premise: What I was really making reference to was when a physician perhaps in Quebec or a physician in the maritimes or a physician out west may make an advance or a discovery in terms of service delivery, there is no system in place right now throughout the country where there is an exchange of this type of information.
hypothesis: The main topic of this text is not religions.
reason: The main topic is a lack of communication system, and religions are not mentioned at all. It's difficult because asking the AI to find the "main topic" of a text is probably quite difficult.