Yes, exactly, and you would be surprised at how simple some of these things are. We were chatting before the meeting about how simple changes can make a big difference. The challenge is that they are shared and that they are taken up.
For example, I talked about the approaches to COPD, which will move care outside of the hospital into the community with proper supports. That alone is a big saving. That keeps people from going to emergency, because by keeping people out of emergency, you are providing care that is good for people but is less costly. There are other things. Doctors' offices using open access and being available for longer hours keeps people out of emergency rooms. It's a whole bundle of things.
Canada has been very slow to organize its emergency differently. We have also been very slow in providing appropriate funding—I'm talking about the provincial level—outside of hospitals. It's really a bit of a mishmash out there at the community level, and that's where we have to go.
It is true, and we've documented it very well, how small interventions can make a surprising difference in expenditures. This money never goes back to anybody. It's shipped somewhere else in the health care system, but hopefully it's shipped to somewhere more appropriate.