Objective. The objective of this article is to analyze the various components of EU health policy and to propose a conceptualization of the Europeanization of different countries' health policies. Method. Drawing on the methodology of public policy analysis, the authors identify core policies and their developments. They focus on the political processes and the stakeholders involved, and discuss future policy outcomes and their consequences. Results. The results show a two-sided picture: on the one hand, Europeanization in the health policy field primarily results from indirect impacts, rather than from direct treaty-based provisions or from a clear-cut sectoral policy; on the other hand, the EU exercises an increasingly strong influence over health policy in Member States, justified by internal market imperatives as well as public health requirements. Conclusion. The conclusion identifies a growing European health policy compound characterized by new, complex, and often overlapping responsibilities between the national and supranational levels. It conceptualizes the Europeanization of health policy as a differential, multiple, and often accidental process, the effects of which nevertheless tend to be quite systematic.This article aims at systematizing the multiple ways in which European integration impacts on the apparently exclusive national domain of health policy. The role of the European Union (EU) provides evidence for conflicting assessments. Though the picture may at first seem contradictory, this article tries to find a logical explanation behind the puzzling mosaic. It argues that the Europeanization of health policy is a phenomenon that tends to be ''chaordic,'' a term borrowed from Hock (2000) denoting a combination of chaos and order. Hock coined the term from a management point of view, as a cognitive point of reference for successful leadership in complex, self-organizing, and self-governing organizations, communities, or systems that are neither hierarchical nor anarchic. In the case examined here, the Europeanization of health policy, this particular combination of chaos and order results from at least three factors: the existence of both national and European authority over various aspects of the health policy field; the n Direct correspondence to Wolfram Lamping,
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Summary:The more the welfare state withdraws from guaranteeing broad-based collective entitlements and an adequate level of social protection and the more individual well-being becomes dependent upon self-responsibility and choices on welfare markets, the more citizens are obliged to become informed managers of their own social security portefolios. The effective use of these new welfare markets as well as the consequences of increasingly relying on social security produced on these markets make high demands -both on the new "consumers" who have to develop new market competencies and market knowledge and with regard to the development of an adequate and elaborated consumer enabling and consumer protection policy. This is a new social-policy challenge for the German welfare state which increasingly relies on one's own initiative and self-responsibility, yet still is pretty hesitant to enable citizens to respond adequately to these new and risky challenges.Problemstellung 1
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