Excellent piece. One perhaps interesting analysis would be around the concept of "profit margin". I would think Canadian values may be influenced by greater insights on this front. If a private for profit lab, for example, generates 40% margins from public and private payers, year over year with no competition ... most Canadian investors would say "how do I get a piece of that" and most taxpayers would say "shame!". Governments need to have insights into these margins and adjust their payments and advise patients of the value of any purchasing in the name of (their) health. Regulatory colleges have to step up in this space as well.