Although I think it's obvious that Biker's original comments in this thread were a bit over the top (but certainly entertaining to read), there are definitely some truths in what he's saying. I know I can relate to a few things he mentions.
I remember a debate a year or so ago about this business of a "learning curve" for robotic surgery. Some folks were setting the bar extremely high, claiming 1,000 or more surgeries were needed to achieve excellence in the techniques and procedures. I still see that claim being made. At the same time, I was finding studies from reputable sources that showed surgeons generally are as good as they're going to get after a fraction of that number. I was shouted down and even ridiculed a bit because my surgeon only had done about 50 procedures, yet my outcomes have been excellent, my recovery uneventful.
I felt then, and still do, that my experience, while not optimal, represents a minority view that may be of comfort to the thousands of guys who for various reasons must rely on theit local uto/surgeon and trust his good reputation. By and large, they will probably do just fine following that path, but we sometimes perhaps make them feel stupid for doing so. Even though, as Purg has pointed out, we read just as many less than ideal outcomes involving "name" surgeons as we do small practitioners.
I also recall being told I was not very smart for listening to the opinion of my daughter-in-law's mother who is an Operating Room technician and who told me of my surgeon's excellent reputation, and even to my wife, and R.N. with 40 years of experience who knows the doctors here in the county and who are the better ones. A few guys here said people like nurses and O.R. techs only know gossip and personalities and can't be trusted for reliable information about surgical qualifications.
Like Biker, I found some of these comments distressing and even hurtful.
However, all that being said, I've found HW to be a wonderful site that has been of enormous help to me in dealing with this "crap," and every time I'm at church, I take care to say a prayer that all of us who have been touched by this cancer find the help we need to deal with it, and that, if possible, we might be restored to good health and live long and happy lives.
If some guys have the money and resources to travel the country, visiting the premier experts on prostate cancer, I say more power to them. I certainly don't resent that and how can it be anything other than a good idea? Unfortunately, not all of us can do that, and I guess we do need to be sensitive to the majority of men, who live in small town America, on modest means, fighting this cancer with the means available to them.