I think what Quebec--and I'm sure they're doing this--and the federal government should be doing is evaluating very carefully whether these forays into private medicine are delivering the outcomes that were hoped for. How are the costs being spread around? Are people getting good care? Are they not? What was expected of them? Are they delivering it? I think it's extremely important to evaluate all of this, because you're quite right.
Since the Chaoulli decision, a lot of shifts have been happening, and I think there are probably more shifts happening around the country than people are aware of. But I think the key thing is that these are closely evaluated. Are these really delivering what we hoped for? Who's bearing the cost burden? Who is accessing them? Are they getting the right kind of treatment? Are they getting too much treatment? There can be too much of a good thing. How many MRIs do people need?
The important thing is to follow very closely what is going on, which reinforces the federal role in supporting that kind of evaluation.