The jury is still out on whether the regionalization of Canada’s health services over the last two decades have been beneficial or not. Although some evidence is available about specific policy objectives being met, there is also a widespread of anecdotal information suggesting that the successes have been at the expense of public satisfaction with the health services and that the morale of health service professionals and staff has been severely damaged by the impact of the regionalization strategy. These factors may represent considerable risks to the future sustainability of our health service.