What we have seen with the PTs generally is that all jurisdictions are undertaking work to try to modernize and reform their health care systems so that they are sustainable and that they continue to provide good services to citizens.
As you and other members would know, we have a system that, when it was established, was built largely around physician services and hospitals, so it's a system that's really built around specialized institutional and relatively high-cost care. It delivers great service if you have an acute need or you need that kind of service. However, the result is that, for folks who are aging or have a chronic condition, providing that care in the community or home would actually be considerably cheaper. It's literally like $1,000 a day as against $100. It's a small amount.
Generally speaking, all jurisdictions are looking at how we shift that out of the high-priced institutional care into home and community settings. The conversation we're having with them as part of the health accord is how the Government of Canada can really support that shift and take advantage of what provinces and territories are already trying to do to make the system more sustainable, which is to have more home care, more community care, and high-priced institutional care where it's needed but isn't for everybody. You don't need to be in the hospital bed, necessarily, depending on the kind of condition you have.
That's the way we're trying to fit the commitment of the government into the discussion with the provinces.