1. On Health Care Reforms in Western Europe. An Analytical Approach. Prof. Dr. W.J. de Gooijer

2. Health Care is a complex process of continuous innovation, i.e. of constantly implementing new combinations of science, technology, organisation, economics, politics, philosophy, opinions and fashion.

3. Health Care is a Mess

4. A Health Care System is a legal and organisational framework, directed at producing, distributing, managing, regulating, supervising, co-ordinating and controlling health care activities in order to realise defined social health care values.

5. Health Care Systems are a Mess

6. Health Care Policy is a chosen course to achieve pre-set strategic objectives.

7. Health Care Policy is a Mess

8. Reform = Change

9. Health Care is a complex process of continuous innovation, i.e. of constantly implementing new combinations of science, technology, organisation, economics, politics, philosophy, opinions and fashion.

10. science, technology, organisation, economics, politics, philosophy, opinions and fashion.

11. science, technology, organisation, economics, politics

12. organisation, economics, politics

13. economics, politics

14. Two arguments: 1. Ideological 2. Economical - Globalisation - Enlargement EU - Aging

15. The Inevitability of the Health Care Market

16. An Agenda for Hospitals