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The COVID-19 Pandemic: Failing Forward in Public Health

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Abstract

Although most governments were heavily scrutinized and looked bad early in the COVID-19 pandemic, the EU was most noticeable for its absence. This might seem strange, for an institution whose public health role has been forged through crisis—from the thalidomide tragedy and the scandal of HIV-infected blood supplies, to “mad cow disease” and the underwhelming H1N1 influenza pandemic. A closer review of the EU’s health governance, however, reveals it to have performed exactly as expected and intended. An initial phase of disorganization and national egotism, unavoidable given that member states have historically restricted the EU’s health capacities, has been followed by a substantial new health policy agenda and a reinforcement of the EU’s market- and fiscal-based health influence. This is leading, we posit, to further integration.

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Notes

  1. 1.

    Decision No. 1082/2013/EU of the European Parliament and of the Council of 22 October 2013 on serious crossborder threats to health.

  2. 2.

    Brussels, 28.5.2020 COM(2020) 405 final. Proposal for a Regulation of the European Parliament and of the Council on the establishment of a Programme for the Union’s action in the field of health—for the period 2021–2027 and repealing regulation (EU) No. 282/2014 (“EU4Health Programme”).

  3. 3.

    https://ec.europa.eu/eurostat/documents/2995521/10294708/2-30042020-BP-EN.pdf/526405c5-289c-30f5-068a-d907b7d663e6.

  4. 4.

    European Council (ECFIN): 23 March 2020 Statement of EU ministers of finance on the Stability and Growth Pact in light of the COVID-19 crisis 23 March 2020. https://www.consilium.europa.eu/en/press/press-releases/2020/03/23/statement-of-eu-ministers-of-finance-on-the-stability-and-growth-pact-in-light-of-the-covid-19-crisis/.

  5. 5.

    Decision No. 1082/2013/EU of the European Parliament and of the Council of 22 October 2013 on serious crossborder threats to health.

References

  • Alemanno, A. (2020). The European Response to COVID-19: From Regulatory Emulation to Regulatory Coordination? European Journal of Risk Regulation, 11(2), 307–316.

    Article  Google Scholar 

  • Anderson, M., Mckee, M., & Mossialos, E. (2020). Covid-19 Exposes Weaknesses in European Response to Outbreaks. BMJ, 368, 1075.

    Article  Google Scholar 

  • Ansell, C., & Vogel, D. (Eds.). (2006). What’s the Beef? The Contested Governance of European Food Safety. Cambridge, MA: MIT Press.

    Google Scholar 

  • Ansell, C. K., & Gingrich, J. (2007). The United Kingdom’s Response to the BSE Epidemic. Charlotte: Information Age Publishing.

    Google Scholar 

  • Brooks, E., & Guy, M. (2020, forthcoming). EU Health Law and Policy: Shaping a Future Research Agenda. Health Economics, Policy and Law. https://doi.org/10.1017/S1744133120000274.

  • Brooks, S., Elliott, C. T., Spence, M., Walsh, C., & Dean, M. (2017). Four Years Post-Horsegate: An Update of Measures and Actions Put in Place Following the Horsemeat Incident of 2013. npj Science of Food, 1, 5.

    Google Scholar 

  • Davesne, A., & Guigner, S. (2013). La Communauté Européenne De La Santé (1952–1954). Une Redécouverte Intergouvernementaliste Du Projet Fonctionnaliste De «Pool Blanc». Politique Européenne, 41, 40–63.

    Article  Google Scholar 

  • de Ruijter, A. (2019). EU Health Law & Policy: The Expansion of EU Power in Public Health and Health Care. Oxford: Oxford University Press.

    Book  Google Scholar 

  • de Ruijter, A., Beetsma, R. M. W. J., Burgoon, B. Nicoli, F., & Vandenbroucke, F. (2020). EU Solidarity and Policy in Fighting Infectious Diseases: State of Play, Obstacles, Citizen Preferences and Ways Forward. Amsterdam Centre for European Studies Research Paper.

    Google Scholar 

  • Deruelle, T. (2016). Bricolage or Entrepreneurship? Lessons from the Creation of the European Centre for Disease Prevention and Control. European Policy Analysis, 2, 43–67.

