Although regional health units had been proposed in the 1970s, aside from Quebec, few provinces rationalized their health services by creating regional health authorities before the early 1990s. Starting with Saskatchewan and New Brunswick in 1992, followed by Alberta, Newfoundland and Prince Edward Island in 1993, and ending with Nova Scotia, British Columbia and Manitoba in 1996, all the provinces except Ontario adopted regional health authorities, closing excess beds and hospitals and integrating public health and health promotion activities. In New Brunswick, eight regional boards replaced 50 hospital boards in 1992 and, in 1993–1994, 12 family and community services regions were shrunk to seven regions to match the health regions. While some provinces permitted election to the boards that directed the health regions, others appointed lay and health care professionals. Did governments want public input or were regional health boards simply a justification for cutting costs?