I think the answer to your question has two parts.
Part of it is that after a prolonged period of assessment, from a medical perspective, our job is to give them what's called a temporary category or a permanent category.
A temporary category means a person is still in flux, transition; they have not stabilized one way or the other. Once they've stabilized, meaning they're completely better or they've reached a plateau, a level at which we are confident they're not going to fundamentally change, we will give them a permanent category: they need regular specialty care, or a certain amount or type of sleep. There are, as you know, restrictions based on medical requirements.
That's what we do. Once we make a determination, that file goes to the director of military careers administration, the DMCA, who looks at it and determines whether that individual's rank, trade, and limitations are compatible with ongoing service in that trade or in another trade in the military that they could potentially remuster to. If they can, then they're retained, but if they cannot, then they violate universality of service, and the only option is release.
In that regard, that becomes more pressing and a very important issue the smaller the military is. The more and more people you have who are medically unfit, they hold military billets and other people can't be promoted into those positions, and neither can other people be recruited to fill them.
While you're carrying that person in terms of both pay and position, the rest of the Canadian Forces gets relatively smaller. Now you have a greater burden on the remaining people for both operational and personal tempo. That will drive up their fatigue, and it's more likely they'll get out also.