Hmmm. I don't know the answer to the question "Where in the world...", but I would hazard a guess at Canada (very high incidence of MS + good health service), although I've heard that Scandinavia is really good.
It's probably more important to make sure that we get the best possible treatment for ourselves wherever we live. In the UK, if you have RRMS, the first thing is to make sure that you see an MS specialist who can prescribe disease modifying drugs. It is a little known fact that not all neurologists can prescribe DMDs. And if someone with MS is seeing a neurologist who can't prescribe DMDs, they ain't ever getting themselves a prescription for DMDs, even if they are eligible. So, first step: get on the list of someone who can prescribe DMDs. (Use the "Near me" function on this website to find the name of an MS specialist in your area.)
Next step, in my opinion: know what you are eligible for / know what to ask for / know about MS. Seeing a neuro who can prescribe DMDs doesn't automatically translate into getting a prescription for DMDs: sometimes we need to ask. Same goes for other meds and treatments. Read the NICE full guidelines for multiple sclerosis CG8 (these are being reviewed, so keep an eye out for the new version). Read Polman et al. Diagnostic Criteria for Multiple Sclerosis: 2010 Revisions to the McDonald Criteria. Read the information booklets on here and on the MS Trust. Read the msdecisions website and the Multiple Sclerosis Research blog. Subscribe to the MSRC RSS news feed. If you can, explore PubMed and Science Direct. Research. Learn. (You might not want to do all of this at once!)
- Make sure that you have an MS nurse and access to a neurophysio, occupational therapist and other rehab services.
- Get a really good GP who will work with you and your MS nurse and won't insist on letters from your neuro for every little change in med.
- Take control. Learn to ask (firmly if necessary).
This all works well assuming that your local PCT are playing ball. If they are one of the ones with a load of extra, unfair, exclusions and criteria, then you might find some things hard and going to court may even be your only option. Let's hope not!
Not sure this really answers your question. Hope it helps anyway.