I think it exists so long as there's a tension in terms of the roles of the spheres of government about who in fact makes decisions in health care. I think that's one of the questions that has not been resolved. It's not been resolved who should make decisions that would perhaps alleviate some of the problems that Dr. Day and other witnesses have made. It's not clear the federal government can do all that much about the number of graduates of medical schools, for example, when medical schools are under post-secondary education, which is a provincial responsibility.
So the big political questions about who decides have not been resolved. When you tackle that question of who makes the decisions, you're getting at the question about who gets.... If you decide, you decide who gets what, who gets what when, who gets how much, and who gets what kind and whether services can be provided privately, publicly, and how much money should be involved. But the big question is who should decide, and I think that fundamental tension is still there.
Not to belittle le pas en avant that the 2004 plan did make, it did break a logjam that was, in effect, paralyzing political debate about health care. So we've moved a step closer, but I don't think we've actually resolved that fundamental issue yet.