Conclusions: Constructing a ‘Solid’ Multi-Layered Health Care Edifice

Gronden, Johan van de; Szyszczak, Erika

doi:10.1007/978-90-6704-728-9_19

Cited by 3 publications

(2 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…18 However, the "downgrade" of Union action -to merely "respecting" Member State responsibilities -was considered already in 2011 both "to leave open more room for [Union] involvement…", and to introduce "a delicate and sophisticated balance between the [Union] and national competences in health care." 19 Such "a delicate and sophisticated balance" and juxtaposition of the "statements of national autonomy" 20 of the second sentence of Article 168(7) TFEU can be illustrated -with the benefit of hindsight -by reference to Union fiscal policy reforms. It appears logical to suggest that Member States would have responsibility for resource allocation within national healthcare systems.…”

Section: The Parameters Of Article 168(7) Tfeumentioning

confidence: 99%

Towards a European Health Union: What Role for Member States?

Guy

2020

Eur. j. risk regul.

View full text Add to dashboard Cite

Calls for a European Health Union apparently challenge long-standing beliefs that national healthcare system organisation is a Member State competence. Interaction between Member State and European Union (EU) levels therefore fundamentally requires reflection in the design, overall structure and legal basis of any European Health Union. Article 168(7) Treaty on the Functioning of the European Union (TFEU) provides the current version of the seemingly limited EU competence with regards to national healthcare system organisation and has received surprisingly little attention thus far. On the one hand, within the wider EU health competence ‘web’, Article 168(7) TFEU constrains EU adoption of measures incentivising Member States to use particular treatments or to increase intensive care units in response to COVID-19. On the other hand, Article 168(7) TFEU is challenged by the perceived influence of Country-Specific Recommendations issued in the context of the European Semester on national health policies. This opinion piece provides an original assessment of Article 168(7) TFEU to argue that Treaty change to redress the balance between EU and Member State competence regarding national healthcare systems may be uncalled for given both the flexibility afforded by the provision and the complexity and diversity of Member State healthcare systems.

show abstract

Section: The Parameters Of Article 168(7) Tfeumentioning

confidence: 99%

Towards a European Health Union: What Role for Member States?

Guy

2020

Eur. j. risk regul.

View full text Add to dashboard Cite

show abstract

“…Some commentators regard the EU to have a "ratchet effect" towards competition , limiting national policy options (Schmucker, 2010) or causing "cracks" to national health systems (Glinos, 2013). Others, regard a sheltered "healthcare edifice" to be possible as long as national healthcare policy is based on principles of good governance such as consistency, transparency and nondiscrimination in the planning, stated objectives, procedures and regulation of health services (van de Gronden & Szyszczak, 2011).…”

Section: Introductionmentioning

confidence: 99%

Health system governance in Europe

Clemens

View full text Add to dashboard Cite

COVID-19: An Accelerating Force for EU Activity in Health?

Guy

2023

European Social Policy and the COVID-19 Pandemic

View full text Add to dashboard Cite

Prior to COVID-19, EU-level activity in health appeared limited. While the pandemic raised the EU’s health profile, it also questioned future development: crisis response, or a fundamental change in EU Member State health competence? This chapter examines whether COVID-19 can be said to accelerate EU-level activity in health by reference to implementing a European Health Union (EHU) and proposals for Treaty change between May 2020 and September 2021. Kingdon’s Multiple Streams Framework and “windows of opportunity” model is used to explore the chances for success for the EHU proposals. This frames confluence of the problem stream (COVID-19 crisis response and wider concerns about EU–national competence interaction), the politics stream (the European Commission and national politicians), and the policy stream (Commission proposals, the EHU initiative manifesto, and the Conference on the Future of Europe). This exploration helps shape understanding of how EU health policy evolves, and more specifically whether COVID-19 accelerated change.

show abstract

Conclusions: Constructing a ‘Solid’ Multi-Layered Health Care Edifice

Cited by 3 publications

References 2 publications

Towards a European Health Union: What Role for Member States?

Towards a European Health Union: What Role for Member States?

Health system governance in Europe

COVID-19: An Accelerating Force for EU Activity in Health?

Contact Info

Product

Resources

About