The world is changing and processes are moving away from being centralised. Whilst there are still central authorities, technology is allowing a shift towards distributed models which everyone needs to adapt to.
Aspects of life that would never have been envisaged to be decentralised such as identity and money are now simply accepted. People think nothing of taking money out of a cash machine in an area far away from their branch of a bank, often not realising that processes such as this are a perfect example of decentralisation working well. The internet and collaborative working tools also allow for people to experience other countries and cultures without ever leaving their house.
This type of decentralisation is important to understand and accept within health and care. The ability to delegate processes away from a centralized authority means that each area, or community can have its individual needs met. Decentralisation also means that experts in health fields can work with other experts around the world and so adapting to a decentralized model allows for progress to be made a much faster rate.