I expect the main reason is that there are complexities, as there always will be when it comes to dealing with people and energies, and determining supply and determining need. It can be expensive. The reports that you have listed have fundamentally not gone anywhere, which is why we're still dealing with these things today. I think at the same time there is an enthusiasm to make change and people are not afraid of change anymore.
One of the better committees I have been involved with is a committee on health workforce at Health Canada, which has really strong representation. They have been sideswiped by the pandemic, but their reporting line is to the Conference of Deputy Ministers of Health. I think when there's an opportunity for their voice to be heard, they have many things that can be said. If the CDM can grab it and run with it, then I think we will see change.