In the area of innovation, there has been some work with Dr. Ivar Mendez on robotics, which has a wonderful application internationally whereby a specialist can coach other specialists from afar about techniques. It shows how you can transfer clinical practice into having the expertise of somebody in a remote location available to you. That has received significant foundation funding, but government funding as well.
The other one I would mention is a model in the U.K. in which nurse specialists—in this case, in Parkinson's disease—move out into the community and are available to individuals in an outreach capacity that has been very successful. They're just evaluating that study. These nurses are able to prescribe and to follow up on prescriptions in consultation with specialists.
So there are models that we can learn from.
We also have, as Dr. Stoessl mentioned, examples of telemedicine in northern communities. Dr. Mark Guttman does a telemedicine piece with Sudbury and northern communities, and Dr. Mandar Jog moves into Thunder Bay and brings a team twice a year.
So there are ways that these things can happen. They're not perfect, and it would be great if we had the specialization in the community, though it really may not be realistic. But we should be using innovation and technology to maximize interactions with individuals.