I believe the decrease in spending is due to the cuts rather than to efficiencies. Generally, when we find efficiencies in the health care system, there are so many other areas in need that we actually end up using the money there to improve services in another area. That is how I would respond to your first question.
To the second question, with respect to the cuts, the one-way unilateral cuts, we would actually have preferred that the health care transfers be connected to some sort of accountability measures that are federally driven. We would like perhaps to see an organization like CIHI, the Canadian Institute for Health Information, be an organization that's able to look at metrics, measurements, and accountability measures so that we can match the spending with actual health outcomes. We think this is something that could be driven a little bit more federally. That's what we would like to have seen happen with that money, although we are aware of the fiscal reality of the actual amount of money given.