Citizenship and Immigration committee  We'll go back to the 2004 baseline activity that we engaged in. We identified what wasn't covered in the Canadian Institute of Health Information's overall number as compared to our definitions in our regulations. Then we did a study by talking, at the time, to Statistics Canada and to Health Canada to get data from provincial officials to then come to that baseline idea of what that basket of social services is and what the costs of that are.

Citizenship and Immigration committee  Yes, not all temporary residents have to go through immigration medical exams. There's a small subset of those—for example, individuals headed to work or study in areas where public health is very important. If someone is coming to Canada to work in the medical profession, for example, even if that's only temporarily, they will go through an immigration medical exam.

Citizenship and Immigration committee  Sorry. Yes, there are people who do not go through immigration medical exams to become temporary residents and who later go through medical exams as part of the permanent residency process, and then at that point it's discovered that there's a health condition that would cause an issue from a medical inadmissibility perspective.

Citizenship and Immigration committee  Do you mean the nationality of the applicants?

Citizenship and Immigration committee  Yes. We've already discussed that. We have the list of the cases for which there were recommendations made by a medical officer based on services related to particular conditions. We have that list. Then we need to do the digging to see what happened next in terms of the actual cases themselves.

Citizenship and Immigration committee  We did already say, I think, that we would have a look at the nationality of the applicants who've been found to be inadmissible.

Citizenship and Immigration committee  Off the top of my head, I can't say to you that, for example, Americans never have problems with medical inadmissibility, because I think that would be a ridiculous statement.

Citizenship and Immigration committee  Under our legislation, the visa officers are the folks who make the decisions overseas. The immigration officers are the folks who make the decisions in Canada for people who have applied for permanent residency from within Canada. That's the distinction there. I'm not sure about the reference to the Americans.

Citizenship and Immigration committee  The panel physicians are empanelled by us and assessed by us to make sure they meet our standards, and they are all over the world, including in Canada, but they are not employees of the Government of Canada. Then we have our own medical officers, who are in four different locations: London, New Delhi, Manila, and then here in Ottawa.

Citizenship and Immigration committee  We don't look at it from a month-to-month cost. We look at in terms of that $33,275 as the cost threshold. Then we see, in terms of the services that the individual would require of a health or social nature, what the cost of those services are and whether it takes you over the top in terms of the threshold.

Citizenship and Immigration committee  That's getting into what I referred to earlier as the awkward situation of officials speaking to policy advice that we will give to the government, so it's difficult to answer that question. Various mechanisms can be used in redefining some of the services, redefining what excessive demand is, and creating other exempt categories.

Citizenship and Immigration committee  We have a snapshot of the cases we looked at—that 2014 caseload—when we were doing the analysis of the cost avoidance for the provinces and territories. We have a breakdown for 2014 of how many cases were under $50,000 and up to over $500,000. That is a very wide range.

Citizenship and Immigration committee  Mr. Chair, a written question was provided to the department, I think on October 17, that covers very much the same territory, and we're working away at producing those numbers and that analysis as requested in the written question. I think what you've said, Ms. Kwan, mirrors what was in your written question.

Citizenship and Immigration committee  There's a long list of things we've said we will provide to the committee, so we're going to have a lot of people working really hard on that in the coming weeks. I hesitate to say to you, “Oh, that will be two weeks”, because I'm just not sure how much analytical work it's going to take to produce some of the numbers that have been asked for, but we will provide them as swiftly as we can.

Citizenship and Immigration committee  We settle refugees, yes.