travel back home for 2 hours…right now she’s desperately seeking home dialysis and looking for resources over on this side…she doesn’t have internet and one of the hardest part for me is how to assist people who live in other countries with these needs…though there are dialysis clinics over there I think they don’t have all the options as we do have here in the U.S.