So directory services? Great, but then they have nothing to do with the actual healthcare, so your original comment on private market care doesn't apply.

Sorry but I don't understand how my comment on the private market doesn't apply? I think there is definitely difficulty in seeing the underlying aspects of where innovation comes from, mainly because the "lowest hanging fruit" is what will get investment money first, and part of that lowest hanging fruit will scale quickly too - meaning it'll be what gets the most mainstream exposure - so that can skew people's view about private vs. public.

Do you have much experience personally dealing with healthcare systems to reference?