This paper is written from the perspective of a participant in Australia's regionalization process - most recently as chair of the governance and funding task group of a comprehensive health system review in South Australia, one of Australia's eight states and territories. The task group recommendation to regionalize the system (Generational Health Review 2003) was accepted, and the changes come into force in July 2004. This looks like being the last devolution in the Australian system for some time.
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