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2019 | OriginalPaper | Chapter

Member State Interests and European Union Law

The Case of Health Policy and Health Systems

Author : Mária Éva Földes

Published in: Between Compliance and Particularism

Publisher: Springer International Publishing

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Abstract

In matters of health policy, the Member States enjoy extensive retained competences and are prepared to act in the protection of their prerogatives and discretion. Their principal interest is to protect from EU intervention their ability to develop, operate and finance national health systems as dictated by domestic political, social and economic factors. As demonstrated by the example of cross-border health care, the Member States are acutely aware of the limitations which may follow from EU law—specifically, the fundamental freedoms—for the exercise of their health policy competences, which provides an incentive for them to legislate on the matter clarifying and consolidating the boundaries between EU obligations and Member State discretion. In contrast, EU membership has also given opportunities for the Member States to realise interests in the health policy domain which require a collective effort from the affected—interdependent—States. This led to the Member States conferring powers and functions to the Union and its institutions to develop cross-border policies and introduce cross-border obligations. In the wake of the financial and economic crisis, the Member States were also confronted with a new form of intervention by the Union—under the framework of common macroeconomic and fiscal governance—where, as dictated by the common interests, national health systems, health care budgets and health care reform are subject to external monitoring and rather substantive external constraints.

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Footnotes
1
As defined in Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients’ rights in cross-border healthcare, [2011] OJ L88/46, the concept of “cross-border health care” means health care provided in a Member State other than the Member State of affiliation, where a patient is insured.
 
2
Council Regulation (EEC) No 1408/71 of 14 June 1971 on the application of social security schemes to employed persons and their families moving within the community, [1971] OJ L149/2.
 
3
Regulation (EC) No 883/2004 of the European Parliament and of the Council of 29 April 2004 on the coordination of social security systems, [2004] OJ L200/1.
 
4
See, for the final evaluation report of the campaign, European Commission (2015).
 
5
Directive 2001/83/EC of the European Parliament and of the Council of 6 November 2001 on the Community code relating to medicinal products for human use, [2001] OJ L311/67.
 
6
Directive 2010/45/EU of the European Parliament and of the Council of 7 July 2010 on standards of quality and safety of human organs intended for transplantation, [2010] OJ L207/14.
 
7
Directive 2002/98/EC of the European Parliament and of the Council of 27 January 2003 setting standards of quality and safety for the collection, testing, processing, storage and distribution of human blood and blood components and amending Directive 2001/83/EC, [2002] OJ L33/30.
 
8
Regulation (EU) 2017/745 of the European Parliament and of the Council of 5 April 2017 on medical devices, amending Directive 2001/83/EC, Regulation (EC) No 178/2002 and Regulation (EC) No 1223/2009 and repealing Council Directives 90/385/EEC and 93/42/EEC, [2017] OJ L117/1.
 
9
Regulation (EU) 2017/746 of the European Parliament and of the Council of 5 April 2017 on in vitro diagnostic medical devices and repealing Directive 98/79/EC and Commission Decision 2010/227/EU, [2017] OJ L117/176.
 
10
Directive 98/43/EC of the European Parliament and of the Council of 6 July 1998 on the approximation of the laws, regulations and administrative provisions of the Member States relating to the advertising and sponsorship of tobacco products (no longer in force), [1998] OJ L213/9.
 
11
Directive 2003/33/EC of the European Parliament and of the Council of 26 May 2003 on the approximation of the laws, regulations and administrative provisions of the Member States relating to the advertising and sponsorship of tobacco products, [2003] OJ L152/16.
 
12
Directive 2014/40/EU of the European Parliament and of the Council of 3 April 2014 on the approximation of the laws, regulations and administrative provisions of the Member States concerning the manufacture, presentation and sale of tobacco and related products and repealing Directive 2001/37/EC, [2014] OJ L127/1.
 
13
Judgment of 4 May 2016, Poland v Parliament and Council (Tobacco Products), C-358/14, EU:C:2016:323.
 
14
Inter alia, Judgment of 5 October 2000, Germany v Parliament and Council (Tobacco Advertising), C-376/98, EU:C:2000:544; Judgment of 12 December 2006, Germany v Parliament and Council, C-380/03, EU:C:2006:772; Judgment of 4 May 2016, Poland v Parliament and Council (Tobacco Products), C-358/14, EU:C:2016:323.
 
