@IMNCanada From me many times over the years; however if you are talking re privitization of health care than the US is a good example of how it can go so badly wrong.

The best science in the moment, linked to effective governance was the key to NZ's success story. And now NZ is back to a completely normal life (no masks, no social distancing etc.) but still vigorous quarantine controls at the border. NEJM nejm.org/doi/full/10.10…

I don't think we can get much traction without some Federal $ tied to national standards. If provinces want $ they comply with basic standards relating to, for example, minimum number of care hours per person, requirements for trained nurses and so on.