Shipping/handling is 8.00..We ship to USA ONLY .Sorry we have just had to much trouble with people wanting to pay the difference in shipping.Insurance is optional at buyers expense,if desired please add 2.00 to purchase price.Not responsible for items lost without insurance.We do add delivery confirmation to all items we ship at our expense to protect ourselves and you the buyer also.I Will leave feedback once your item arrives and you have posted feedback for us,this is the only way we know you have gotten your item and are satisfied.Any issues can be resolved without rushing to leave negative feedback..Please check out our other auctions for more great medical books plus many more items. Please read our about me pages prior to bidding for our disclaimer, We reserve the right to cancel bids from excessive negative or no feedback bidders. We accept only PAYPAL,do not bid if you are not willing to pay via paypal.. Payment MUST be received within 3 days of auction close unless other arrangements have been made.I am very easy to work with and understand things do happen but you must talk to me.I will also combine shipping to help you save money.Thank you ,we appreciate your business.

"Proud to be a Freelancer."