The Slovak health system is a system in progress. Major health reform in the period 2002–2006 replaced all relevant health care related legislation and meant a new approach based on individual responsibility and managed competition. The health insurance funds became profit-making companies, hard budgetary constraints were introduced, and a new regulatory and institutional framework was created. The model sought to create an environment in which societal goals are met through incentives for market players. The future of this system largely depends on political will. Opposing political views may lead to different decisions regarding market mechanisms and state control. The government that entered into power in 2010 pledged to move forward with the market reform agenda.