I'm with the hospital, so from my side of it, I know very well the saga of a multinational, a General Electric or a Siemens, selling you an MRI versus a small local company called IMRIS selling you an MRI. There is an inherent adverse reaction to risk. If you buy a car from GM, you can't be faulted later for making a bad decision. If you buy that car from Ray Simard Auto, maybe it's not the same level of risk. So I think there's a natural inclination to do that.
The problem is related to government accountability. There have to be public RFPs. There have to be extensive bid review processes. And sometimes the little guy is just competing against great big shops with tons of resources and it's tough to last out. A GE or a Siemens can last through 100 of those competitions before it hits one, and that little guy can't. There is nobody more pure than government on these things, I'll tell you.