I think the lack of leadership is actually sitting with the provinces and the provincial ministries of health. As Mr. Lobb has said, this kind of issue needs to be prioritized politically.
If we look around the world.... I take Sweden as an excellent model. Sweden is the size of Ontario. Ninety per cent of individuals with diabetes are registered. They're followed carefully and the outcomes are tracked. They have the best outcomes for diabetes and complications in the world because they use information and tracking of performance as the gold standard for improving care.
It's the lack of tracking individuals with chronic disease—like diabetes and its complications—province by province, that really hides this issue of lack of care.