Issue 01 · Autumn 2026 › Health systems ›Bogi Eliasen
Can prevention pay?
Bogi Eliasen

Can prevention pay?

Europe’s medicine keeps getting better, yet Europeans keep getting sicker, spending more of their lengthening lives unwell. Health futurist Bogi Eliasen says the fix is a mindset, not a budget, and sketches what a system built around prevention would look like.

Denmark has some of the best cancer care in the world. It also has one of the highest cancer rates in Europe (OECD/EC Country Cancer Profile, 2025). To the health futurist Bogi Eliasen, that is not a contradiction to explain away. It is the point. “Is that a success?” he asks.

Eliasen comes from the Faroe Islands, a scatter of eighteen wind-blown islands in the North Atlantic with about 54,000 people, where he initiated FarGen, the project to sequence the genomes of the whole nation, meant, he said, to build not a biobank but “a completely new health system”. He has circled the same question ever since: not how to treat people better, but how to keep them well.

His point is that Europe has confused two things it treats as one. It has spent a century perfecting how to treat disease, and barely learned how to create health. A country can build the finest hospitals in the world and still have a sick population. “Is our ambition to have the best health system,” Eliasen asks, “or the healthiest population?”