15
Judgment of 4 May 2016, Poland v Parliament and Council (Tobacco Products), C-358/14, EU:C:2016:323.
 
16
See, in this respect, Cornelissen (1996).
 
17
Judgment of 28 April 1998, Decker, C-120/95, EU:C:1998:167; Judgment of 28 April 1998, Kohll, C-158/96, EU:C:1998:171; Judgment of 12 July 2001, Geraets-Smits and Peerbooms, C-157/99, EU:C:2001:404; Judgment of 13 May 2003, Muller-Faure, C-385/99, EU:C:2003:270; Judgment of 16 May 2006, Yvonne Watts, C-372/04, EU:C:2006:325; Judgment of 19 April 2007, Stamatelaki, C-444/05, EU:C:2007:231; Judgment of 9 October 2014, Petru, C-268/13, EU:C:2014:2271.
 
18
Judgment of 13 May 2003, Muller-Faure, C-385/99, EU:C:2003:270.
 
19
Judgment of 12 July 2001, Geraets-Smits and Peerbooms, C-157/99, EU:C:2001:404.
 
20
Judgment of 16 May 2006, Yvonne Watts, C-372/04, EU:C:2006:325.
 
21
See, for a detailed analysis of such infringement procedures, Gekiere et al. (2010).
 
22
Regulation (EU) 472/2013 of the European Parliament and of the Council of 21 May 2013 on the strengthening of economic and budgetary surveillance of Member States in the euro area experiencing or threatened with serious difficulties with respect to their financial stability, [2013] OJ L140/1.
 
23
Regulation (EU) 473/2013 of the European Parliament and of the Council of 21 May 2013 on common provisions for monitoring and assessing draft budgetary plans and ensuring the correction of excessive deficit of the Member States in the euro area, [2013] OJ L140/11.
 
