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61. Does Europe need a Health Union?

Author:
Anne Bucher
Publication Date:
02-2022
Content Type:
Policy Brief
Institution:
Bruegel
Abstract:
Health outcomes in the European Union are good by international standards, even compared to other developed economies, and improved continuously before COVID-19. This reflects the alignment of the objectives of improving health and wellbeing with the overall socio-economic objective of prosperity, and suggests that a radical overhaul of EU health policy is not needed. However, the EU could benefit from closer integration in some areas and be more effective in delivering a high level of health protection. Action could be taken in the following areas: The European Commission’s November 2020 Health Union package to increase resilience to cross-border health threats is ambitious, in particular with the establishment of the Health Emergency Response Authority, which extends the scope of cooperation in health emergencies. The EU should pursue further the Health Union approach to address cross-border externalities and enhance health security. It could, for instance, do more to tackle anti-microbial resistance, or define minimum requirements for the resilience of health systems. For non-communicable diseases, the EU should tap the economies of scale of research and knowledge organised at EU level, and put in place systems for the surveillance of non-communicable diseases and consolidation of scientific knowledge. This could be achieved through an extension to non-communicable diseases of the European Centre for Disease Prevention and Control mandate. The ‘Health in all Policies’ principle is a key channel to deliver good health outcomes at EU level. EU scientific agencies provide health risk assessments in a number of areas, but the EU should better organise, coordinate and consolidate the scientific knowledge that underpins health-protection measures in sectoral legislation, and should more systematically apply better regulation rules to the health impacts of EU policies. The EU should support the digital transformation of health systems and set high targets for the European Health Data Space initiative, which is a critical infrastructure for the future of health research, regulation and policymaking. Several non-health EU policy objectives (cohesion policies, European Pillar of Social rights, economic governance) are linked to the performance of health systems. A common understanding on how to measure this performance would inform these policies in a consistent way. Moreover favourable health outcomes in the EU have not reduced health inequalities, which remain high between and within EU countries. Monitoring of health inequalities, including those related to access to and quality of healthcare, should be improved as an initial step.
Topic:
Health, European Union, Regional Integration, and COVID-19
Political Geography:
Europe

62. Opinion on Ukraine’s application for membership of the European Union

Author:
Michael Emerson, Steven Blockmans, Veronika Movchan, and Artem Remizov
Publication Date:
04-2022
Content Type:
Policy Brief
Institution:
Centre for European Policy Studies (CEPS)
Abstract:
This paper responds to Ukrainian President Volodymyr Zelensky’s request on 28 February 2022 for his country to accede to membership of the European Union. The European Council meeting at Versailles on 10-11 March endorsed the Council’s invitation to the European Commission to produce an Opinion on this request. The present paper is our Opinion on the position that we would like to see the Commission take. Since it comes at a time when Ukraine is being attacked in Russia’s genocidal war of choice, two quite different matters have to be addressed: first the fundamental political issues at stake for the whole of Europe, and second, the more technical modalities of the accession process.
Topic:
European Union, Regional Integration, and Russia-Ukraine War
Political Geography:
Russia, Europe, and Ukraine

63. Opinion on Moldova’s application for membership of the European Union

Author:
Michael Emerson, Denis Cenusa, Steven Blockmans, and Tinatin Akhvlediani
Publication Date:
05-2022
Content Type:
Policy Brief
Institution:
Centre for European Policy Studies (CEPS)
Abstract:
This paper responds to Moldova’s request of 3 March 2022 to accede to membership of the European Union. The European Council meeting at Versailles on 10-11 March endorsed the Council’s invitation to the European Commission to produce an Opinion on this request. The present paper gives our opinion on the position that we would like to see the Commission take, namely that the EU should extend candidate status to Moldova. Progress in implementing the Association Agreement and Deep and Comprehensive Free Trade Area between the EU and Moldova means that there is already a substantial degree of preparedness for the accession process. While Moldova has an important reform agenda to sustain, especially on the judiciary and rule of law, its democratic electoral processes have been of impressive quality since 2020. There is good coherence between the presidency, government and parliament on the reform and European integration agendas. Moldova’s common history, border and partly overlapping citizenship with EU Member State Romania is also relevant. With Russia’s ongoing aggression in Ukraine, Moldova is next at risk on account of political, economic and security vulnerabilities. Recent explosions in Transnistria point to the possibility of this separatist region being instrumentalised by Russia to destabilise Moldova. These factors further underline the case for comprehensive EU support and the need for geostrategic clarity, which should be framed by an EU decision to extend candidate status to Moldova.
Topic:
Security, Reform, European Union, Regional Integration, and Trade
Political Geography:
Europe and Moldova

64. Interpreting the Commission Opinions on the membership applications of Ukraine, Moldova and Georgia, and next steps for the European Council