    Google Scholar 

  • Deruelle, T. (2020). Beyond Health: Looking for Europe’s Strategy Vis-À-Vis the Covid-19 Crisis. Doha: Al Jazeera Centre for Studies.

    Google Scholar 

  • Dyson, K. (2001). The Politics of the Euro-Zone: Stability or Breakdown?. Oxford: Oxford University Press.

    Google Scholar 

  • European Commission. (2017). White Paper on the Future of Europe: Five Scenarios. Brussels: European Commission.

    Google Scholar 

  • Farrell, A.-M. (2005). The Emergence of EU Governance in Public Health: The Case of Blood Policy and Regulation. In M. Steffen (Ed.), Health Governance in Europe: Issues, Challenges and Theories. Abingdon: Routledge.

    Google Scholar 

  • Fidler, D. P. (2004). Sars, Governance and the Globalization of Disease. Basingstoke: Palgrave Macmillan.

    Book  Google Scholar 

  • Fidler, D. P., & Gostin, L. O. (2008). Biosecurity in the Global Age Biological Weapons, Public Health, and the Rule of Law. Stanford: Stanford University Press.

    Google Scholar 

  • Grant, W. (2012). Agricultural Policy, Food Policy and Communicable Diseases Policy. Journal of Health Politics, Policy and Law, 37, 1031–1048.

    Article  Google Scholar 

  • Greer, S. L. (2012). The European Centre for Disease Prevention and Control: Hub or Hollow Core? Journal of Health Politics, Policy and Law, 37, 1001–1030.

    Article  Google Scholar 

  • Greer, S. L. (2014). The Three Faces of European Union Health Policy: Policy, Markets and Austerity. Policy and Society, 33, 13–24.

    Article  Google Scholar 

  • Greer, S. L. (2017). Constituting Public Health Surveillance in Twenty-First Century Europe. In M. Weimer & A. de Ruijter (Eds.), Regulating Risks in the European Union: The Co-Production of Expert and Executive Power. London: Bloomsbury.

    Google Scholar 

  • Greer, S. L. (2020). Health, Federalism and the European Union: Lessons from Comparative Federalism About the European Union. Health Economics, Policy and Law, 1–14.

    Google Scholar 

  • Greer, S. L., & Brooks, E. (2020). Termites of Solidarity in the House of Austerity: Undermining Fiscal Governance in the European Union. Journal of Health Politics, Policy and Law, xxx, xxx.

    Google Scholar 

  • Greer, S. L., & Elliott, H. (Eds.). (2019). Federalism and Social Policy: Patterns of Redistriubtion in Eleven Democracies. Ann Arbor: University of Michigan Press.

    Google Scholar 

  • Greer, S. L., Fahy, N., Rozenblum, S., Jarman, H., Palm, W., Elliott, H. A., et al. (2019). Everything You Always Wanted to Know About European Union Health Policy but Were Afraid to Ask (2nd Rev. ed.). Brussels: European Observatory on Health Systems and Policies.

    Google Scholar 

  • Greer, S. L., & Jarman, H. (Forthcoming). What Is EU Public Health and Why? Explaining the Scope and Organization of Public Health in the European Union. Journal of Health Politics, Policy, and Law, xxx, xxx–xxx.

    Google Scholar 

  • Greer, S. L., & Kurzer, P. (Eds.). (2013). European Union Public Health Policies: Regional and Global Perspectives. Abingdon: Routledge.

    Google Scholar 

  • Guigner, S. (2004). Institutionalizing Public Health in the European Commission: The Thrills and Spills of Politiciziation. In A. Smith (Ed.), Politics and the European Commission: Actors, Interdependence, Legitimacy. London: Routledge.

    Google Scholar 

  • Guigner, S. (2006). The Eu’s Role(s) in European Public Health: The Interdependence of Roles Within a Saturated Space of International Organizations. In O. Elgström & M. Smith (Eds.), The European Union’s Roles in International Politics. London: Routledge.

    Google Scholar 

  • Guigner, S. (2018). L’union Européenne Et La Santé: Des Lobbies Sous Pression. In G. Coron (Ed.), L’europe De La Santé: Enjeux Et Pratiques Des Politiques Publiques. Paris: Hygee.