24
See, for an analysis of these health reform “prescriptions”, Földes (2016).
 
Literature
go back to reference Azzopardi-Muscat, N., Baeten, R., Vlemens, T., Habicht, T., Keskimaki, I., Kowalska-Bobko, I., et al. (2018). The role of the 2011 patient’s rights in cross-border health care directive in shaping seven national health systems: Looking beyond patient mobility. Health Policy, 122, 279–283.CrossRef Azzopardi-Muscat, N., Baeten, R., Vlemens, T., Habicht, T., Keskimaki, I., Kowalska-Bobko, I., et al. (2018). The role of the 2011 patient’s rights in cross-border health care directive in shaping seven national health systems: Looking beyond patient mobility. Health Policy, 122, 279–283.CrossRef
go back to reference Azzopardi-Muscat, N., Clemens, T., Stoner, D., & Brand, H. (2015). EU country specific recommendations for health systems in the European Semester process: Trends, discourse and predictors. Health Policy, 119, 375–383.CrossRef Azzopardi-Muscat, N., Clemens, T., Stoner, D., & Brand, H. (2015). EU country specific recommendations for health systems in the European Semester process: Trends, discourse and predictors. Health Policy, 119, 375–383.CrossRef
go back to reference Baeten, R. (2011). Past impacts of cross-border health care. In M. Wismar, W. Palm, J. Figueras, K. Ernst, & E. van Ginneken (Eds.), Cross-border health care in the European Union. Mapping and analysing practices and policies (pp. 255–288). Copenhagen: World Health Organization on behalf of the European Observatory on Health Systems and Policies. Baeten, R. (2011). Past impacts of cross-border health care. In M. Wismar, W. Palm, J. Figueras, K. Ernst, & E. van Ginneken (Eds.), Cross-border health care in the European Union. Mapping and analysing practices and policies (pp. 255–288). Copenhagen: World Health Organization on behalf of the European Observatory on Health Systems and Policies.
go back to reference Baeten, R. (2014). Cross-border patient mobility in the European Union: In search of benefits from the new legal framework. Journal of Health Services Research & Policy, 19, 195–197.CrossRef Baeten, R. (2014). Cross-border patient mobility in the European Union: In search of benefits from the new legal framework. Journal of Health Services Research & Policy, 19, 195–197.CrossRef
go back to reference Cornelissen, E. (1996). The principle of territoriality and the Community regulations on social security (Regulations 1408/71 and 574/72). Common Market Law Review, 33, 439–471.CrossRef Cornelissen, E. (1996). The principle of territoriality and the Community regulations on social security (Regulations 1408/71 and 574/72). Common Market Law Review, 33, 439–471.CrossRef
go back to reference Council of the European Union. (2006). Council Conclusions on common values and principles in EU health systems, 2733rd Employment, Social Policy, Health and Consumer Affairs Council Meeting (Luxembourg, 1–2 June 2006), [2006] OJ C146/1. Council of the European Union. (2006). Council Conclusions on common values and principles in EU health systems, 2733rd Employment, Social Policy, Health and Consumer Affairs Council Meeting (Luxembourg, 1–2 June 2006), [2006] OJ C146/1.
go back to reference European Commission. (2015). Final report on the ex-post evaluation of the ‘Ex-smokers are Unstoppable’. Retrieved November 2, 2017, from https://publications.europa.eu/en/publication-detail/-/publication/4c008831-cef9-11e5-a4b5-01aa75ed71a1/language-en/format-PDF/source-search European Commission. (2015). Final report on the ex-post evaluation of the ‘Ex-smokers are Unstoppable’. Retrieved November 2, 2017, from https://​publications.​europa.​eu/​en/​publication-detail/​-/​publication/​4c008831-cef9-11e5-a4b5-01aa75ed71a1/​language-en/​format-PDF/​source-search
go back to reference European Commission. (2018). Report from the Commission to the European Parliament and the Council on the operation of Directive 2011/24/EU on the application of patients’ rights in cross-border healthcare. COM(2018) 651 final. European Commission. (2018). Report from the Commission to the European Parliament and the Council on the operation of Directive 2011/24/EU on the application of patients’ rights in cross-border healthcare. COM(2018) 651 final.
go back to reference Földes, M. E. (2016). Health policy and health systems: A growing relevance for the EU in the context of the economic crisis. Journal of European Integration, 38, 295–309.CrossRef Földes, M. E. (2016). Health policy and health systems: A growing relevance for the EU in the context of the economic crisis. Journal of European Integration, 38, 295–309.CrossRef
go back to reference Gekiere, W., Baeten, R., & Palm, W. (2010). Free movement of services in the EU and health care. In E. Mossialos, G. Permanand, R. Baeten, & T. K. Hervey (Eds.), Health systems governance in Europe: The role of European Union law and policy (pp. 461–508). Cambridge: Cambridge University Press.CrossRef Gekiere, W., Baeten, R., & Palm, W. (2010). Free movement of services in the EU and health care. In E. Mossialos, G. Permanand, R. Baeten, & T. K. Hervey (Eds.), Health systems governance in Europe: The role of European Union law and policy (pp. 461–508). Cambridge: Cambridge University Press.CrossRef
