First off, specifically with regard to activity-based funding, I think the promise of that mechanism is certainly aimed at improving access to surgically based care. There are limitations to it that are associated with the often increasing physician- and hospital-based costs with regard to an increasing volume of care. If you're willing to go with a policy imperative of improving access, this proves to be an effective mechanism for doing that. Given that many countries have tried this, it's well known what the side effects are and how to guard against those side effects.
However, I would point back to the federal wait-times strategy as one effective mechanism that actually opened the door for activity-based funding at different levels in Canada. Many provinces use that as a contracting mechanism to bulk-purchase additional surgical care from their hospitals or from their health authority's or health region's hospitals. I think that was very effective in improving access for elective care, and I think it's certainly one mechanism that could be logically extended into many other conditions beyond the Cinderella services.