Admission to some programs is based on a point system, reflecting grades from secondary school, subjects from secondary school, age, work experience, and other factors the government deems worthy of reward.
Rather it should be seen as a settled multi-system Europe, with governments reflecting the desires of their citizens, as democracies are supposed to, and choosing the degree of integration that suits their electorates.
In health care justice, we share common values that our health care system should be affordable, accessible, and inclusive, reflecting respect and valuing the integrity of people.