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Iwrite this as an envoi immediately before my departure for a senior health position in Canada. Reflecting on my 35-year career in health care in Australia, I am concerned that, despite all the reform — which has been significant over this period, especially in reducing financial barriers to access — our health care sector still has not tackled fundamental challenges. The health system has been adept in responding to technological change, but our track record in responding to sociological change is poorer, and this gives cause for concern for the future.
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©The Medical Journal of Australia 2009 www.mja.com.au PRINT ISSN: 0025-729X ONLINE ISSN: 1326-5377