Abstract
The role of the state in the provision of health care in the capitalist states of Europe is examined along three dimensions: The extent to which states ensure medical treatment as a right of citizenship; the role they play in financing health care; and the part they play in the delivery of care. The evidence suggests that there are great variations in the scope and structure of the health-care state. Furthermore, states seem to be diverging from, rather than converging towards, each other.

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