Thank you. This is a great study.
I want to say, first of all that I've had some experience, unfortunately, with the health care system for people close to me and for myself, but it's always been a great experience when we've had something urgent.
I had encephalitis when I was 31. I'll tell you, it was taken very seriously and I was very happy to have the support that I had.
I have a son with autism. I know, Dr. Smart, that's something close to the work that you do. When we've needed help with him, trying to figure out what's going on because he's non-speaking, we've always had fantastic support.
However, in those interactions, I've noticed things that seem inefficient, and we probably all have at different times.
In the times when I didn't have a serious injury—playing hockey, for example—and had to go into the emergency department because I don't know where else to go, I waited for hours because there were more important case. That seems inefficient in the general scheme of things. It doesn't feel like I need to be there, but it's the only place that works. Going to my family doctor, who is fantastic, I see him do a lot of administrative stuff as he's working with me. He's taking notes and things like that. It seems very inefficient.
It seems that a big part of the challenge is people doing things, largely, that someone with different training or less training than the experts—the expert training people have—whether it's doctors, nurses, or others.... They're doing things that they don't need to do.
When you think about those really expensive inefficiencies in the system, such as someone going to emergency who doesn't need to be there, having a doctor taking notes or, as Mr. Guest talked about, nurses doing cleaning, they all seem to be very expensive inefficiencies.
What are the ones that are the easiest for us to address as we think about action coming out of this set of meetings?