The article describes the 25th anniversary of a significant but widely unknown turning point in health policy that was published in the New England Journal of Medicine (ahead of print) and reflects on its historical context and impact[1]. The authors state that this turning point changed decision-making in the field of health policy by bringing new priorities and mechanisms for policy-making in the health sector[1]. The text documents the specific events and decisions associated with this turning point, including key data and actors who initiated or implemented it[1]. The article describes the short-term and long-term consequences of this disruption for the financing, regulation or provision of health care, describing measurable changes in relevant indicators[1]. The authors also summarize the reactions of experts and institutions to this turning point in the years after its introduction, including changes in legislation or political directions[1]. The text directly cites primary sources and documents that confirm the chronology of events and claims about the impact of this turning point[1].