Hi Dolores, Fully agrre with your observations. Our country is quite big 164.000 km2 (4-5 times the Netherlands), but not even 500.000 inhabitants a) we downsized the CCM from 19 to 12 b) there is no money either to run operations especially to rural areas and the interior where care is needed most...

We experienced two problems according to size a) proper representation b) quorum when it comes to decision taking. The CCM should be effective and manageable which means lean and mean. To assure good representation the structure of working groups chaired by a CCM member may be an option. We are now downsizing...