April 05, 2011: The 18th amendment to the Constitution of Pakistan has devolved several subjects including health from the federal to the provincial level. This has far reaching implications for health, changing the entire health systems matrix in Pakistan. Heartfile’s recent paper, Health & the 18th Amendment underscores the importance of a national role for health. The paper is in the public domain and can be downloaded now. Comments if any should be sent to firstname.lastname@example.org. In addition to this news posting, we have also placed a comment in the newspaper to solicit inputs from a wider audience.