The Europeanisation of national health care systems: creative adaptation in the shadow of patient mobility case law

摘要: This paper examines the actual (as opposed to potential) impact of European Integration on national health care systems as a result rulings Court Justice (ECJ) with regard patient mobility. These provoked number similar but far from identical responses across Member States. Adaptation processes are indeed not straightforward. States, confronted deregulatory dynamic applications free movement rules, try uphold their steering instruments much they can, whilst allowing patients be treated abroad. empirically driven provides detailed assessment how Europeanisation through ECJ cases sets off process creative adaptation at level. Through leverage (and some learning) actors alter policies and politics domestic systems. Factors that may explain considerable differences between reactions States - also include likelihood an exodus patients, compatibility Union Law (EU) well presence reforms in system. The EU law includes – for long waiting lists attempts reduce demand exit, example contracting commercial sector. study furthermore shows agency by who draw legitimacy setting reinforce position (or acquire one) It thereby confirms assertion effects these regarding mobility go beyond narrow issue itself it can have important