No. As I said in my presentation, caregivers play an active role. This means that hospital-based doctors may not be comfortable with home care if they do not have a framework and are not supervised. Caregivers are given the responsibility of administering opiates by injection, giving medication and checking vital signs. Of course, not all patients can stay home until the end, but we manage to keep between 64 and 65% of patients at home and we accompany them until the end.
The nurses are already working. We have them everywhere in Quebec and they are extremely competent. They are fantastic, consummate professionals. They have a bachelor's degree and are trained in palliative care, but who can they call at 9:00 a.m. on a Friday morning if the patient is choking, when there is no on-call medical staff 24 hours a day, which for us means an intensive palliative care team? That is what we are lacking in Quebec.