Here in Israel, it's long since happened. Cell phones have replaced HT's and phone patches are a thing of the past. Even without VoIP last fall a long distance company had unlimited calls to the U.S. and Canada $10 a month. That offer is gone now, but the regular price is about $.04 a minute except for the "default" carrier which is $.10 a minute, less if you "join".
Quite simply no one here really cares about ham radio anymore. The Israel Amateur Radio Club has worked hard to keep relegious Jews and new immegrants out of it, and the "new" generation does not want to have to take a morse code test.
It's only a few "old guys" left. :-(
Geoff.