It's a great question.
I think there's a bit of a gap in research. We need to understand more about the countries that are doing better and what they are doing better. For example, when we look at our measure of primary care physician preparedness, the countries that did the best there were the Netherlands and the U.K. Those two countries have focused a lot of effort on their primary care services and their community services. They are quite a bit further ahead of the game than us.
In Canada, we've slowly been pushing toward community care in the last 30 years or so, and it's taken a while to get there. These countries are quite a few years ahead of us in that domain. That could be one possible explanation, but we still need to study it further to understand what those countries are doing well.