//8R Hemophilia care is delivered differently in many parts of the world. Some areas of the world cannot diagnose hemophilia, other recognize the disease but do not have treatment, while others provide comprehensive care and have a plethora of services, as well as unlimited replacement therapy. The common denominator in determining the extent of care is the availability of financial support for it. Today, even wealthy nations which have provided unlimited support for care are seriously questioning or limiting expenditures on high-cost diseases. Hemophilia, a life-long chronic disease, is one which is very costly, and which serves both as a model of chronic disease care, as well as a target for financial scrutiny. Health care providers, in concert with patients and their families, must be able to provide data to ensure continued financial underwriting.

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