Bulgaria is in the process of re-structuring its health care system from one based on command and control to one founded on pluralism.

This paper explores the way this transformation is taking place from the comparative perspective of the health care reforms being implemented in Britain and elsewhere.

It draws out the lessons that there may be for Bulgaria based on western European experience and concludes with an assessment of the applicability and desirability of relying on the experience of other countries as a precursor for policy development and formulation in another.