Overcoming the boundary conditions that impede the flow of evidence derived from research from academia to healthcare decision-makers in government and their agencies continues to be a challenge. But even the reduction/elimination of all such barriers and perfect collaboration are unlikely to yield what those of us in the "real world" yearn for, doing the right things right – policy and other decisions perfectly informed by evidence of what works and what doesn't to achieve a defined outcome. For that to happen, the calculus of decision-makers would have to exclude or evidence would have to trump political considerations, both large P and small p, an unlikely accomplishment in British Columbia or anywhere in our so-called healthcare system. That's reality!