Local services in Netherlands
In 2016, the Netherlands has maintained its number one position at the top of the annual Euro health consumer index (EHCI), which compares healthcare systems in Europe, scoring 916 of a maximum 1,000 points. The Netherlands has been in the top three countries in each report published since 2005. On 48 indicators such as patient rights and information, accessibility, prevention and outcomes, the Netherlands secured its top position among 37 European countries for the sixth year in a row. The Netherlands was ranked first in a study in 2009 comparing the health care systems of the United States, Australia, Canada, Germany and New Zealand. The country has some very good dentists also. Education in the Netherlands is compulsory between the ages of 5 and 16. If a child does not have a "startqualification" (HAVO, VWO or MBO 2+ degree) they are still forced to follow classes until they achieve such a qualification.