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Here's how Health Canada rather long-windedly explains things: The role of health care "must be placed in context as only one component of a much broader set of determinants of health; by shifting the emphasis of the health-care system away from institutionally-based delivery models (i.
He may be a stand-in for Tournier, who fondly describes himself as an artisan, who works long-windedly, and who has produced in his story a beautiful machine of destruction for his young protagonist.