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A common analogy is to compare regionalization to a train. In the classic tradition, you first decide where you want to go and the best way to get there, given available resources and technology. Second, you design the train to fit with the job that lies ahead. Third, you build the train along with the tracks and then get it moving. The other provinces have all built trains and are moving them down the tracks, although in many cases the train (or maybe the number of cars) has been changed along the way.

Opinions: Train Building in Ontario: The Future of Local Health Integration Networks