go back to reference Greer, S., & Rauscher, S. (2011). Destabilization rights and restabilization politics: Policy and political reactions to European Union healthcare services law. Journal of European Public Policy, 18, 220–240.CrossRef Greer, S., & Rauscher, S. (2011). Destabilization rights and restabilization politics: Policy and political reactions to European Union healthcare services law. Journal of European Public Policy, 18, 220–240.CrossRef
go back to reference Greer, S. L., Fahy, N., Elliott, H. A., Wismar, M., Jarman, H., & Palm, W. (2014). Everything you always wanted to know about European Union health policies but were afraid to ask. Copenhagen: World Health Organization on behalf of the European Observatory on Health Systems and Policies. Greer, S. L., Fahy, N., Elliott, H. A., Wismar, M., Jarman, H., & Palm, W. (2014). Everything you always wanted to know about European Union health policies but were afraid to ask. Copenhagen: World Health Organization on behalf of the European Observatory on Health Systems and Policies.
go back to reference Hervey, T. K. (2013). Health equality, solidarity and human rights in European Union law. In A. Silveira, M. Canotilho, & P. Madeira Froufe (Eds.), Citizenship and solidarity in the EU: From the Charter of Fundamental Rights to crisis, the state of art (pp. 341–366). Berlin: Peter Lang. Hervey, T. K. (2013). Health equality, solidarity and human rights in European Union law. In A. Silveira, M. Canotilho, & P. Madeira Froufe (Eds.), Citizenship and solidarity in the EU: From the Charter of Fundamental Rights to crisis, the state of art (pp. 341–366). Berlin: Peter Lang.
go back to reference Hervey, T. K. (2017). Patient mobility, solidarity, and equal access. In A. den Exter (Ed.), Cross-border health care and European Union law (pp. 35–48). Rotterdam: Erasmus University Press. Hervey, T. K. (2017). Patient mobility, solidarity, and equal access. In A. den Exter (Ed.), Cross-border health care and European Union law (pp. 35–48). Rotterdam: Erasmus University Press.
go back to reference Martinsen, D., & Falkner, G. (2011). Social policy: Problem-solving gaps, partial exits, and court-decision traps. In G. Falkner (Ed.), The EU’s decision traps: Comparing policies (pp. 128–144). Oxford: Oxford University Press.CrossRef Martinsen, D., & Falkner, G. (2011). Social policy: Problem-solving gaps, partial exits, and court-decision traps. In G. Falkner (Ed.), The EU’s decision traps: Comparing policies (pp. 128–144). Oxford: Oxford University Press.CrossRef
go back to reference McKee, M., Hervey, T. K., & Gilmore, A. (2010). Public health policies. In E. Mossialos, G. Permanand, R. Baeten, & T. K. Hervey (Eds.), Health systems governance in Europe: The role of EU law and policy (pp. 231–281). Cambridge: Cambridge University Press.CrossRef McKee, M., Hervey, T. K., & Gilmore, A. (2010). Public health policies. In E. Mossialos, G. Permanand, R. Baeten, & T. K. Hervey (Eds.), Health systems governance in Europe: The role of EU law and policy (pp. 231–281). Cambridge: Cambridge University Press.CrossRef
go back to reference McQueen, D. V., Wismar, M., Lin, V., & Jones, C. M. (2012). Introduction: Health in all policies, the social determinants of health and governance. In D. V. McQueen, M. Wismar, V. Lin, C. M. Jones, & M. Davies (Eds.), Intersectoral governance for health in all policies, structures, actions and experiences (pp. 3–22). Copenhagen: World Health Organization on behalf of the European Observatory on Health Systems and Policies. McQueen, D. V., Wismar, M., Lin, V., & Jones, C. M. (2012). Introduction: Health in all policies, the social determinants of health and governance. In D. V. McQueen, M. Wismar, V. Lin, C. M. Jones, & M. Davies (Eds.), Intersectoral governance for health in all policies, structures, actions and experiences (pp. 3–22). Copenhagen: World Health Organization on behalf of the European Observatory on Health Systems and Policies.
go back to reference Paulus, A., Evers, S., Fecher, F., van der Made, J., & Boonen, A. (2002). Cross border health care: An analysis of recent ECJ rulings. European Journal of Law and Economics, 14, 61–73.CrossRef Paulus, A., Evers, S., Fecher, F., van der Made, J., & Boonen, A. (2002). Cross border health care: An analysis of recent ECJ rulings. European Journal of Law and Economics, 14, 61–73.CrossRef
go back to reference Rosenmöller, M., McKee, M., & Baeten R. (2006). Patient mobility in the European Union. Learning from experience. World Health Organization on behalf of the “Europe 4 patients” project and the European Observatory on Health Systems and Policies. Rosenmöller, M., McKee, M., & Baeten R. (2006). Patient mobility in the European Union. Learning from experience. World Health Organization on behalf of the “Europe 4 patients” project and the European Observatory on Health Systems and Policies.
