Yes, thank you.
I was going to follow up on Dr. Carrie's question with regard to payment schedules and whether you pay on a salary basis or on a fee-for-service basis. I'm really glad to hear Dr. Sutherland suggesting a mix really works because it has been shown that low productivity occurs.
You get a salary, fill the day, you go home at five, you don't want to do house calls, you don't want to do any kinds of other emergency surgeries, and your productivity drops. So you're going to need more people to perform the same work. Salaries are going to be paid to those more people.
At the same time some things lend themselves to salaried work. A lot of cognitive work like dealing with a geriatric patient or dealing with a psychiatric patient lends itself to spending that time. So I was really glad to hear you suggest that, because there used to be the sense a while ago that there was this either/or, one was better than the other, and that was it, or one was worse than the other.
Do you have any studies going on right now here in Canada on looking at those models and how they work? That's my question to you, Jason.
You then opened a can of worms, Chair, because my question is simply this. We all know one of the five principles of medicare and of the Canada Health Act has to do with public administration, not necessarily public delivery. There is evidence to show that private delivery of services can ease the burden on the public sector, providing that this private service deliverer follows the Canada Health Act to a T and contracts out based on that and doesn't do extra billing.
How do you see that working with expanding the kinds of services you are talking about?
I'd like to hear Jason's answer first on the work on this.