It's very different on the technology side. Drugs are so much easier because it's very top-down in most provinces. They have a drug plan and people in the ministry who do have controls in place. Devices are very bottom-up. New devices and new technologies are introduced into the system when, say, a manufacturer provides something to a surgeon or to a nurse and it slowly and easily becomes diffuse within the system without having a lot of information or assessment done of that technology. There are many decision points involved with the non-drug technologies.
On October 18th, 2012. See this statement in context.