Yes, I think that certainly there's an issue of what is the current structure for provincial health care costs going forward. Can they maintain the current low growth rates that we've seen in recent years?
If you look over the long-term trends, you're probably talking about growth in the 5% to 5.5% range if you project forward. That's much faster that anybody would expect nominal GDP to grow going forward over the next 20 years, because of declining labour input, as Professor Godbout has highlighted, and weak productivity growth, so I think we have an issue.
Also, we have a federal transfer system right now for health care, and when we look at the rising growth in health care costs and the federal contribution, our federal contribution will go from roughly 20% to 12%. Then the question is, how do we maintain a health care system going forward?