I spend about half the year in England and the rest of the time in the USA. The USA doesn't have it sorted but I think there is more flexibility in finding and choosing the right doctor - it really is a matter of finding a practice where they know what they're doing and have the time to answer your questions and take your calls.
In England, the doctors I have seen seem very knowledgeable but there seems to be a lot more paperwork and bureaucracy there, so they tend to get caught up in the system.
Also, I've found that if you ask questions and show that you've educated yourself on UC, you'll get better feedback from the specialists. It makes them aware that you need to understand the treatment and will question the treatment.
The first doctor who saw me at a specialist GI clinic in England last year turned out to be a research fellow doing the rounds of the various units in the hospital. I made sure I asked a lot of questions - she ended up having to take out a book to research some of the answers to what I was asking, and even popped out to speak to a senior adviser to make sure they were doing things the right way - the next time I went back they had assigned me to be looked at by the head of the clinic!.
Rio, 32 yr old male - diagnosed with UC in 07/2006.
Alternative therapies for several months (SCD, ayurvedic treatment, VSL#3): didn't work and became anaemic. Canasa, 2 daily: remission for a month then flared-up.
07/07-11/07: 4800mg Asacol (6 x 400mg, twice a day) & Aloe Elite.
Completed first (6 week) tapered course of Pred in 10/07, flaring up since coming off it.
11/07: Switched from Asacol to 12 x 750mg Colazal (3 weeks on it and symptoms got worse)
12/07: Asacol 4800 mg, Started Azathioprine 175mg, Prednisone taper from 60mg - Now on 10mg; 2/08: added 2 Pentasa x 1mg on alternate days.
Post Edited (Rio in Maryland) : 3/6/2008 12:59:34 PM (GMT-7)