There's some common ground with both. Let me give a really clear example.
If a community would like to have the technology Dr. Dibble was just talking about and the public cannot afford it and cannot get grants for the technology, they can come together, form a co-op, acquire the technology, and offer it to the whole community. This is another way to organize and get access to the technology.
Another example is prevention. We use this Japanese Hans Kai model. We hire people to give educational tools so that people are able to check their own health indicators. This is in addition to the service provided to the public. We don't hire a doctor to come to our office.