The South West Community Care Access Centre in London, Ontario, held a large conference on the future of Community Care on February 24, 2009. This was the lead off session. The audience was 250 people from across the community and the health care system who were sitting at small tables of 6 to 8 people. The presentation precipitated discussion at the tables about five future scenarios for community care, including the effects of market dominance, scientific breakthroughs, environmental movements, global recessions, and the recognition of health complexity. Votes were taken about which of these futures people preferred and which they thought was most likely before and after their discussions. These brief conversations led to a change in their views and prepared them for the rest of the day.