Nota 2000 en de aandaverende catastrofe
摘要
In this article, the publication of the Dutch Nota 2000—an attempt at genuine health policy—is commemorated. Four reasons are given as to why this document was a milestone: It reflected a belief in the “makeability” of society; the Netherlands was a leader in health; following the Canadian Lalonde report, this was the first mature attempt to develop policy for health (rather than illness or care); and the Nota 2000 was embedded in other health innovations. The policy’s failure is interpreted as having been driven by inadequate governance. The article then turns to the future and asks what lessons we can learn from the experience with the Nota 2000. It concludes that the world has changed and that three challenges (i.e., narcissism, hedonism, and skepticism) constitute a newer, tougher reality. Fortunately, there is hope—in citizens’ initiatives, youthful enthusiasm and activism, and impressive small-scale interventions with a global impact.