The provinces have had big infusions of money in the past for "transformative" changes but since the money came without strings (no need to prove the money even went to healthcare), they didn't put their shoulders to that wheel and have lost credibility on this file. I side completely with Dr. Philpott in sticking to her guns and ensuring that new money beyond annual increases goes to start meeting  the huge unmet need for mental health services and homecare. I totally get that overhauling healthcare is a major, complex challenge of competing demands and interests; not surprising that provincial governments don't want to spend political capital addressing contentious issues that could get them turfed from office. It comes down to political will and we all have a part to play in mustering it. Unless and until the public at large gets really vocal in demanding that provinces and healthcare practitioners truly embrace a process of transformative change,  it's not going to happen.