In my presentation, I specifically articulated some of those challenges. Drugs for highly complex, specialized, ultra-rare and rare diseases are often plagued by a number of problems. They have insufficient evidence, so we have limited confidence in the ability of that drug to have the kind of clinical impact being proposed, among other factors.
We are working with the EDRD working group to not only address it at a systems level, but to start to recognize that there may be a very small group of drugs that have to be put through a supplemental process so that we can provide access while the system is still generating new knowledge.
These drugs are expensive and there are risks associated with every drug, so there is a balance between speed and confidence in our ability to list those drugs. We are working with the provinces. We've also implemented a number of things already to start to address some of those, like these clinical panels that I mentioned in my presentation. In the review process we can convene clinical panels for small targeted diseases where we need to hear directly from clinicians, and that information can then be fed directly into the expert review committee, so it would—