Healthy Europe asked prominent decision-makers whether the social contract and solidarity in general is under threat in Europe and about their vision for health and society for 2040. Valentina Prevolnik Rupel, Minister of Health of the Republic of Slovenia, Ulrike Königsberger-Ludwig, State Secretary, Ministry of Labour, Social Affairs, Health, Care and Consumer Protection of Austria, Herwig Ostermann, Executive Director of Gesundheit Österreich GmbH, and Natasha Azzopardi-Muscat, Director of the Division of Country Health Policies and Systems of WHO/Europe responded.