“According to the Canadian Union of Public Employees (CUPE), which has been fighting privatization of health care services across the country, ‘blood and bone matter returning on instruments was a problem’ after the service was privatized. Moreover, according to CUPE, privatization also led to the private contractors transporting ‘very delicate surgical instruments over rural highways in all weather conditions, which is not recommended by the instrument manufacturers,’ which exacerbated the quality control problems.”