Mental health reform initiatives in Australia are undermined by short term funding cycles that inhibit efforts towards systemic improvement. New funding streams that aim to address regional disadvantage appear and disappear with monotonous regularity, nullifying efforts to stabilise baseload treatment provision. Scalability is overlooked. Indeed, the reverse, lack of scalability is a defining characteristic of many initiatives, past and current. More telling, scalability is rarely considered an essential for gaining public funding. Yet, the scalability of an innovation is a strong predictor of medium to long term viability. Without scale many worthwhile innovations are predestined to be outliers or no more than short-lived local initiatives that cannot be reproduced elsewhere without substantial re-specification and cost. However, the accelerating development of new forms of digital mental health provision that are effectively available everywhere, governed by new safety and quality standards and a greater emphasis on therapeutic regulation, along with a renewed focus on regionality, creates an opportunity to reform macro-level planning and funding orthodoxy. The benefits of such a change would be most keenly felt by disadvantaged communities, including across the spread of healthcare deserts in rural and remote Austria, that rely on government support to address market failure and unstable access to mainstay treatments. Digital mental health services (DMHS) have the capability to help overcome this avoidable division of the Australian population into healthcare haves and have nots and do so affordably and at scale.