The Centre for European Studies with the cooperation of the CDA Research Institute published this study on health care in an aging Europe. The accessibility and affordability of care is a major issue in ageing societies. All EU countries have to handle this issue, although the increase in costs is uneven and financing and organization varies widely. It is to be welcomed that the Dutch experience with reforms in health care is shared in this study. It shows that great reforms are possible and what the necessary conditions are. On the other hand it also demonstrates the serious risks that countries face when they don’t succeed to reform. The role of the Centre for European Studies is to exchange views and ideas as well as to disseminate the results of research to the public and the decision-makers in health care and participants in health care discussions. This study by Evert Jan van Asselt, Lans Bovenberg, Raymond Gradus and Ab Klink contributes to this mission. All four are involved in the work of the Research Institute for the CDA, the think tank of the Christian Democratic Party in the Netherlands. Evert Jan van Asselt as deputy director and Raymond Gradus as director, Ab Klink as former Director and until recently Minister of Health Care and Sport. Hans Bovenberg was involved in many political studies of the Dutch institute as adviser and is an expert on ageing issues. The combined knowledge and experience has led to a forward looking study with a challenging policy agenda.