The nations of the EU have long led the world in universal health coverage. Recent economic developments have created problems ranging from inequities of care to growing numbers of uninsured - a progression analyzed by Win de Gooijer in Trends in EU Health Care Systems. His ideas may be startling, and the book is bound to be controversial. This is critical reading for health care managers and policymakers, politicians and insurors - anyone looking to Europe to understand this far-reaching evolution.