I agree that Infoway has done well but its progress must be considered in light of two factors, a) its very slow, halting start and b) the very grudging support of some provinces, concerned with the potential of Infoway to interfere with and/or overshadow their individual attempts to utilize IT. It remains that the principal challenge is not IT but IM, putting in place the overarching discipline to ensure that health- and sickness-related data mean the same to all who record, read, interpret, and learn from them.