It's multifactorial, and it relates not only to the practice of the physician but the job of his or her spouse and the other issues you've discussed. It's not an easy situation, and certainly none of us, I don't think, at this table can enforce anything with our providers. We can train them according to the best standards, we can advocate, nudge, but we certainly cannot force them.
This is an area in which there needs to be some government policies that influence those choices, there needs to be some community engagement that helps to work on retention of physicians, and there has to be some ownership by the providers themselves.