With the guidance of the current 20 member Paramedic Chiefs Board, that represent each province and the territories, it is obvious that the Paramedic Chiefs collective approach to fostering high quality Paramedic Services in Canada has already met with considerable success. A national forum for Paramedic Services has been created, along with a highly credible national ‘voice of Paramedic Services’ which is beginning to influence all levels of government in ways that, merely a decade ago, would have been regarded as ‘daydreaming’, and all of Canadian Paramedic Services benefit, either directly or indirectly, as a result of these activities.