Part 1 Health care and technological change: technological change and social service production - health care and the development of welfare states, health care and the economy, technology and social service production; technological change and health care - health care - defining the technological base of a social service, health care technology as a dynamic process, examples of change in health care technology; production, consumption and health care technology - location and control, technological change and the factors of production, technological change and consumption of health care, "social innovation" and future health care production and consumption; political innovation and health care - direct public provision and funding, indirect action by government, government and convergence of health care systems?; technological change and economic cycles - innovation and economic cycles, government action, health care and long waves. Part 2: Technology and the welfare state - a missing dimension - explanations for the welfare state, technology and health care - an overview, adding technology - a step in "cumulative synthesis", innovation as a response to "crisis" in the welfare state.