This topic is about accessing Salts Healthcare ostomy products in the United States. Many users have praised these products, especially the "Sealing Washer with Aloe," for keeping their peristomal skin in excellent condition. However, these products are not currently available in the U.S., though they can be found in places like Australia, the U.K., and Canada. Here are some suggestions and insights for those interested in bringing Salts products to the U.S.:

1. Form a Group Request:
- It's encouraged for American users to band together and contact Salts' offices in Canada or the U.K. as a group. The idea is that a larger number of requests might persuade the company to consider supplying to the U.S.

2. Direct Contact and Group Lobbying:
- Some members have already reached out to Salts and received polite refusals. A coordinated group petition could demonstrate market demand.
- Writing to Salts' head office in Birmingham, U.K., might provide the most useful feedback.

3. Regulatory and Economic Barriers:
- The main challenge is obtaining FDA clearance for medical devices, which involves high costs and extensive documentation. This makes it difficult for Salts to justify entering the U.S. market.
- Without investors to support a U.S. manufacturing site or FDA submission, entry is unlikely. Lobbying political representatives or pushing for regulatory reform might help.
- Established competitors in the U.S. reduce the commercial incentive for Salts.

4. Alternate Acquisition Routes:
- Canadians can order Salts products through domestic mail-order suppliers. U.S. residents might consider renting a Canadian post-office box near the border or using cross-border shipping services, though customs fees may apply.
- Some users are exploring Canadian vendors to discreetly bring small parcels across the border, particularly to try the aloe barrier ring.

5. Product Performance and Upcoming Releases:
- Long-time users report no leaks with BE Confidence pouches and the Oura® sealing ring, whether used alone or with Coloplast Brava XL tape.
- Salts aims to have 100% recycled pouch material within five years, with 75% already achieved.
- A new "simply BE GO" system will launch in six colors, featuring removable, washable, and interchangeable covers.
- The black Salts pouch is noted for its durability and appealing design.

6. Overall Sentiment:
- Many users rate Salts' research and development, customer service, and skin protection as exceptional, expressing a strong desire to access these products in the U.S., as they believe they outperform current options available domestically.