As required by the government of Ontario to involve residents in the decision making process concerning their health care systems after the passing of the Local Health System Integration Act in 2006, the South East Local Health Integration Network (SE LHIN) launched the community engagement phase of their Clinical Services Roadmap project in March of 2011. The project was initiated to gain community feedback and strengthen the health care system in South East Ontario. Residents submitted their opinions concerning seven central focus areas of clinical services in the form on a workbook over an eight week period. The results from the project were incorporated in to the South East LHIN decisions involving services and allocations.
Originating in Puerto Alegre in 1989, Participatory Budgeting (PB) has been implemented throughout the world. Jarabacoa is not a place known for its strength of civil society or citizen engagement. This pilot program of PB using SMS aims to increase civil society and involve citizens for greater government transparency and accountability. PB is part of a broader better governance intitative of the World Bank Initative and United Nations Development Program. PB has been regarded as a "best practice" for open and more effective governance.
On June 26th, 2010 AmericaSpeaks held a National Town Meeting in 58 cities around the United States called Our Budget, Our Economy, where 3,500 Americans discussed possible solutions to America’s long term fiscal challenges.