Well, we're hearing about this as well, maybe through the same sources, which are significantly through the media.
I think I can tell you that most provincial and territorial jurisdictions do have systems for advance approval of procedures that are done out of the country. However, clearly a lot of the cases you're referring to are instances where someone just simply chooses...either the procedure is not available in Canada and they think it will be better for them, or as you say, they may not wish to wait, or who knows precisely the circumstances.
Of course, one of the benefits of our system is that regardless of how somebody becomes ill, if individuals go to another country and have botched procedures or the procedures they've undergone don't produce the result that they expected, and they actually are more ill than they were, those individuals are entitled to receive care in Canada. It's partly an issue of public information. We know over time people have gone to the United States, Mexico, or other countries seeking care, thinking that it's a silver bullet for whatever condition they're suffering from, and the consequences unfortunately have been dire.
I think a lot of this is about public education and people needing to be cautioned to be very careful about a decision to get care in another country without consulting anyone, either their own doctor or their own insurance scheme, whether it's public or private insurance. It's a risky business, and we are hearing about more of these cases.