Is the future Dutch?

Over the next 20 years successive governments developed governance structures, policy frameworks, and risk adjustment mechanisms to achieve what Wynand van de Ven, professor of health economics at Erasmus University in Rotterdam, has called "a national health-insurance system based on managed competition in the private sector". Speaking in The Hague in 2006, Alain Enthoven, professor of public and private management at Stanford University, congratulated the Dutch for being "in the lead" in "identifying the preconditions for competition, the need for risk adjustment, for a language for defining units of production, the diagnosis treatment combinations, and consumer information, and doing the hard work to develop workable solutions".