“Joining the Vanguard: How Select Nations Are Forging the Future of Precision Health”
- Richard M Fleming, PhD, MD, JD

- Oct 19
- 2 min read
Updated: Oct 25
Across the globe, a quiet but profound transformation is taking shape. Nations that once followed established medical models are now stepping forward with purpose—determined to lead the next era of precision healthcare. These are not passive participants in a global shift; they are the architects of a new medical frontier.
They are the Select Nations - the Group of Three.
The Meaning of Select Nation Status
Select Nation Status (SNS) is not a title granted lightly. It is earned by countries prepared to take their place at the forefront of scientific rigor, clinical innovation, and national self-determination in healthcare. These nations share three defining qualities:
Vision – a clear commitment to modernizing their health systems through evidence-based precision tools.
Infrastructure – the capacity to deploy advanced imaging technologies and build national datasets.
Leadership – the resolve to act decisively, now, to shape the future of medicine rather than wait for others to lead.
This is not a race for every nation. It is an invitation extended only to those ready to lead.
A Platform for National Leadership
The FMTVDM Frontier platform provides more than diagnostic precision. It enables nations to:
Develop national imaging databases calibrated to their populations.
Train and empower local personnel to lead in quantitative imaging and precision medicine.
Reduce radiation exposure, accelerate diagnostic timelines, and lower healthcare costs.
Establish themselves as recognized leaders in clinical science, setting standards for others to follow.
For those nations ready to step forward, adopting FMTVDM Frontier is not merely a technological upgrade—it is a strategic decision to define their own medical future.
Emerging Leaders Across Regions
From Asia, Europe, and the Mediterranean, to Africa and Latin America, interest in joining this new vanguard continues to grow. Multiple nations across these regions have expressed a strong desire to secure a leadership role in this emerging era of precision medicine.
Yet, interest alone is not enough.
Between 2025 and 2030, only three nations will be selected as the initial Vanguard SNS countries. These nations will form the Group of Three, setting the global benchmark for precision healthcare leadership. Their implementation of FMTVDM Frontier will establish new clinical, technological, and policy standards for others to follow in the decade ahead.
The Path Forward
Select Nation Status represents both an opportunity and a responsibility. Nations ready to assume this role are invited to engage in formal readiness discussions to:
Evaluate their national capacity,
Outline clear implementation pathways, and
Secure exclusive licensing opportunities as part of the first Vanguard Group.
This is an exclusive leadership opportunity, not an open call. Only a limited number of nations will join this initial group—and once chosen, their leadership will define the global landscape from 2025 to 2030.
Conclusion: Leadership by Design
Pivotal moments in history are defined by those who act decisively. Today, visionary nations have the opportunity to shape the future of medicine, setting standards that others will adopt for decades to come.
The sword has been withdrawn from the stone. The question now is: Which three nations will form the Group of Three, leading the vanguard?





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