The quick answer to that is that there is more appetite for a global capitation-type system, because one of the characteristics of rural areas is that volumes are unpredictable. Emergency rooms, for instance, may be quiet or may be overwhelmed from one day to the other.
Just to add a point about the distributed education point, we're in the middle of a Canadian experiment. The increase in medical school enrollment was not because of a recognition of a rural problem. It was in response to a global recognition, finally, that the Barer-Stoddart report got it wrong and that we actually do need more physicians in Canada. But because the universities are strapped for places, it has generated an interest in distributed education. And it's really important that we capitalize on this.
One of the things the federal government could do is find a way to support those areas where distributed education is occurring. They're outside of the traditional university locus, which is well developed, but they are demonstrating that in terms of solving the rural problem, they have results that nobody can match. That's a place we can work.