Ce document est un "collage" parce qu'il tente de remédier à des situations injustes. Ceux qui ont davantage de pouvoir, comme le "lobby" des médecins, qui s'est montré très actif, parviennent à ce que leur situation soit résolue.
This document is a ‘collage’ in the sense that, although it tries to remedy situations which are unjust, those people with most power, such as the doctors’ ‘lobby’, which has been very active, have managed to resolve their situation.