I think it's a catch-22. Most of the programs internationally actually have problems surviving. That's just reality because of the fact that right now they are not accredited programs. They're not considered to be health care professionals, so it's very difficult for graduates of the programs, three-year and four-year programs, to find employment in long-term care and so on. So it has to do with professionalization of the field.
On October 31st, 2017. See this statement in context.