We do have a bit of a process that's used on an ad hoc basis, particularly for provincial nominee cases. The province will come forward to us with exactly the kind of situation you're describing: that there's someone in a rural community who is very important to them, to their economy, to the health services that are provided to the community. They will write a letter to the department, saying, “We recognize that there may be medical admissibility issues and excessive demand. We're telling you we fully support this individual and the family in our community.”
That's then put in front of our decision-making officers. Frequently at that point the family ends up with a temporary resident permit. Once they're on a temporary resident permit for three years running, they can be granted permanent residency, with no further look at the medical admissibility.
We do have that process now. Provinces will come forward with those letters of support.