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True. But I have been through this situation. There is so much to monitor doctors and the care givers - for their wrong doings but not so much to monitor between what happens from the time the drug leaves the factory to the time it is loaded to the delivery device. In between, it is a matter of trust - which not everybody is worthy of. I understand you are talking about the state in the developed world, but much of what i am sharing is experiencing is from the developing part of the world.