Undoubtedly, the federal government should have a major role in doing this and providing leadership in many initiatives.
The issue again is that provinces are somewhat siloed and separated in terms of how they have traditionally dealt with their health care issues. What one would hope from a federal government in our system is leadership that maintains the actual provisions of both medicare and the Canada Health Act. That does provide, and did solidify to some extent, this idea that access to care would be equivalent across the country and that there would be portability from one province to another. It seems to me that without federal leadership we can't even begin to discuss that, because then we have each province arguing one-on-one with each other about how to proceed.
I don't see that there is any lack of a need for federal leadership in this debate whatsoever. What is necessary is a strong unifying voice that can help the provinces to each see the strengths that may be present in different jurisdictions—and there are strengths, many strengths, that are present in one jurisdiction that are not in another. The federal government could help; the federal policy-makers could help to point that out and to allow the provinces to come together and actually agree upon standards.