Ann Cogdon--good for you. Alan Mcfarlanes hints about Nova Scotia's Heart Health seemed to imply inferior. With ire rising there are good ideas and creative planners in Nova Scotia. The NS Nurses Union developed an excellent plan and our inept money grabbing, health care decimating government would not even consider it. Many people in Nova Scotia care about health care and have the vision of health for all, but it is a deception of the government, as too little money is being provided to make the plans an acceptable standard of care. eg what good is 4 hrs home care to someone who is bedridden? I had a patient ask me if it was the plan to let older people not be treated as a cost saving manouver. How can you answer that honestly when the services have so many gaps in the rural areas? Rural areas seem like second class citizens in the eyes of our NS government some patients vocalize to me. Some can't go to the regional centers due to lack of money or transportation for certain diagnostic procedures that at one time were done in our rural communities.The health Reform people say nothing of that. Rhhhh! Enough said. I could go on and on. To what avail. NB. there are many CREATIVE THINKERS AND DEVELOPERS IN NOVA sCOTIA. ITS IS JUST A SHAME THERE ARE FEW IN GOVERNMENT. The people of Nova Scotia would back Health reform with the example being Heart Health if they had demonstrated trust in the powers that be but that will take a long time to rejuvenate as they are forever doing with less and being told there are no gaps and things are going according to plan. Their concerns are being ignored. Idealists live in a bubble. And patient care suffers. Heart health and health promotion fills a need.I follow this list to get ideas. Enough said. Judy McGarvey RN ENC(C) TnCC CCP Boonies of Nova Scotia. Keep well and safe!