Although the impact of market reforms in Swedish health care stands out as
not very far-reaching in an international comparison, it represents a route
away from the features and basic values normally associated with the
Swedish or Scandinavian model. Summarizing the development over the last
decades, we may identify signs of sustainability as well as change. Popular
support for public provision and a robust institutional structure make farreaching
alterations of existing structures less feasible, although most visible
changes this far-incremental though they may be-represent a change in
which the normative foundations of the Swedish model are challenged.