Hi Burke,
Of course people implementing organizations should be able to sell OpenMRS, and they should have to deal with the licensing ramifications of this.
My point is that the #1 priority should be that anyone who downloads the OpenMRS-produced reference application can use it for free without having to do anything additional to use all bundled features. That means, for example, that we cannot include the SNOMED CT reference terminology, and would require people to install it themselves (and ensure they are in compliance with any related licensing).
I think that a “commercial or government” run health facility should be able to download the OpenMRS reference application and use it out of the box for free also. I.e. if you get the official distro from the OpenMRS website, it shouldn’t matter who you are, you should be able to use it for free. Hence the specific options I suggested.