go back to reference Scharpf, F. W. (2002). The European social model: Coping with the challenges of diversity. Journal of Common Market Studies, 40, 645–670.CrossRef Scharpf, F. W. (2002). The European social model: Coping with the challenges of diversity. Journal of Common Market Studies, 40, 645–670.CrossRef
go back to reference Stamati, F., & Baeten, R. (2015). Varieties of healthcare reform: Understanding EU leverage. In D. Natali & B. Vanhercke (Eds.), Social policy in the European Union: State of play 2015 (pp. 183–214). Brussels: ETUI and OSE. Stamati, F., & Baeten, R. (2015). Varieties of healthcare reform: Understanding EU leverage. In D. Natali & B. Vanhercke (Eds.), Social policy in the European Union: State of play 2015 (pp. 183–214). Brussels: ETUI and OSE.
go back to reference Van den Gronden, J. (2009). Cross-border health care in the EU and the organization of the national health care systems of the Member States: The dynamics resulting from the European Court of Justice’s decisions on free movement and competition law. Wisconsin International Law Journal, 26, 706–759. Van den Gronden, J. (2009). Cross-border health care in the EU and the organization of the national health care systems of the Member States: The dynamics resulting from the European Court of Justice’s decisions on free movement and competition law. Wisconsin International Law Journal, 26, 706–759.
go back to reference Vasev, N., & Vrangbaek, K. (2014). Transposition and national-level measures: Introducing the cross-border healthcare directive in Eastern Europe. West European Politics, 37, 695–710.CrossRef Vasev, N., & Vrangbaek, K. (2014). Transposition and national-level measures: Introducing the cross-border healthcare directive in Eastern Europe. West European Politics, 37, 695–710.CrossRef
go back to reference Vollaard, H., Bovenkamp, H., & Martinsen, D. S. (2016). The making of a European Healthcare Union: A federalist perspective. Journal of European Public Policy, 23, 157–176.CrossRef Vollaard, H., Bovenkamp, H., & Martinsen, D. S. (2016). The making of a European Healthcare Union: A federalist perspective. Journal of European Public Policy, 23, 157–176.CrossRef
go back to reference Wismar, M., Greer, S. L., & Fahy, N. (2014). What is the EU’s contribution to health system performance? Eurohealth, 20, 21–23. Wismar, M., Greer, S. L., & Fahy, N. (2014). What is the EU’s contribution to health system performance? Eurohealth, 20, 21–23.
go back to reference Wismar, M., Palm, W., van Ginneken, E., Busse, R., Ernst, K., & Figueras, J. (2011). The health service initiative: Supporting the construction of a framework for cross-border health care. In M. Wismar, W. Palm, J. Figueras, K. Ernst, & E. van Ginneken (Eds.), Cross-border health care in the European Union. Mapping and analysing practices and policies (pp. 1–22). Copenhagen: World Health Organization on behalf of the European Observatory on Health Systems and Policies. Wismar, M., Palm, W., van Ginneken, E., Busse, R., Ernst, K., & Figueras, J. (2011). The health service initiative: Supporting the construction of a framework for cross-border health care. In M. Wismar, W. Palm, J. Figueras, K. Ernst, & E. van Ginneken (Eds.), Cross-border health care in the European Union. Mapping and analysing practices and policies (pp. 1–22). Copenhagen: World Health Organization on behalf of the European Observatory on Health Systems and Policies.
go back to reference Zeitlin, J., & Vanhercke, B. (2014). Socializing the European semester? Economic governance and social policy coordination in Europe 2020 (Report 7). Stockholm: SIEPS. Zeitlin, J., & Vanhercke, B. (2014). Socializing the European semester? Economic governance and social policy coordination in Europe 2020 (Report 7). Stockholm: SIEPS.
go back to reference van Ginneken, E and Busse, R. (2011) Cross-border health care data. In M. Wismar, W. Palm, J. Figueras, K. Ernst, & E. van Ginneken (Eds.), Cross-border health care in the European Union: Mapping and analysing practices and policies (pp. 289-340). Copenhagen: World Health Organization on behalf of the European Observatory on Health Systems and Policies van Ginneken, E and Busse, R. (2011) Cross-border health care data. In M. Wismar, W. Palm, J. Figueras, K. Ernst, & E. van Ginneken (Eds.), Cross-border health care in the European Union: Mapping and analysing practices and policies (pp. 289-340). Copenhagen: World Health Organization on behalf of the European Observatory on Health Systems and Policies
Metadata
Title
Member State Interests and European Union Law
Author
Mária Éva Földes
Copyright Year
2019
Publisher
Springer International Publishing
DOI
https://doi.org/10.1007/978-3-030-05782-4_10