Original Paper

Health Care Analysis

, Volume 19, Issue 4, pp 365-387

First online:

European Health Systems and the Internal Market: Reshaping Ideology?

  • Danielle da Costa Leite BorgesAffiliated withEuropean University Institute Email author 

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Departing from theories of distributive justice and their relation with the distribution of health care within society, especially egalitarianism and libertarianism, this paper aims at demonstrating that the approach taken by the European Court of Justice regarding the application of the Internal Market principles (or the market freedoms) to the field of health care services has introduced new values which are more concerned with a libertarian view of health care. Moreover, the paper also addresses the question of how these new values introduced by the Court may affect common principles of European health systems, such as equity and accessibility.


Distributive justice European health systems Principles Internal Market Equity