    Google Scholar 

  • Hervey, T. K. (2017). Telling Stories About European Union Health Law: The Emergence of a New Field of Law. Comparative European Politics, 15, 352–369.

    Article  Google Scholar 

  • Hervey, T. K., & McHale, J. V. (2015). European Union Health Law: Themes and Implications. Cambridge: Cambridge University Press.

    Book  Google Scholar 

  • Jones, E., Kelemen, R. D., & Meunier, S. (2015). Failing Forward? The Euro Crisis and the Incomplete Nature of European Integration. Comparative Political Studies, 49, 1010–1034.

    Article  Google Scholar 

  • Karanikolos, M., & McKee, M. (2020). How Comparable Is COVID-19 Mortality Across Countries? COVID-19 Health System Response Monitor.

    Google Scholar 

  • Kelemen, R. Dl. (2019). Is Differentiation Possible in Rule of Law. Comparative European Politics, 17, 246–260.

    Article  Google Scholar 

  • Kingdon, J. W. (2003). Agendas, Alternatives, and Public Policies. New York: HarperCollins.

    Google Scholar 

  • Kleine, M. (2013). Informal Governance in the European Union: How Governments Make International Organizations Work. Ithaca: Cornell University Press.

    Book  Google Scholar 

  • Majone, G. (1994). The Rise of the Regulatory State in Europe. West European Politics, 17, 77–102.

    Article  Google Scholar 

  • Milward, A. (1999). The European Rescue of the Nation State. London: Routledge.

    Book  Google Scholar 

  • Pacces, A. M., & Weimer, M. (2020). From Diversity to Coordination: A European Approach to COVID-19. European Journal of Risk Regulation, 11, 283–296.

    Article  Google Scholar 

  • Page, E. C. (2001). The European Union and the Bureaucratic Mode of Production. In A. Menon (Ed.), From the Nation State to Europe: Essays in Honour of Jack Hayward. Oxford: Oxford University Press.

    Google Scholar 

  • Passarani, I. (2019). Role of Evidence in the Formulation of European Public Health Policies: A Comparative Case Study Analysis.

    Google Scholar 

  • Purnhagen, K. P., De Ruijter, A., Flear, M. L., Hervey, T. K., & Herwig, A. (2020). More Competences Than You Knew? The Web of Health Competence for European Union Action in Response to the COVID-19 Outbreak. European Journal of Risk Regulation, 11(2), 297–306.

    Google Scholar 

  • Renda, A., & Castro, R. (2020). Towards Stronger EU Governance of Health Threats After the COVID-19 Pandemic. European Journal of Risk Regulation, 11(2), 273–282.

    Article  Google Scholar 

  • Rhodes, M. (1995). A Regulatory Conundrum: Industrial Relations and the Social Dimension. In S. Leibfried & P. Pierson (Eds.), European Social Policy: Between Fragmentation and Integration. Washington, DC: Brookings.

    Google Scholar 

  • Steffen, M. (1992). France: Social Solidarity and Scientific Expertise. In D. L. Kirp & R. Bayer (Eds.), AIDS in the Industrialized Democracies: Passions, Politics and Policies. New Brunswick: Rutgers University Press.

    Google Scholar 

  • Steffen, M. (2012). The Europeanization of Public Health: How Does It Work? The Seminal Role of the AIDS Case. Journal of Health Politics, Policy and Law, 37, 1057–1089.

    Article  Google Scholar 

  • Van Middelaar, L. (2013). The Passage to Europe: How a Continent Became a Union. New Haven: Yale University Press.

    Google Scholar 

  • Weatherill, S., & Beaumont, P. (1999). EU Law. London: Penguin.

    Google Scholar 

  • Zeitlin, J., & Vanhercke, B. (2018). Socializing the European Semester: EU Social and Economic Policy Co-Ordination in Crisis and Beyond. Journal of European Public Policy, 25, 149–174.

    Article  Google Scholar 

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Greer, S.L., de Ruijter, A., Brooks, E. (2021). The COVID-19 Pandemic: Failing Forward in Public Health. In: Riddervold, M., Trondal, J., Newsome, A. (eds) The Palgrave Handbook of EU Crises. Palgrave Studies in European Union Politics. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-51791-5_44

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