The next step, they realized, was to become involved in preventive strategies.
But a continuing source of frustration is the lack of available resources compared to what he experienced in the United States. For example, in the United States, ultrasonic surgical scalpels cost $200 or $250 each. In Brazil, each single-use scalpel costs $1500. We are torn, deciding whether to pay so much more for the same thing, he said.
Manufacturers claim that the source of the disparity lies in importation taxation. We see these things being used when we are doing our fellowships, Dr. Carvalho said, and know we will not be able to use them when we go home.