Health care systems and the provinces, but especially Quebec, have basically tried two things up till now.
First, they tried to change the structures. Hospitals were merged, demerged and remerged. Regions were created, regions were eliminated, new ones were put in place, they were made bigger, and then the department was changed. I think you get the picture.
The second thing is that the funding was changed. However, when you change the funding, virtually all provinces come to see this as being a way to control health care institutions and doctors, rather than as a way to mobilize resources.
As Dr. Reichman so eloquently said, the areas where we need courage, and which we really need to change, are clinical practices and professional practices. We have now reached that point, but it will be the most difficult thing to achieve. We need to change clinical practices and professional practices. We must bring about change in both clinical and professional practices so that they align with the needs of individuals.
To make these changes, organizations will also have to align with the requirements of the clinical approach to treat elderly people who have several chronic illnesses. We also need the proper amount of funding.
For example, the member talked about snow removal earlier. In our SIPA project....