The discussion is now focusing on how best to fund the health sector. This needs to weigh as little as possible on labor costs and serve the long-term financing of the health sector, but not be driven by redistribution motives. Just as important as the funding decision are further reforms surrounding the provision of health services. More competition at all levels is the best guarantee to extract the efficiency reserves available in the system while at the same time safeguarding or improving quality. The groundwork to help the health system cope with the challenges ahead needs to be laid today.