Challenges and opportunities in Europe
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The document discusses the challenges and opportunities within the European Union regarding public health, particularly focusing on alcohol policies. It highlights the need for health advocacy in the context of economic pressures and lobbying, while also noting the significance of recent developments, such as minimum unit pricing (MUP) for alcohol. It concludes that 2013 and 2014 are crucial years for progressing public health initiatives related to alcohol.
Challenges and opportunities in Europe
- 1. Challenges and Opportunities in Europe Monika Kosinska Secretary General European Public Health Alliance Dublin, 1 November 2012
- 2. Introduction Brief overview of the EU Alcohol in the EU Challenges for health policy Opportunities for health advocates Conclusions 2 Dublin, 1 November 2012
- 3. European Public Health Alliance Coalition from across the EU o Public health non-governmental organisations o Health professionals’ associations o Patient groups o Academic organisations o Population or disease-specific groups o Others 3 Dublin, 1 November 2012
- 4. Understanding the EU Main goals of the European Union o Peace and security o Economic recovery and development …via economic integration and dismantling interwar protectionist measures 4 Dublin, 1 November 2012
- 5. Understanding Brussels ‘Pristine’ policy environment (detached from ‘real’ citizens) Economic vs socia/environment/health Lobbying Legal & technocratic vs political & democratic Dominance of Think Tanks, lawyers, compared to size of civil service 5 Dublin, 1 November 2012
- 6. Understanding EU alcohol policy Alcohol is key EU commodity o Agricultural subsidies o Promotional funds for wine o Internal market excise law o International trade agreements and export good o Marketing across borders o Alcohol harm strategies… 6 Dublin, 1 November 2012
- 7. Complex policy context 20 years of economic thinking in question Europe in decline vs other regions Technology developing quicker than policy Budgets and public spending crisis Financial -> Economic -> Political crisis Political confidence in private sector low 7 Dublin, 1 November 2012
- 8. Challenges Legal: o Litigious sector + confidence from tobacco wins o MUP is public health tipping point… o Economic o Tension between two sets of rights o Political o ‘Jobs and growth’ o Strong lobbying from ‘key’ sector 8 Dublin, 1 November 2012
- 9. Opportunities Evidence has caught up – need to watch the Think Tanks North Europe / South Europe gap is closing Growing confidence from other regions – pushing back Appetite for intervention – stretching regulatory muscle (taxes, MUP…) Cracks in the economic-dominant hegemony 9 Dublin, 1 November 2012
- 10. Conclusions MUP is the most important public health case in 30 years EU trend is in favour of health BUT need to be ready to capitalise on this 2013 / 2014 very important for alcohol – (MUP, alcohol strategy, audio-visual media directive) 2013 / 2014 will set the stage until 2020 10 Dublin, 1 November 2012
- 11. We need to keep an eye on the goal Identifying the Framing the Policy Implementing Evaluating problem policy issues decision decision decision 11 Dublin, 1 November 2012