At the provincial level it's a hodgepodge. There are centres of excellence and there are regions with excellent coverage. In Alberta, for example, they have been able to reallocate acute care dollars. They haven't taken any more new dollars; they have just reallocated acute care dollars to invest into proper home care palliative programs and hospices. It's turned out, at the very least, to be neutral to the health system. People are not dying in acute hospitals, but have access to hospices and good home care.
In other provinces, that's not the case. In many provinces, hospices, for example, are struggling to make ends meet. There's a threat that many of them will close down. That ricochets down the system, because those patients sitting in acute care units who cannot go home for whatever reason and are ending up in hospital, but need good palliative care and end-of-life care, stay in those acute beds at great cost to the system. Then people who come into the emergency rooms needing acute care for pneumonia and blood clots cannot get into those beds.
If we reinvest and reallocate in a standardized way across the country, we can see great changes in the system.