But for most drugs, no package insert is required, and only the information the manufacturers or pharmacists give out has reached patients.

"These reforms will have a dramatic impact on the length of time it takes for new drugs to reach patients in America," he said.

The first new treatments for these diseases, known as autoimmune disorders, are a few years from reaching patients.

While Brazil's ability to reach patients encourages other nations, far more important is its success in lowering the cost of medicine.

Given discipline, patience - and a measure of courage - it may be the only means of reaching certain patients.

I wanted to reach patients on a national level.

It is also hard to reach patients at night, because the ambulance must be accompanied by a military patrol, he said.

Beds were packed so tightly together, that sometimes nurses had problems reaching patients who needed emergency care.

The question, however, that bother us is how herbal medicinal products are to reach patients and consumers.

This drug has reached very few patients.