I think the family health teams are a step in the right direction. But I don't think they're based on sitting down and truly looking at the needs of the patient and creating the team around that patient. I think it's more a mixture of family doctors with other health providers. I think I heard that occupational therapists are only now becoming part of the team.
If you actually sat down at every level and looked at the patients you serve and what they need, we would go much further in terms of scopes of practice and collaboration than we do now. But it's not easy. I think health care professionals in general are hard-wired to be independent, autonomous practitioners. We're not oriented around a team, so this goes against our very culture.
So there needs to be a very clear focus. I would argue that most if not all of the associations fiercely defend the turf their professionals work on, and I don't think we're ready to wipe the slate clean and use all of us to the full scope.