There's one accountability measure, as I mentioned, related to the CHT, and that's the requirement to comply with the Canada Health Act. I think it's fair to say that the transfers for health are, obviously, in respect of health, but they're also part of the fiscal arrangements of the country. Ultimately, as far as the CHT is concerned, it's up to each province or territory to decide how they spend that money.
I should just note one thing from a pure mathematical standpoint. You may be right that the Canada health transfer has gone up in percentage rates that exceed the growth in health care spending in particular recipient provinces. But it's worth remembering that the federal government's contribution is somewhere in that 20% to 24% range. I'm not belittling the value of 6% on 23%, but obviously the bulk of the burden of spending on health care is still borne by provincial treasuries.
Also, I'll just say that under the 2004 accord there were reporting obligations, which provinces and territories accomplished. They do not, however, constitute iron-clad guarantees about either reporting or what the recipient province or territory will do with the money. I think this is simply a matter of respecting the jurisdictional responsibilities the provinces, territories, and federal government respectively have.