@brianjarvis

I think brianjarvis is saying exactly the right thing, that is why I wanted proton. But the doctors have little say anymore, everything is dictated by insurance run guidelines or otherwise disinterest of doctors who deal with too much paperwork. It isn't happening now or in near future to move toward more affordable proton and standard use of proton. I was even told by several places that the Varian proton machines are being discontinued but searches online do not show that (Varian was bought by Siemans). So that is one less proton system sold.

I think in a decade or more things may change and swing back to what brianjarvis has carefully laid out and is no doubt true but it takes many more good articles and the way articles are that is a huge side business too. Various interests promote agendas by repeat articles everywhere which just makes for too many articles saying the same things and real science slowing down even more. It will take time, lots of time. But for me today, I need to decide something, nobody will even offer me proton so what can I do, I am left with hoping I get one of the better x-ray/photon setups in the Varian ETHOS or Varian Truebeam both available to me locally, there is also a cyberknife too which seems a bit older.

Proton is one of the futures, so are better easier focal therapy like the Vapor/Vanquish and maybe Tulsa Pro if they get more bugs out because I had it and it is buggy still. So there might be a better future if the business interests stay out and doctors go back to science instead of production low end treatments and so on. What can we do, unfortunately not too much I find, I am a patient in need now.