Spain's government recognizes "art" as a separate labor sector, it also has socialized medicine which cuts both ways. USA, is profit driven, whereas socialized medicine is budget controlled by the government to save money. So, while some advanced procedures are available here under the socialized health because they are effective and cut cost, they may only be available in the USA for a premium price. My taxes also go into the health system and not some industrial complex. The rest is, history. However, Happy New Year 2023!