Ralphey, Everything is geared so doctors get frustrated even if they understand the differences. Insurance companies only care about going with the product that will cost them the least amount of money. Then the FDA behaves as if they are blind to the entire charade. In a logical medical system the FDA would not allow unproven products onto the market be they drugs or dietary supplements. Thero seems afraid of retribution from the FDA so he does not attempt to get them to act on the solution that would work which is ban those products that have not been proven to provide a health benefit. Maybe that would change upon a "change of control." I certainly hope Europe will not have the same headwinds that Vascepa has encountered in the US. I must say I applaud your efforts to attempt to well for your patients.