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.
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.
In many countries, political, economic and administrative responsibilities may be decentralized to the larger urban areas, while rural areas are administered by the central government.