“…Such a provision made pre-1994 Norway a pioneering embodiment of the WHO's essential medicines initiative, ensuring that the drug market catered to specific national needs whilst promoting rational use and cost-containment on an equal footing (Jøldal 1986). Whilst the essential medicines approach targeted developing health systems, many of the social aspects of drug regulation which it responded to were and continue to be of importance in European and Western health systemsa review of the field is beyond the scope of this paper but consumer protection, independent regulation, access to medicines, rational use and sustainability are among the key examples (Adamini et al 2009, Fraser 1985, Garattini and Bertele 2001, Garattini et al 2008, Lexchin 1990, Medawar 1992, 't Hoen 2002.…”