Community participation is one of the underlying principles of democratic s
ocieties and the potential benefits of the participation process are well d
ocumented. Although a number of participatory mechanisms have been establis
hed by government departments and community agencies to facilitate communit
y participation in health, few Australians regularly or actively participat
e. This paper examines the context for participation in health action in Au
stralia including a political culture which serves to discourage participat
ion in health, and many other areas, and barriers to participation associat
ed with the complex structure and financing of the health care system.