Contemporary healthcare is a sobering spectacle. It costs a lot and doesn't deliver much at the margins. But even if deep and open-minded reflection and analysis were to propose a reboot, the odds are very long against it. It is next to impossible to alter deeply entrenched patterns and entitlements. It will take nothing less than a collective commitment on the part of professions, governments, educators, accreditors, employers and a whole host of others to create an agile, responsive and integrated health human resources model for Canada.