Twenty years ago, as Europe was preparing itself for the new millennium with a mixture of enthusiasm and trepidation, the WHO Regional Director for Europe established a clearing house for health care reforms that would ultimately give birth to 'The European Observatory on Health Care Systems'. Health systems in central and Eastern Europe were changing rapidly, with consequences for the health of the populations concerned. In Western Europe, some were exploring ways to exercise their rights to cross-border health care within the European Union and exploring new possibilities to protect health under the powers bestowed by the Maastricht Treaty. Into this melting pot came a group of visionary and passionate young individuals who were deeply committed to observing all that was going on, competently analysing the effects on population health and travelling all over Europe to spread the message. In a nutshell, that is the contribution the European Observatory on Health Systems and Policies has made to shape the health policy landscape in Europe.
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