Abstract: | In the Netherlands, a “dual system” with a public and private sector has been established for health insurance. The advantage of this system is that the positive aspects of a good social policy with room for the employer are combined in order to avoid the buroc-racy and rigidity of a purely public system. In spite of the good experiences with this system over the last years, the Public Health Service is changing and innovations must be given a chance. This explains the willingness of the Netherlands to exchange practical experience with other countries and to discuss with other EU members the possibility of a combined orientated development of the Public Health Service system within the EU. |