Abstract
Health care costs has increased significantly during the last decades, and despite rapid development in medical practices, little has been achieved compared to other sectors when it comes to cost cutting innovations. The entrepreneurship that flourish in retail, technology and logistics seems to be virtually absent from the care sector. In this pa-per we explore the state of research on health economics, collaborative (“open source”) development and on entrepreneurship and it applications to the care sector. We show that both the concept of evasive entrepreneurship and the Ostromian “commons” are useful tools when looking for solutions to mitigate escalating cost in this sector.