I'll take a first stab at this.
I would say certainly in the short term something that could be addressed is what we're proposing in the primary care integration fund as an incentive for provinces and practices to move to team-based care.
We know how to do team-based care. We have a model of it. As Dr. Lemire mentioned, it's been out there for quite a while now and we just need to move to those models. That would be an immediate improvement.
As for the two points you raised, certainly a single source, or integrated EMRs—I am unaware of that crossing provincial boundaries—but even within provinces that doesn't exist, at least that I am aware of, essentially anywhere in the country.
To your other point on virtual care, we'd be the first ones to say that virtual care is here to stay. It certainly enabled care early in the pandemic where we couldn't provide care safely elsewhere. That technology will be essential into the future for geographic disparities, for efficiency purposes and patients not waiting in waiting rooms. There are concerns about equity, so we don't want to replace a family physician in a rural community with just virtual care. That's not fair to them, and virtual care can't replace everything in primary care and family medicine.
The other point I would emphasize is that all family physicians, I think, want to work with virtual care, but it should be integrated into longitudinal family practice. All Canadians deserve to see a family physician and their team over time, and that could be through technological solutions or it could be in person.