The past year has been marked by growing friction between pandemic policy and the advice of some vocal front-line health workers. These physicians say they're speaking out because of eroding trust in government decisions. They also see their advocacy as having an impact — even if changes are coming later than they'd like. Others, meanwhile, question if the fracturing of public health messaging is serving Canadians. Early in 2021, relief over the approval of COVID-19 vaccines gave way to frustration over access to the shots. In the spring, Ontario Premier Doug Ford had been easing pandemic restrictions, despite projections showing escalating intensive care admissions, as well as calls for the province to target vaccines to the hardest-hit neighbourhoods.