Clearly the private clinics are making money even with the 1 for 1 tradeoff. Why not make the necessary investment and simply increase the number of MRI equipment and associated personnel within the public hospitals and clinics?  It seems to me, an onlooker from the land of 'healthcare as a commodity', that Canadian leaders are afraid of raising taxes to pay for the additional MRI and other diagnostic equipment that is needed to shorten the wait for everyone. I am surprised that there is no public call for such a sensible investment decision which would improve delivery of care within medicare.