They are very good questions.
Regarding the situation with Health Canada, I can tell you that we have solved the problem of the implementation of the solutions.
As for the accountability model, it is not a free-for-all. As I tried to explain, these agencies work in step with provincial legislation. Thus, activities in Quebec are governed by the legislation adopted by the Assemblée nationale du Québec. If any problems arise, a Quebec minister has the needed authority to solve the problem.
There are all kinds of responsibilities toward provinces. There is also a certification process. The agencies must be certified according to international standards.