Hi. I'm really sorry but it sounds as if your brother has run out of treatment options because his cancer is too advanced. My best friend at 47 has bowel, groin lymph, liver and lung cancer now in the bone too. Initially she was only offered palliative care but pushed and was put on a chemo and then chemo/radiotherapy trial. Initially the tumours shrunk but grew again within weeks after the trials ended. She was put back on chemo with no effect. Immunotherapy hasn't worked either. All treatment was ended a few months ago and she has weeks left. The treatment has given her approx a year of extra life but it has been non stop hospital appointments and even she would probably say that she wished she'd faced the fact that she was terminal and focused on enjoying the time she had left. She never wanted to hear bad news and now this non acceptance has led to her having to suddenly face the inevitable and understandably is freaking out and doesn't want to see family/friends to say her goodbyes. I am not criticising the way she's dealt with it but I can't imagine private treatment would be available unless a consultant thought the outcome would be worth the risk of treatment which comes with its own risks. I'm sorry to sound harsh but I haven't known personally known anyone with cancer being refused treatment, no matter their age unless they'd reached the end of the line. My friend has been so poorly with immunotherapy and now she is too poorly to have quality time with her loved ones. Your brother's cancer sounds extremely aggressive as is my friends and treatment would only be a case of buying a bit more time so you really have to ask yourselves is it worth the trauma of it all