Mr. Ian Carter:

Personally, having worked in two different environments, the key issue is that of a pathway. We do not have a pathway, I would suggest. Integration will more likely yield a pathway but we do not have a description. The Holy Grail for the health care system internationally is how to best manage chronic disease. Integration, logically, will bring it together. The main problem, and one can look at any international system, is how to do it. How will one actually do the task? Doing it under one tent is more logical than doing it under three tents or having overlaps. The absence of a pathway is a problem.