What you're referring to are the inequities that we are seeing. These inequities are driven by these guidelines. The inequities that are created by the task force guidelines happen on so many levels.
They happen on a provincial level because they create differences in provinces. Some provinces have the resources to create their own programs and some don't. They create inequities in patient levels, because when the task force says, “Don't screen”, family doctors really listen. The College of Family Physicians really pushes that mandate. Patients really have to know to advocate for themselves.
Having these national guidelines really drives inequity among individuals, particularly individuals who are marginalized; who are Black, who have worse outcomes with breast cancer; and who have lower socio-economic status—which we see with lung cancer, because these guidelines also refer to many different areas of preventative care, including lung cancer screening.
What would I like to see? Although health care is a provincial matter, these national guidelines really drive what the provinces do. Until we have a clear and transparent mechanism for creating guidelines that include modern, relevant evidence, we're going to continue, as a country, to be behind the eight ball, dragged back to really old data and not moving forward in an innovative fashion.