The bioethics group? No, we exist in the United States. There is a panel of about nine of us led by Dr. Art Caplan, who is probably one of the foremost medical bioethicists on the planet.
We take action when needed. For instance, if there's a grey area in terms of decision-making and a company can't decide whether they should be providing expanded access for a patient, they don't make that decision: it comes to us. We hash it out based on our experiences, and then we send that recommendation back to the company. A hundred per cent of the time they take action and follow up on what we do.
I have pitched this in places like the pCPA to say that there should be that independent ethical panel that can work out disagreements between a government side and a pharmaceutical side. It may not be binding, but at least a recommendation will come forward, and it will be part of those negotiations so that what we don't see—and we see it often—is that negotiations for these rare diseases drugs come to a standstill and nothing happens. If this type of bioethics panel were to take place, we could at least advance some innovative solutions for them so that the process can continue to move forward.