I think Alberta was first. It really was driven in a big way by the pharmacy regulatory body, and by their volunteer association as well. There was a lot of angst within the physician community, and we had many discussions with the Canadian Medical Association and others. But once it rolled out, it was not an issue. Everybody figures out a way to work together. New Brunswick was next. The health minister said: we like what Alberta did; make it happen here.
So it has happened in various ways; sometimes it has been pharmacy pushing it, sometimes governments.
What we've seen over the years is that the level of angst and concern, with physicians in particular, has decreased so much. Over the last few years, the provinces that have rolled out—Saskatchewan, Nova Scotia—have worked very closely with the medical regulatory organization and the advocacy organization to talk through it. As long as everybody understands what it means—and the word “prescribing” means different things to different people—it will work out in the end.