The management of Dener royalties has been a particularly difficult subject. Patients already pay a considerable amount for their own care (up to one-third in some cases) through insufficient payment to family physicians and full payments for ancillary benefits. If these revenues were not increased yet, trial pools would lose an important source of money. At the February 1994 COAG meeting in Hobart, heads of state and government spoke in favour of reforming health and community services to “better meet people`s care needs and provide taxpayers with better value for money.” (2) “Measure and Share Reform Proposals” – Excerpt from the Australian Health Agreement between New South Wales and the Commonwealth. [these provisions are in common with all agreements] Coordinated care processes are important as they are the first serious attempt to find a way to break funding and programming boundaries between Commonwealth health systems and public health systems. Chart 1 (from the initial call for expressions of interest) shows how audits are organized and funded. A number of initiatives announced in the 1999-2000 Commonwealth budget have highlighted the importance of coordinated management. In terms of funding, the budget allocates $54.5 million through a four-year award for integrating family physicians into coordinated care planning. An additional US$33.5 million will be spent over a 4-year period on new and existing attempts at coordinated procurement. The most concerned and vocal critics were medical organisations – the Australian Medical Association (AMA) and the Royal Australian College of General Practitioners (RACGP). Already embasinged in a dispute with then Minister Lawrence over private reforms of health insurance and “administered care,” family physicians saw trials as yet another nail in the coffin of their professional independence. To this has been added, to some extent, the permanent definition of the concept of “coordinator.” It implied that other professions could play a role in coordinating the care of the family physician`s patient.