What Makes a Public Health Care System Non-economic?* Health services are not economic in nature when they are funded by the state through taxation, they are provided for free or at a nominal fee which is the same for all patients and they are available to all citizens on a universal basis and on the same terms. Introduction After the judgment of the General Court of 5 February 2018 in case T‑216/15, Dôvera zdravotná poist'ovňa et al v European Commission, health ministries across Europe must be wondering whether their public health systems are economic in nature. This is because over the past decade health systems have been undergoing reform with the introduction of elements of competition, budgetary autonomy and flexibility in the services offered by hospitals. In its judgment of 5
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The EU Commission finds that competitive elements in a health care system do not make the system economic in nature
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