Yes but that is the point, get the issues on the table, no one can hide from a free information network, only good can come from these initiatives, if a hospital is run badly and everyone believes it is not is it still a problem, answer yes, it's a problem to the people directly effected, and so on with a 1000 other issues the answer is interaction because that brings issues and problem solving, to the fore, this is smart policy and can only work if it's genuine which I believe it is. sure no one wants to preach doom and gloom but, the difference is if solutions come as a result. wallah it's new form of "democratic" interaction.