Those in fact are the types of people who work in our agency and who do the work in our business. I would agree 100% that there is a limited capacity of people with that expertise.
I would say as well that what is needed is better collaboration. These are tough decisions. When you're going to take something away from either the patients or the clinicians using it, it's pretty hard to do. You have to engage very carefully with the clinical community, with the patient groups.
An interesting campaign that started in the United States is called “Choosing Wisely”. They went to a number of clinical associations and asked them to come up with a list of five things they should stop doing.
Something like that would be very beneficial from a Canadian perspective, to Canadianize that sort of an approach.