Thank you very much.
Actually, I think that segues into something that is.... We're talking about scope of practice here. The point is that there is a lot of overlap in scope, so the big question is as you look at appropriate HHR strategies, how do you fit...? I know what occupational therapists do. I think it's really a crying shame that occupational therapists are no longer involved in veterans' care and diagnosis, because occupational therapists were the actual advocates for veterans. I think that's why they're no longer involved in veterans' care.
I want to suggest that if we were to look at integrated models of care, community care—let's just leave aside the hospital and acute care model, which is part of that new integrated model—where does a physiotherapist, an occupational therapist, or a chiropractor fit in the scope of practice in that model? If you look at the paramedic, the nurse practitioner, the home care nurse, the family physician, how do those four people fit into the scope of practice when you have overlapping?
How do we build effective scopes of practice that are necessary and needed? How do we integrate them into a system without duplication, overlap, and turf wars? How do we ensure that the most effective care is given to the patient in the most cost-effective manner, so that we can see the savings and the quality of life and all those other indicators for measuring a system that are working well? How do we do that when there are so many people that overlap? That for me is the beginning of how we have to start looking at scope of practice when some people are doing the same things in so many ways. I just wonder how we do that. That is something that I am struggling with. I think integrative, comprehensive care, etc., is important. But how do we decide who is the best person, let us say, in rehabilitative care?
That's what I'm struggling with. How do we decide?