Someone’s going to be the Minister of Health for Canada, and they’re likely to be in a position where taking heroic responsibility for the Canadian health care system makes things better.

Maybe they are in such a position - but they are gears too. More powerful gears, but they are part of a machine that selects these gears by certain properties and puts them in places where they bear more load. By this analogy I wouldn't want such a gear spring out of place. It could disrupt the whole machine. At best you can hope that the gear spins a bit faster or slower than expected. But maybe the machine analogy is broken.