’In a unique and important contribution to the literature of comparative health policy, this ambitious volume draws together leading country experts and comparativists to address questions of multi-level governance in a range of federal, quasi-federal and functionally-federal states spanning both OECD and BRIC nations, gleaning insights beyond those than can be drawn from studying formal federal systems alone.’ Carolyn Hughes Tuohy, University of Toronto, Canada ’Just like stamp collectors, scholars of comparative health policy like to group health systems by country as it is so much tidier. Yet as this book shows, the concept of a national health system is often meaningless, as sub-national entities adopt increasingly diverse health systems. It is essential reading for anyone seeking to understand the messy reality of all types of federal states.’ Martin McKee CBE, London School of Hygiene and Tropical Medicine, UK