It is suggested by Millar et al. that many public health leaders across Canada have been somewhat reticent to fully engage in health system transformation initiatives, including those in primary care, despite their support of the concept of collaboration. Public health leaders and staff should bring their unique population health perspective to these initiatives by applying health promotion strategies, which include methods to "reorient the health system" to better apply this perspective across the spectrum of health services and work in partnership with other sectors to support the needs of individuals and communities to lead a healthier life. Healthcare transformation efforts across the country would benefit from a more balanced approach between the Triple Aim goals: containing costs, enhancing the patient experience and improving population health.