That's a fantastic question, and any health profession has to have the courage and honesty to ask itself that on a regular basis.
Our competency standards are equivalent to those of the U.K., Australia, and New Zealand, and that's it. Everywhere else in the world, physiotherapists are not able to do a differential diagnosis, for example, and convey that information to patients, and so on. There are certain distinct advantages; one talks about efficiency in the health human resource labour force.
There are reasons why the situation has evolved this way in Canada that take away the arbitrariness, if you will, because it involves working in collaboration with health professionals. But there are other models. Certainly the Canadian model is not the best—we all recognize that—but it would be very difficult to reverse-engineer where we have wound up. I'm not sure necessarily that we can go backwards to go forward, but maybe that's the solution. It's not practical, though, when we talk about the theme of today's conversation.
But as I said a little bit earlier, part of the solution may be some kind of limited licensure to integrate and get working. It's very much one of the recommendations out of the Deloitte study today: let's use the capacity that's there. If we need to build on top of it, then let's take the time to do it, but let's get them into the workforce right away.