Couldn't agree more. Canada's system is far from the model and the challenged facing us all is to figure out what can work. No question it has to be comprehensive. The struggle we face in Canada with making the necessary changes is the fear is that a multi-tier approach willl guettoize the basic system.

But change is inevitable. Our current system isn't sustainable and its bursting at the seams. Lives are being lost and risked and the mental stress people have to cope with waiting for treatment is inhumane as it is. Health care remains the number one issue for Canadians so that gives me some optomism.