Outside the US, there's a trend to decentralize medical care. We've tended to centralize by producing major hospitals which assume control of the treatment for the most serious injuries and illnesses with a system that moves patients from local physician care to the highest authorities in each specialty. Other countries find this investment in major hospitals very expensive. The more people who fall ill, the greater the number of beds they take up and the more labor is required. But if people can be nursed in the community unless their conditions are life-threatening, you get a more efficient use of labor without the need to build expensive hospitals. So many other healthcare services are producing neighborhood clinics which send nurses and doctors out to the homes of people who are ill. This encourages family support networks and improves patient morale. This has been found particularly effective in offering support services and care when needed to the seniors. Older people tend to respond more quickly and make better recoveries when they are allowed to retain their independence.
Although nurses are moving more freely through local communities, there's still a problem in identifying men with erectile dysfunction. Even when it's obvious from their medical history that they probably have the problem, it's impossible to get them to break the code of silence. It's an admission that men still find deeply embarrassing. This produces the irony that, even with the best possible drug in the world, men will not open their mouths to ask for it. Levitra has been found particularly effective in cases where there's nerve damage from diabetes and other medical situations in which dysfunction is probable.
The medical authorities are therefore introducing new training methods to help physicians, nurses and community workers to help men overcome the feelings of shame and guilt to ask for treatment. The evidence that resumption of sexual activity improves the quality of life makes this a high priority. Sadly, the US healthcare service resists moves to introduce preventive medicine. The idea we might also break the power of the large hospitals is currently unthinkable. Men in the US are therefore even less likely to ask their doctors for Levitra.