Egbe--Points well taken. Besides changes in health care organization and financing, particularly to modify the incentives framework for physicians, there is the need to focus on how physicians and nurses are trained. Indeed, medical and nursing education reform, particularly curriculum and teaching reform, is critical to modify the existing clinical paradigms that guide disease prevention and treatment. And as you said, the public/private dichotomy is no longer tenable, particularly given the ever growing expansion of virtual arrangements for the delivery of health services (e.g., public financing and private provision under contractual arrangements). Therefore, the systemic changes advocated need to include all the actors or stakeholders.