I am going to try to be as clear as Mr. Lobb.
Let's take Saskatoon as an example. There is a health cooperative there that has decided to offer additional service to aboriginal persons, service that is adapted to their needs, because no public service was doing that. They decided to do so using the resources of the cooperative.
I will give you another example. In northern Quebec, there is a project to serve the needs of the Inuit using cooperatives. The local cooperatives have decided to offer health prevention services that include health education, because this is a considerable challenge among the Inuit. This is being done according to the cooperative model. The public service was not offering such services, and so they used the cooperative model in order to provide these targeted services.
I find your comment about involving citizens very interesting. To express things in the simplest way, the health cooperative model implies that citizens decide to provide additional funding in order to have additional services, or to have greater access to services. Those citizens decide how they will do that. So this is a vector for innovation. Citizens decide to look at the innovations needed to meet their own needs, since the public services alone are not managing to do that. They reinvest and go and get what they need to target the public service to the needs of the community, and they foot the bill.