This year will mark the fifth anniversary of the publication of Rain on a Distant Roof: A Personal Journey Through Lyme Disease in Canada and I'd like to take a few minutes to reflect on what has and, notably, what has not changed about the Lyme disease situation in Canada in the intervening years.

For those chronic Lyme disease sufferers who were hoping that the federal framework on Lyme disease would map out a course of action that would address their immediate healthcare needs, this document will be devastating.