It would probably be a good thing to inform them that whatever they decide is ultimately irrelevant. If we can't get access to our own vital health information in the US we can always get it overseas and then they will not get a cut of even running the tests. They need to be informed that everyone understands that this is all about their getting paid and we aren't falling for any of their attempts to obfuscate the true reasons for their actions. If all it takes is licking an envelope then we can send a letter anywhere in the world... and we will if forced to do so. Once again they are irrelevant. What they decide is irrelevant. They are not capable of denying us this information. The only thing they are capable of doing is cutting themselves out of the action and assuring that the US lags in the development of this new and key technology. There is nothing bureaucrats hate more than knowing they are irrelevant. But there is nothing they are more in need of hearing. They don't get to make these sorts of decisions for everyone.