As a long-time family physician lead (in a variety of roles), I cannot help but wonder whether the title of the editorial, “Canadian Family Physician: 70 years and counting”1 is missing 1 word at the end, “down,” perhaps followed by a question mark. After years of government (federal and provincial) mismanagement of the health care system (in general) and short-sighted policies related to family medicine (in particular), I worry family medicine is no longer in crisis but rather is on life support.

Dr Pimlott is absolutely correct when he states, “… many of the issues of concern to readers and journal contributors over the years have not changed.”1 Simply put, change has not occurred because those who are making policies are not listening to us. If very real positive changes are not effected very soon, the future of family medicine is far from guaranteed, and so the future need for the College of Family Physicians of Canada and the journal is also uncertain.