I'm not advocating IFR as it is currently practiced, but something that fits what we do - Canada's National Research Council has already flown a system that will give you an IFR approach to any point you nominate - and that was over two years ago.
We have pretty good knowledge now of the terrain and cultural features like towers, and in the US, have very precise navigation thanks to WAAS GPS. Why aren't we putting all that together to make things really work for us?
Combined with NVG for when you get close to the landing zone and have no choice but to be VFR, we could make a significant difference in our safety record.
But it's going to take a large change in mentality from the '5 hours training is all you're going to get and you'd better be able to hack it on that' that currently prevades.