The gulf between the availability of specialist surgeons and pharmaceuticals is incredibly vast. If the article gave you the impression that you can just walk in and get your SRS did on a whim, perhaps you should reconsider its veracity or at least your understanding of the situation.
I don't have a any understanding of this situation or a horse in this race, was just pointing out that ancestor comment was justified based on the article, which also addressed availability of pharmaceuticals, btw.
It'd be nice to have literature or deeper investigation on this.