On the other hand, the federal government's position is that provincial services should extend to reserves under the cost-sharing arrangements that apply to the general population. This fundamental disagreement translates in a very real way into program fragmentation, problems with coordinating programs, underfunding, inconsistencies, service gaps, and lack of integration. Critics argue that the federal government routinely tries to rid itself, or limit, indigenous programs and services by continuing to diminish what it determines as discretionary health services.