I am sorry. That is a terrible disease. To my knowledge John Hopkins currently has the most promising trials for ALS but generally speaking there is not current

I am sorry. That is a terrible disease. To my knowledge John Hopkins currently has the most promising trials for ALS but generally speaking there is not currently a full understanding of the underlying mechanisms of that disease and little, even in the most experimental ends of the pipeline, for it. I am not aware of anything that has even the slightest promise of effectiveness that would be available in mexico or china that would not be available in the US if they met eligibility criteria for currently open trials. The ACT for ALS passed in 2021, amongst other things, specifically opens what paths are available to patients with ALS and in certain circumstances offers grants.