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Everything-you-always-wanted-to-know-about-European-Union-health-policies-but-were-afraid-to-ask

Everything-you-always-wanted-to-know-about-European-Union-health-policies-but-were-afraid-to-ask

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28<br />

<strong>Everything</strong> <strong>you</strong> <strong>always</strong> <strong>wanted</strong> <strong>to</strong> <strong>know</strong> <strong>about</strong> <strong>European</strong> <strong>Union</strong> <strong>health</strong> <strong>policies</strong><br />

of Schools of Public Health of the <strong>European</strong> Region, the <strong>European</strong> Federation<br />

of Associations of Dietitians, and conferences or research projects intended <strong>to</strong><br />

identify and promote good practice. A mid-term evaluation found that the <strong>health</strong><br />

programme excelled in promoting networking <strong>but</strong> appeared <strong>to</strong> distri<strong>but</strong>e its<br />

projects rather thinly. 54 Nevertheless, this limited volume of resources inevitably<br />

affects the scope for EU-financed action on <strong>health</strong>.<br />

The new EU <strong>health</strong> programme runs from 2014 <strong>to</strong> 2020 with €449.4 million<br />

<strong>to</strong> spend over that period. It continues within the framework of the <strong>health</strong><br />

strategy Together for Health (see section 3.6) 55 as well as the broader “Europe<br />

2020” objectives 56 and has more of a focus on <strong>health</strong> systems, specifically.<br />

Box 2.5 summarizes the objectives in the legislation. These are objectives that<br />

the EU will pursue in its funding decisions, and the purpose of the programme<br />

is <strong>to</strong> lend them coherence. Specific calls for funding and funding decisions will<br />

flesh them out.<br />

2.5 New governance: comparison, benchmarking, experts<br />

and networks<br />

Beyond the formal powers of the EU, there is much scope for the EU <strong>to</strong> play<br />

a highly influential role without any legal <strong>to</strong>ols at all, simply by providing and<br />

facilitating political leadership and with other <strong>to</strong>ols such as benchmarking. There<br />

are also a range of other people and organizations with an interest in EU action<br />

beyond the formal institutions described above. Hence the EU has progressively<br />

developed wider processes of transparency and engagement <strong>to</strong> enable it <strong>to</strong> act in<br />

wider areas than formal legal powers allow, and <strong>to</strong> bring wider groups of people<br />

in<strong>to</strong> the EU processes.<br />

The common threads of these initiatives <strong>were</strong> spelled out in a 2001 White<br />

Paper on Governance. 57 There are a number of reasons for these initiatives.<br />

First, they allow the EU <strong>to</strong> have a role, and aspire <strong>to</strong> ideational leadership,<br />

in areas where its formal powers are weak. Second, they prepare an agenda<br />

that can influence policy debate in the EU as well as in Member States.<br />

Third, at least in theory they increase participation in EU decisions and<br />

thereby increase the information, democratic legitimacy and likelihood of<br />

54 Public Health and Impact Assessment Consortium. Mid-term evaluation of the <strong>health</strong> programme (2008–<br />

2013). Bologna, Public Health and Impact Assessment Consortium, 2011 (http://ec.europa.eu/<strong>health</strong>/<br />

programme/docs/mthp_final_report_oct2011_en.pdf accessed 4 July 2014).<br />

55 <strong>European</strong> Commission. Together for <strong>health</strong>: a strategic approach for the EU 2008–2013 (COM(2007)630).<br />

Brussels, <strong>European</strong> Commission, 2007.<br />

56 <strong>European</strong> Commission. Europe 2020: a strategy for smart, sustainable and inclusive growth. Brussels,<br />

<strong>European</strong> Commission, 2010.<br />

57 <strong>European</strong> Commission. Governance in the <strong>European</strong> <strong>Union</strong>: a white paper (COM(2001) 428). Official<br />

Journal, 2001, C 287.

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