The challenge outside of the urban centres is very real. Actually, there are a couple of provinces now, supported by ALS Canada, who with the provincial society have identified mobile clinics. British Columbia is one, Alberta another, where they will get a team together, a neurologist, an OT and PT, they'll get in a van and go out into the hinterlands. They'll do that a couple of times a year. That addresses what you're describing in a small fashion, but not the big picture.
On November 2nd, 2010. See this statement in context.