“…At the opposite extreme, we can find the case of Continental European countries (in particular France and Germany), where the top-down professionalization process was mostly guided by the state, while the professional associations were weak and unable to control the healthcare market by themselves (Cocks and Jarausch, 1990;Siegrist, 1990;McClelland, 1991;Herzlich et al, 1993;Hassenteufel, 1997). The important meaning of this second type of professionalization process lays in the fact that it shows us that the relationship between the state and the profession can no longer be considered 'as a zero sum game, in which "more state" means "less professionalism" and vice versa' (Tousijn, 2000, p. 27), according to a typical classic Anglo-American perspective.…”