Yes, very interesting. But it is non-patient administrative work, so I&#x27;m not sure if it applies to the submitted article. That does, however, support the argument that in general, the US system requires more administrative work, yet (I believe), the US and Canadian systems achieve about the same health outcomes. And I also believe the Canadian system is cheaper. It&#x27;s then reasonable to conclude that the many layers of the US healthcare system are the cause.<p>It would be reasonable for patient-related notes to be correlated with other administrative work, but it&#x27;s not necessarily so.