Bike Plan Hawaii 2003 was an effort to improve and enlarge the original Hawaii Bike Plan written in 1997. The Hawaii Department of Transportation wanted to make bicycling a more utilized method of transportation and promote bicycling in the state. The goal was ultimately to get public participation in creating a plan that would involve improving bicycling facilities, better coordination of land-use and planning, increased leverage in receiving funds for facilities, expansion of bikeways and bike trail mileage in the state, and achieving community consensus.
In 2008 the provincial government of New Brunswick, Canada published its Provincial Health Plan 2008-2012. This plan identified several problems or challenges respecting the province's health care system, including "an aging population," high rates of chronic diseases linked to unhealthy lifestyles, a shortage of health care personnel, rising health care costs, and citizens' heightened expectations for health services delivery.