Systemic surgery: a new social contract for health care

Modern health care presents challenges for science and technology that go well beyond surgical procedures and physiological monitoring. But although technology is making a rod for policymakers’ backs, it may also be throwing them a lifeline. The research focus is increasingly on information and communications technologies, which are opening up new possibilities in preventive health, self‐diagnosis and even remote surgery. For a public accustomed to paternalistic medicine, the redistribution of R&D resources may come as a shock – but Europe’s overstretched health services need more than sticking plaster solutions.