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Congress report - European Health Forum Gastein

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Preface<br />

Reinhart Waneck<br />

For some years now, <strong>Health</strong> Ministers from EU-states have shown the<br />

political determination to gain more influence concerning healthrelated<br />

decisions which are being made in other political areas. It is a<br />

positive development that the topic “Integrating <strong>Health</strong> across<br />

Policies“ was debated in such an open, professional and futureoriented<br />

way during the <strong>European</strong> <strong>Health</strong> <strong>Forum</strong>, <strong>Gastein</strong> 2001.<br />

But the question has to be raised, if <strong>Health</strong> Ministers have been successful in their efforts in<br />

the past years? To a certain degree the answer is “yes“. As is well known, the legal basis has<br />

been extended in the Amsterdam Treaty and topics have become much broader with regard<br />

to the content, but an the other hand it has not been possible on an EU-level to gain<br />

decisive influence an decisions being made by other departmental cabinet councils; not to<br />

mention the securing of a right of say.<br />

Now as ever, <strong>Health</strong> Policy is primarily a national competence, and on a <strong>European</strong> level more<br />

intensive co-operation, as well as the handing over of competences only takes place on<br />

certain conditions. Quite symptomatic of the hard struggle to reach a joint basis for a<br />

<strong>European</strong> <strong>Health</strong> Policy is the long-drawn-out history (of origin) of joint <strong>European</strong> <strong>Health</strong><br />

Policy Strategies with the addendum Public <strong>Health</strong>.<br />

Substantiated by the fact that health is an important economic and employment factor, too -<br />

the trend has emerged that health-questions especially the ones concerning financing and<br />

<strong>Health</strong> Insurance are being discussed also under the visual angle of the <strong>European</strong> (domestic)<br />

market. Regarding the dissolution of national structures and the “growing-together“ of<br />

member states, these discussions are certainly not insubstantial, but they should not remain<br />

the sole “pan-<strong>European</strong>“ aspect of <strong>Health</strong> Policy.<br />

“Integrating <strong>Health</strong> across Policies“ is a topic that deserves to be continued at the next<br />

<strong>European</strong> <strong>Health</strong> Fora in <strong>Gastein</strong>, especial in regard to the fact that at the EHFG 2001 only<br />

parts of the relevant policies were being discussed.<br />

Reinhart Waneck<br />

State Secretary for <strong>Health</strong><br />

Ministry for social Security and Generations<br />

International <strong>Forum</strong> <strong>Gastein</strong>, Tauernplatz 1, A-5630 Bad Hofgastein<br />

Tel.: +43 (6432) 7110-70, Fax: Ext. 71, e-mail: info@ehfg.org, website: www.ehfg.org<br />

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