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Thank You mr. Higgins mr. Higgins thank you madam president and mr. Messerschmitt is right this was dumped on us by the court of justice but I reckon it and I want to compliment Madame gross debt for producing an excellent report because with this directive patients will benefit from complete and transparent information when there is art to healthcare abroad its very clear whats in this patients with rare diseases will be able to benefit from cross-border expertise and diagnosis so long as the treatment is unavailable in their member states that the directive is intended to offer patients a choice which is based on their needs not their means and which is informed and not made under duress so I think its very positive indeed and finally it allows cooperation between member states I welcome the fact that it outlaws completely something that could be abused and that is the whole area of medical tourism so to me its another step in the right direction its another step in strengthenin