I appreciate your asking me that question. As usual, I have all kinds of conflicts. I advised Sun Microsystems and MAXIMUS in their outsourcing wins in British Columbia. I think I advised EDS as well, but this is the MAXIMUS story. I'm a director of MAXIMUS for my sins, so you can take what I'm saying with a grain of salt.
The British Columbia government wanted to outsource the management of the Medical Services Plan, which is like OHIP in Ontario, and also PharmaNet, which has everybody's prescription history in it. There was a great reaction from the unions, so they went to court to try to block the outsourcing deal on privacy grounds. The response of the British Columbia government was to amend our Freedom of Information and Protection of Privacy Act to say all data processing has to be in Canada. The American company could have no direct links with the United States and could not have our personal information going back and forth to the United States. There had to be privacy training, privacy audits, etc.
The part of the story that I like is that we ended up with MAXIMUS B.C. Health, a subsidiary that runs these operations with the tightest privacy rules and security rules in the country. They have 400 staff that are being monitored all the time. They have to report privacy breaches within an hour of their happening. They have a chief privacy officer. They have online privacy training, and they have annual audits of their compliance by Deloitte Touche and people like that.
What's my problem with that? I have none whatsoever. That shows what good privacy protection could be put in place for reasonably sensitive personal information in British Columbia. But does the Ministry of Health do that? Do the Vancouver Island health authorities do that? Does Vancouver Coastal Health do that? No, they don't. They don't have the resources to do it, and nobody's making them do it. They might have privacy officers, but they don't have the resources to do the job.
Vancouver Island, where I live, has 45 different places like hospitals and things like that. There's one half-time person doing privacy protection for the Vancouver Island Health Authority. There is a population of probably 750,000 people. MAXIMUS B.C. Health is providing an excellent service. The Minister of Health has said that. The deputy minister of health has said that. People are happy working there. The same workforce came from the government and was privatized. It's working very well, and it's making money. It's not making a hell of a lot of money, because they signed a pretty tough contract, and the government really watches them. Why isn't the government watching itself according to the same standards? That's my point, especially with regard to the e-health field.