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This paper’s aim is to reintroduce the teleological approach formulated by professor Karel Engliš approximately hundred years ago showing it as a highly useful analytical tool for social systems, including the health one. Engliš enriched the positive and normative approach of scientific analysis with teleological one, using postulates based on the principle of finality, and distinguished it both from positive causality and narrow normative measures or legal norms. Because health economics often struggles with handling the plurality of health systems, it is worth to search in theory for approaches that will improve this deficit and Engliš’s approach has shown as perfectly suitable for this purpose. We therefore briefly explain the logic behind it, that was thoroughly defended in the literature in 1920s and 1930s. Then we search for specific attributes of four different health systems and sum the up into a table which briefly combines social models, fiscal and tax policy measures and ideals/postulates that those systems are based on. The result is better understanding of the health systems configuration and solid theoretical knowledge behind it, easing the need for finding the optimal or “most effective” health system by recognizing that more important is to know which properties and characteristics it should have and which principles it is built on.