That diabetic patient who comes to see me probably has not only diabetes but hypertension and may be at risk for coronary heart disease, heart attack, or may already have a history of such. So the patient already presents complex needs and takes probably 10 medications. We're talking about pharmacy, drug interactions, ability of that person to pay for all those drugs, so I need the social worker because I can't deal with all that in a 15-minute visit. Those are some of the realities, and those are some of the things that make that seamlessness difficult to implement.
We have some examples of very important innovations. I didn't mention the family health teams. They're not the best things since sliced bread, but they are an attempt to really try to get at this and to say we need to be able to provide access to our patients, if not the next day by that family doctor or at least by a nurse practitioner, at least by the day after that, and if not by that person, at least by someone from that practice. There are some very good examples of innovation that we need to scale up. If we have those tools that I've just talked about, then all those providers need to be able to work together to help that diabetic person with those three chronic diseases and to try to coordinate those needs from a societal and a pharmaceutical point of view.
I'll stop here since I'm not the only one here, but those are some of the factors.