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9 Hurdles to Accessing Quality CareHurdles to Accessing Quality Care MS is a difficult disease to diagnose and treat. With more than 50 recognized symptoms no single healthcare provider can offer all the types of treatment that may be required over the course of a life with MS. Additionally the treatment of one symptom may often affect the status of another. For example a medication given for depression or spasticity might worsen a persons levels of fatigue. This complexity typically requires what is referred to as a multidisciplinary approach a team of healthcare providers from different disciplines working together to provide the person with MS comprehensive care. For this reason an increasing number of healthcare facilities are forming centers specifically devoted to the care of MS. An MS center offers a wide variety of services in addition to those provided by a neurologist June Halper chief executive officer of the Consortium of Multiple Sclerosis Centers says. Nursing care mental health support and rehabilitative services may be provided by a team. Usually a center offers access to participation in research as well. To find a MS center near you use the CMSCs directory at www.mscare.org. However even among those who have access to a comprehensive care center hurdles to access may arise. Some may have difficulty getting insurance authorization of services. Others may not be asked during their neurologist visit about symptoms that would normally lead to a referral to another specialty. How can you ensure you receive the best quality of care