There are a lot of 45-year olds that won’t need RLE until 65, if ever. Why do they need to travel to Mexico to get ICL instead of doing it in US? Same thing wit

There are a lot of 45-year olds that won’t need RLE until 65, if ever. Why do they need to travel to Mexico to get ICL instead of doing it in US? Same thing with modern multi-focal RLE lenses. They got approved in US just couple years ago, and people used to go to Tijuana just to get access to them for years before that.