Bulgaria's healthcare system faces mounting pressures and financial sustainabilitychallenges. While the country has made progress in the development of its healthtechnology capabilities, significant gaps between policy and implementation remain.Commitment to shifting from treatment to prevention requires policy coordination, digitalhealth governance, patient-centred design, and systematic workforce development. Acomprehensive digital health innovation ecosystem can transform healthcare deliverywhile creating economic opportunities through local expertise and public‒privatepartnerships. Thus, building resilience requires not only improving the response to crisesbut also creating adaptive systems capable of anticipating challenges and transforminghealthcare in the face of unsustainable 50-year-long trends of cost increases in healthcare.

The FutuResilience project aims to strengthen European economic and social resilience through an enhanced ability to respond quickly to future crises. The BAPEMED Lab serves as a testing ground for innovative policy solutions, generating both locally relevant insights and contributing to a broader European knowledge base across borders.

The BAPEMED Lab has used foresight tools to test policy recommendations against multiplescenarios with the aim of selecting robust strategies to develop a more resilient healthcaresystem. Policies aimed at advancing these areas are vital for building societal resilience, notonly directly as they promote healthcare resilience but also indirectly as they promise tosignificantly reduce vulnerabilities with wider societal implications.