Future used to mean global progress and convergence of science & technology and society. Today, we observe the de-coupling of the two poles of knowledge formation & application (i.e. respectively science & technology, and culture & society) and also fierce confrontation between them. The key issue to reconcile the two poles is to re-invent the link between them. Such an attempt is presented through the analysis of a successful integration & change management project, namely ISA. But the collision of the cultural differences that are embedded in telematics products & services with the cultural diversity that rules over European health care providers hampers the development of a large scale market for European industry. Culture manifests itself in the social behaviour of people, in their approach to solving problems, and also in the products resulting from their activities. In other words, in order to generalise the approach to telematic integration, it is necessary to incorporate cultural diversity. It is proposed (in two projects of the fourth framework programme, VICO & Babe to combine a sevendimension model of cultural behaviour that has been developed and used in the management of multi-national companies with the model of the management of health care telematics integration projects developed in ISAR. The new (future) future may lie in the development of mental & technical capacities for changes : acceptance of and capacity for enterprise-wide solutions, hospitality and capacity to acquire outside knowledge, self-managed, multi-functional team work spirit, reengineering mentality to achieve pertinent technico-cultural solutions.