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.