While health care policy appears to be evolving rapidly to resolve a number of important issues discussed in this chapter, longer-term success will depend on how easily a competitive model can be introduced into health care and insurance systems and sustained over time. This text identified a number of key problems of health care provision at all levels of the system. In an important shift in approach, the “Concept” set key goals to be reached by 2020 as well as intermediate timing of individual policy areas.