Yes, very much. What they actually have is a bottom line. They've looked at how they spend health care dollars—well, health care pounds—and they look at the benefits that obtained, and they work out how much they would lose by funding one technology over another. They've come up with what the value of a health technology should be, and technologies not funded unless they make that value.
That's my concern about pCPA: there is no bottom line. They go into a room thinking, “Any deal will do; let's hope we get 25% off this time. Maybe we'll get 30%, if we're lucky.” There's not actually a comprehensive approach that says, “If we fund this drug and it doesn't reach the threshold, it's going to be bad for Canadians.” That's the approach that NICE takes.