From the outside, it looks like a mix of hospital selection, intermediary incentives, pricing opacity, logistics, and post-treatment follow-up — but I suspect the hardest problems are less obvious.
For people who’ve seen this firsthand (patients, family members, clinicians, hospital admins, or operators):
Where does this process usually break down in practice?
What risks or incentives are most commonly underestimated?
What parts cause the most harm when done poorly?