The system also has been decentralized by making municipalities responsible for their own health-care facilities, and by 2005 most primary care came from private physicians.
The new constitution also aims to decentralize authority, dividing the vast nation into 25 semi-autonomous provinces, drawn along ethnic and cultural lines.
Brown publicly supports a decentralized form of municipal government, and recently unveiled plans to decentralize the city government, and bring city services closer to neighborhoods.
Beginning in the mid-1980s, the advent of the personal computer and fax machine, plus breakthroughs in telecommunications, created opportunities for office workers to decentralize.