Instead of talking about the government, we should be talking about governments. As I just said, the provinces have the power to act, but the policy surrounding this makes the task very difficult for them.
For example, when the Government of Ontario decided to use nurse practitioners, who have advanced training, a good number of members of the Ontario Medical Association were a little frustrated by the decision.
In healthcare, every time a decision needs to be made, for example to close a small hospital—actually, it's a little dangerous to have small hospitals where the employees are not up to par—there are geographic and political considerations. Each time something needs to be done, there is a sometimes almost violent reaction.
If we were the ministry of health of a province, we should have the trust of people to act, including that of the Prime Minister. But, as we have already pointed out, the reactions to the changes are always there.
We may wonder whether the federal government can or cannot help us in this difficult political process. Is it the responsibility of the provinces to make changes? It's not a money issue, but a policy issue. It is important to act with great wisdom to organize the changes, to say that changes are necessary.