In what follows, we suggest that there is no “magic bullet” solution to the
problem of health system sustainability – at least, not if a key requirement is
that the four values be preserved. Although there are practical measures that
the Member States can take to help secure the fi nancial sustainability of their
health systems – and it is those relating to fi nancing system design which are
the topic of this report – the question of sustainability is, in the end, a social
question pertaining to the values we hold, rather than a technical question
amenable to a simple fi x.