I don’t think ‘difficulty getting an account’ == ‘mutual respect’. I think you can make the hoops tougher without sacrificing the culture. Though I’m not sure how best that would happen.
CAR-T recipient here! It's been a cure some some bleak cancers. Very much a game changer with seemingly a lot more to uncover with it before we move onto something else. Unfortunately for me, mine resides in bone which is hard to traverse.