Based on my own experience, when the regulatory organization, in this instance the PMPRB, maintains a climate of trust with the other stakeholders, things go much more smoothly. A dialogue on both sides is established. When people are transparent and acknowledge that the proposed regulatory reform has advantages, but also some potential costs, that allows for dialogue.
What I have noticed at the moment is that there is a conflictual climate between the various parties, and I find that unfortunate. That would be harmful not only to Canadian patients, but the entire Canadian population, because they are the ones who would pay the price.