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Our contribution was to the summit topic 'health' where I introduced Pema as a 24 x 7 health care worker. She will work for ten years or more, never needing a pay rise and without complaint. No, she can't change a nappy, but brings joy, i.e. respite, to both staff and clients at hospitals and in aged care. No one in health care disagreed. Why then is every obstacle put in front of people and agencies who want to expand the therapeutic experience by getting more dogs working with the ill?