Yes David you have blinders on.
You continually seem to take umbrage at the concept of finding the best doctors.
Of course there are no guarantees.
If there were, then no rich people would die of PC as I'm sure they have sought out the best.
It's all probabilities.
Now, if money or travel was no object, would you rather consult with MD Anderson or Johns Hopkins or Mayo...or your local specialist? The reality is that money (alias insurance) and travel/convenience are factors.
Fairwind: You raise a good point. I don't know who formally rates the doctors. I don't know who rates the hospitals either. Yet, there are some unquestioned leaders in the field. For example, the institutions I mentioned above. Then there are doctors like the two I've mentioned, Hussein and Scholz. They have been in-demand as speakers. Hussein is a leading researcher. That is certainly evident by looking at publications. She has certainly been a leader in researching new drugs/therapies. Some have just been approved by the FDA and some are in Phase III trials. She is affiliated with one of the top hospitals, Umich.
Scholz has spoken at some of the top PC conventions. He has published a number of papers. His book is actually quite excellent (the chapters written by his co-author, a patient, ran the gamut from weird to excellent). Scholz was Strum's partner for years. Strum and Meyers seem to have a reputation as being top doctors. There are many more -- but actually not that many in terms of being medical oncologists who specialize in treating PC. They are fewer in number.
Seeking the best care seems like a no brainer.