Sadly, I've heard the same sorts of stories over and over and over about the NHS and EDs. There are something like 6 bed in all of Wales for EDs, and not many more in Ireland.

And the doctor has no excuse, beyond that sort of DenialLand they go into when there's nothing they can do, but they refuse to admit that. It would be more honest, and more respectful, really, to say straight out, "You should get help, but there's nothing I can do to help you get it." But that wouldn't help, either.

And the thing about weight? It really doesn't seem to matter in the NHS, although I suppose if you're literally at the edge of death they might make room for you on a medical ward.

All that said, I think I would still talk to the doctor. Say that you, or your friend, realize that resources for help are very, very limited, but you *need* help. Is there anything the doctor can do that can help you get the treatment you need? Is there any alternative that can help get you the treatment you need? I know there are some private programs over there with excellent reputations. And I know the private programs over here generally have a sort of "scholarship" program, to provide treatment for those who really need it, but can't afford it. Maybe contact some of the private programs and ask about that. Ask them not only if *they* have scholarships or reduced fee programs, but if anyone else, any other organizations, might have funds to get treatment for those in need.

It's terrible that it needs to be this way, and it's got to be damned hard on you being so far away from your friend. Good luck to both of you.