We are from Canada and Dad is at Duke for treatment. The difference for us was night and day. Up here you get your standard treatment, a clinical trial if your lucky, and that's about it. There is not a lot of hope involved.
At Duke it was shocking, doctors giving you their cell and home numbers, People jumping through hoops to make things happen for you (lots of crazyness involved with getting treatment in the US).
They just have a different attitude than we were used to. If you are willing to fight, they are willing to do whatever it takes, they dont give up. Their motto of "At Duke there is Hope" is exactly what we felt when we started dealing with them.
That said, I am from Canada, things are different here, it is tough enough to get an appointment with a specialist, let alone have them give you their cell number!