It is valuable to reflect on what progress the federal, provincial and territorial governments have made on implementing the Advisory Panel on Healthcare Innovation Report's recommendations. The recommendations offered by Manns et al. (2025) are a good starting point but are too modest. New entities need assurances of independence from federal, provincial and territorial governments; scale system interventions; ability to influence provincial and territorial health system funding policies including physician remuneration models; and capacity to integrate with regional priorities. To pursue the sought innovations, political will for reforming the structure of pan-Canadian healthcare organizations is needed.

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