That's absolutely true. The question is who is going to bell the cat? Who's going to decide how you turf and what are the incentives and the disincentives? What are the incentives to adopt best practices, to measure outcomes, and to look at indicators for measurement, or to keep an old practice because it's simply easier to do even though it doesn't give the right outcomes?
What are the incentives and disincentives that one would put into place? No matter what a research body finds, it doesn't have the ability to do incentives and disincentives.
How do you see that coming about, the practicality of that?