Public health care systems are, in a sense, a very concrete representation of what a "social Europe" exemplifies: universality, solidarity, well-being, and inclusiveness. As Europe moved toward greater political integration in the early 1990s, the hope for many was that the principle of solidarity that informed many national health care systems could be incorporated into a European-wide schema of robust public health care. But, because the historical trajectory of these states' health care systems led to an array of different models of financing, provision, and regulation, formal integration presupposed a heroic (and arguably unattainable) degree of institutional and political reform. As the health systems of many European Union (EU) member states are a substantial component of their public sectors (and often their public culture), they are messily entangled with larger issues of national sovereignty. While the vision of a wider European health care "system" was one many member states supported at an abstract level, they resisted surrendering control of their health care systems because of fears that the "Europeanization" of health care could result in a system informed, not by solidarity, but by liberalization and the relentless pull of market forces. In consequence, little attempt was made to harmonize national health care systems directly. Member states' health care systems remain formally under national, not EU, jurisdiction, and, as such, the articulation of a "social Europe" within the domain of health policy would seem a rather limited subject for discussion. But the role that health policy plays in the pursuit of a social Europe is more substantial, more complex, and more contingent than the narrative