First, you shouldn't put undue pressure on key actors, on front line actors like the community pharmacies. The Bas-Saint-Laurent example is a telling one. We had the front line single-window pilot project for orphan patients who had no family doctor and were given access to the services of pharmacists at pharmacies to which they were directed, where that was possible.
This is an excellent example of how pharmacists can provide those services, even though they're underpaid for the clinical acts they perform relative to needs. They can provide those services because they're in good financial condition, but undermining that condition would threaten the system and the presence and number of pharmacies in those regions.