The making of a European healthcare union: a federalist perspective
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The making of a European healthcare union : a federalist perspective. / Vollaard, Hans; van de Bovenkamp, Hester M.; Martinsen, Dorte Sindbjerg.
In: Journal of European Public Policy, Vol. 23, No. 2, 1, 2016, p. 157-176.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The making of a European healthcare union
T2 - a federalist perspective
AU - Vollaard, Hans
AU - van de Bovenkamp, Hester M.
AU - Martinsen, Dorte Sindbjerg
PY - 2016
Y1 - 2016
N2 - EU involvement in healthcare policies is growing, despite the fact that national governments prefer to keep an almost exclusive say in these policies. This article explains how this shift of authority could happen and explores whether it will lead to a European healthcare union. It argues that federalism offers the most fruitful way to do so because of its sensitivity to the EU’s institutional settings and to the territorial dimension of politics. The division of competences and national diversity of healthcare systems have been major obstacles for the formation of a healthcare union. However, the EU obtained a role in healthcare through the impact of non-healthcare legislation, voluntary co-operation, court rulings, governments’ joint-decision traps, and fiscal stress of member states. The emerging European healthcare union is a system of cooperative federalism without much cost-sharing. The healthcare union’s robustness is limited, also because it does not generate much loyalty towards the EU.
AB - EU involvement in healthcare policies is growing, despite the fact that national governments prefer to keep an almost exclusive say in these policies. This article explains how this shift of authority could happen and explores whether it will lead to a European healthcare union. It argues that federalism offers the most fruitful way to do so because of its sensitivity to the EU’s institutional settings and to the territorial dimension of politics. The division of competences and national diversity of healthcare systems have been major obstacles for the formation of a healthcare union. However, the EU obtained a role in healthcare through the impact of non-healthcare legislation, voluntary co-operation, court rulings, governments’ joint-decision traps, and fiscal stress of member states. The emerging European healthcare union is a system of cooperative federalism without much cost-sharing. The healthcare union’s robustness is limited, also because it does not generate much loyalty towards the EU.
U2 - 10.1080/13501763.2015.1034160
DO - 10.1080/13501763.2015.1034160
M3 - Journal article
VL - 23
SP - 157
EP - 176
JO - Journal of European Public Policy
JF - Journal of European Public Policy
SN - 1350-1763
IS - 2
M1 - 1
ER -
ID: 136840978