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Dublin, 1 November 2012Dublin, 1 November 2012
Challenges and Opportunities in EuropeChallenges and Opportunities in Europe
Monika KosinskaMonika Kosinska
Secretary GeneralSecretary General
European Public Health AllianceEuropean Public Health Alliance
Dublin, 1 November 2012Dublin, 1 November 2012
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IntroductionIntroduction
Brief overview of the EUBrief overview of the EU Alcohol in the EUAlcohol in the EU Challenges for health policyChallenges for health policy Opportunities for health advocatesOpportunities for health advocates ConclusionsConclusions
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European Public European Public Health AllianceHealth Alliance
Coalition from across the EUCoalition from across the EUo Public health non-governmental organisationsPublic health non-governmental organisations
o Health professionals’ associationsHealth professionals’ associations
o Patient groupsPatient groups
o Academic organisationsAcademic organisations
o Population or disease-specific groupsPopulation or disease-specific groups
o OthersOthers
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Understanding the EUUnderstanding the EU
Main goals of the European UnionMain goals of the European Uniono Peace and securityPeace and security
o Economic recovery and developmentEconomic recovery and development
……via economic integration and dismantling via economic integration and dismantling interwar protectionist measuresinterwar protectionist measures
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Understanding BrusselsUnderstanding Brussels
‘‘Pristine’ policy environment (detached from Pristine’ policy environment (detached from ‘real’ citizens)‘real’ citizens)
Economic vs socia/environment/healthEconomic vs socia/environment/health LobbyingLobbying Legal & technocratic vs political & democraticLegal & technocratic vs political & democratic Dominance of Think Tanks, lawyers, compared Dominance of Think Tanks, lawyers, compared
to size of civil serviceto size of civil service5
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Understanding EU Understanding EU alcohol policyalcohol policy
Alcohol is key EU commodityAlcohol is key EU commodityo Agricultural subsidiesAgricultural subsidies
o Promotional funds for winePromotional funds for wine
o Internal market excise lawInternal market excise law
o International trade agreements and export goodInternational trade agreements and export good
o Marketing across bordersMarketing across borderso Alcohol harm strategies…Alcohol harm strategies…
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Complex policy Complex policy contextcontext
20 years of economic thinking in question20 years of economic thinking in question Europe in decline vs other regionsEurope in decline vs other regions Technology developing quicker than policyTechnology developing quicker than policy Budgets and public spending crisisBudgets and public spending crisis Financial -> Economic -> Political crisisFinancial -> Economic -> Political crisis Political confidence in private sector lowPolitical confidence in private sector low
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ChallengesChallenges
Legal:Legal:o Litigious sector + confidence from tobacco winsLitigious sector + confidence from tobacco wins
o MUP is public health tipping point…MUP is public health tipping point…
o EconomicEconomico Tension between two sets of rightsTension between two sets of rights
o PoliticalPoliticalo ‘‘Jobs and growth’Jobs and growth’
o Strong lobbying from ‘key’ sectorStrong lobbying from ‘key’ sector 8
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OpportunitiesOpportunities
Evidence has caught up – need to watch the Evidence has caught up – need to watch the Think TanksThink Tanks
North Europe / South Europe gap is closingNorth Europe / South Europe gap is closing Growing confidence from other regions – Growing confidence from other regions –
pushing backpushing back Appetite for intervention – stretching regulatory Appetite for intervention – stretching regulatory
muscle (taxes, MUP…)muscle (taxes, MUP…) Cracks in the economic-dominant hegemonyCracks in the economic-dominant hegemony
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ConclusionsConclusions
MUP is the most important public health case in MUP is the most important public health case in 30 years30 years
EU trend is in favour of health BUT need to be EU trend is in favour of health BUT need to be ready to capitalise on thisready to capitalise on this
2013 / 2014 very important for alcohol – (MUP, 2013 / 2014 very important for alcohol – (MUP, alcohol strategy, audio-visual media directive)alcohol strategy, audio-visual media directive)
2013 / 2014 will set the stage until 20202013 / 2014 will set the stage until 2020
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We need to keep We need to keep an eye on the goalan eye on the goal
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Identifying the problem
Framing the policy issues
Policy decision
Implementingdecision
Evaluatingdecision
