I agree with the authors somewhat on their premise.  But what the Liberals don't seem to get is that the "efficiency gains" that need to be had within the health care system won't come with the introduction of more administrators and bureaucrats (ie. the LHINs) trying to tell health care providers how to provide health care.  Redirecting tax dollars into these organizational structures, while laying off nurses and blaming the escalating cost of health care on "greedy physicians" is not the ticket to promoting "efficiency gains" within the health care system.  I invite anybody to look into the abysmal track record of the LHINs and try and tell me that this is the way to reinvent our health care system and make it better. 

Arguably the surest way of ensuring efficiency gains within the health care system is getting the government out of it.  Anybody that thinks that the government can improve on cost effectiveness or efficiency clearly hasn't got a clue.