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A point of care coordinator often wishes for many things during the course of a working week. Some things would be nice but the technology does just not yet exist, or is still immature, and unreliable. Other things are held back by nothing more than conventional, instead of innovative thinking, and blind repetition of past practice. If I could have three wishes fulfilled right now, I would wish for a new 21st century view on how point of care instruments are regulated and accredited, a similar shake up of laboratory software costing models, and last but by no means least, a faster uptake of low cost innovations such as smart phone and tablet communications technology into current point of care instruments.