Dr. Robert Ritter told Justice Margaret Cameron of the Cameron Inquiry that "Chronic understaffing and high turnover are not unique to oncologists and pathologists."  During proceedings of the Cameron Inquiry on June 12, 2008, Doctor Ritter indicated there were areas beyond specialists dealing immediately with breast cancer testing that are also being stressed.  These areas have serious implications on many areas of patient care and the Newfoundland and Labrador health care system.

Dr. Ritter talked about the "vicious circle that has created a sense of despair and frustration amon so many physicians."  He explained that "this is fertile ground that fosters adverse effects."

The strain on Dr. Ritter's face was obvious as he  talked about a systemic failure across the entire medical system in Newfoundland and Labrador.  According to Dr. Ritter, the Government of Newfoundland and Labrador has to rethink how health care is managed throughout the province, and not simply deal with issues such as the faulty hormone receptor testing as they arise.

Ritter stated "If we don't s tart dealing with the systemic problems with what's behind the root causes of what's causing the kinds of things that's happening here, we'll be going from one inquiry to another."

Ritter has warned that many other serious problems could occur if the issues are not addressed.