I think there are several aspects that are challenging. We're talking about increasing productivity on a backdrop of people who are incredibly burnt out and already working really extensive hours in conditions that are very challenging to sustain.
You've heard from Ms. Silas about nurses being mandated overtime. It's very common in medicine to work without a break for 24 to 36 hours in acute care settings, which is really shocking in this day and age. We have family physicians providing care throughout the day and then spending hours and hours at home due to the administrative burden now of health care delivery, after hours and in unpaid ways.
When we're talking about efficiencies, we need to recognize that right now our system really puts a lot of burden on individual practitioners to overcome a lot of the system's issues that make the delivery of care challenging, and those things need to be addressed.
Again, it comes back to what Dr. Cloutier was saying about integrated planning. We can't solve any of these issues as individual practitioners or at individual levels of government. We really need integrated care plans to look at what are our health human resources and how we deploy them in a way to meet the needs of Canadians. How do we allow everyone to be at their full scope of practice so that we do get those efficiencies in the system.
I don't think it's a question that any of us can answer in our own silo. We really need to come together, look at what the barriers are, what the challenges are and then come together with actual solutions.