The review of agencies and management structures is a key part of the Government's health strategy. Although the strategy set out over 100 actions, the media most frequently judge it by the number of new hospital beds provided. If one looks closely at the analysis of our health system and its numerous anomalies, one will easily conclude that the most important strategic actions on health policy will be reforms of management, financial accountability and medical personnel. These are the areas addressed in the forthcoming consultancy reports.