I think it has to do with the frame that we use to think about health. I think the health accord as it existed previously had a frame of curing disease and responding to illness, which is important, but it is a vicious circle, in that the more we respond to disease and the more we're in a reactive kind of mode, the more difficult it is to get ahead of the game. So I think we need to change the frame to a more preventive approach, and, as my colleagues have mentioned, to balance the expenditures to a greater degree. It's a tough situation to get out of, because when you're sick, you want care, but somehow we need to push to the other side.
I also think the social determinants of health are a very important part of that frame, because health outcomes are dramatically skewed, partly by healthy lifestyle choices by all of us, but to a much greater degree by people who are in low-income situations, people who have low education who are facing other kinds of vulnerabilities. So it's the frame that I think needs to change.