Author:
Michael Emerson, Steven Blockmans, and Tinatin Akhvlediani
Publication Date:
06-2022
Content Type:
Policy Brief
Institution:
Centre for European Policy Studies (CEPS)
Abstract:
The Commission’s three Opinions on the membership applications of Ukraine, Moldova and Georgia, if endorsed by the European Council as seems likely on 23-24 June, will mark a geopolitical turning point for Europe, bringing the three eastern European states into the EU’s enlargement process, albeit with a less advanced formulation for the time being for Georgia than for Ukraine and Moldova. A broad geopolitical advance is favourably viewed by most EU citizens and its main international partners. The European Council’s agenda is of even wider importance, with discussions due to take place on both possible reform of the existing enlargement process and the ideas advanced by Presidents Macron and Michel for a new form of political community that would aim to embrace the whole of Europe (except of course for Russia and Belarus).
Topic:
European Union, Geopolitics, Regional Integration, Regional Politics, and European Council
Political Geography:
Europe, Ukraine, Moldova, and Georgia

65. Citizens' Perceptions on Kosovo's EU Integration Perspective and Regional and International Cooperation

Author:
Dea Fetiu and Shpat Balaj
Publication Date:
06-2022
Content Type:
Special Report
Institution:
Kosovar Centre for Security Studies (KCSS)
Abstract:
This Western Balkans Security Barometer report examines the perceptions of Kosovo citizens about Kosovo's EU integration process, and the regional and international cooperation. This report consists of two sections. The first section analyzes the public perceptions towards the EU integration, Kosovo’s progress in fulfilling the EU membership criteria, the bilateral relations, and the influence of EU countries towards Kosovo, and an assessment of the EU as a mediator in the dialogue between Kosovo and Serbia. The second section addresses regional cooperation within the Western Balkans countries, the bilateral relations, and the influence of these countries towards Kosovo. The analysis of this report is based on the results of the survey through face-to-face interviews with randomly selected respondents throughout Kosovo, in September, 2021.
Topic:
Security, Foreign Policy, International Cooperation, Public Opinion, European Union, Regional Integration, and Perception
Political Geography:
Europe, Kosovo, and Balkans

66. European Union cohesion project characteristics and regional economic growth

Author:
Zsolt Darvas, Jan Mazza, and Catarina Midoes
Publication Date:
02-2021
Content Type:
Working Paper
Institution:
Bruegel
Abstract:
Due to problems with existing methodologies that aim to identify the causal impact of European Union cohesion policy on economic growth, we adopted a novel methodology. We first estimated ‘unexplained economic growth’ by controlling for the influence of various region-specific factors, and then analysed its relationship with about two dozen characteristics specific to projects carried out in various regions in the context of EU cohesion policy. We found that the best-performing regions have on average projects with longer durations, more inter-regional focus, lower national co-financing, more national (as opposed to regional and local) management, higher proportions of private or non-profit participants among the beneficiaries (as opposed to public-sector beneficiaries) and higher levels of funding from the Cohesion Fund. No clear patterns emerged concerning the sector of intervention.
Topic:
European Union, Finance, Economic Growth, and Regional Integration
Political Geography:
Europe

67. It’s the EU, Not Western Balkan Enlargement

Author:
Christine Hübner, Jan Eichhorn, Luuk Molthof, and Srđan Cvijić
Publication Date:
02-2021
Content Type:
Special Report
Institution:
Open Society Foundations
Abstract:
France is one of the European countries with the highest rates of popular disapproval of countries in the Western Balkans joining the European Union. What is this disapproval based on, and how important is the issue of EU enlargement in the Western Balkans for people in France? Using a combination of 2020 survey data representative of the adult French population and in-depth focus groups with French voters, this report offers a comprehensive insight into the views of the French on whether or not the countries of the Western Balkans should join the European Union.
Topic:
Diplomacy, Regional Cooperation, Treaties and Agreements, European Union, and Regional Integration
Political Geography:
Europe, France, and Balkans

68. The Conference on the Future of Europe: Tackling Differentiated Integration

Author:
Nicoletta Pirozzi
Publication Date:
03-2021
Content Type:
Commentary and Analysis
Institution:
Istituto Affari Internazionali
Abstract:
The European Union is struggling to recover from the COVID-19 pandemic, which has swept through European societies and economies, causing more than 500,000 deaths (and counting) and a GDP downturn of –6.4 per cent in 2020. This is the third big crisis – and possibly the most dramatic – to impact the EU over the last 12 years, following the economic and financial crisis in 2008– 2010 and the extraordinary influx of migrants arriving on European shores in 2015–2016. All these crises produced asymmetrical consequences on the member countries and citizens. The already marked differences among member states have been exacerbated, making a unified response by EU institutions difficult in the process and suboptimal in the outcome. Indeed, especially during the first wave of the pandemic in Europe, the actions and statements of national leaders revealed a deep rift within the EU and the Eurozone, leading to nationalistic moves in border control and the export of medical supplies. Citizens were therefore exposed to the negative consequences of a Union with limited powers in sectors such as health and crisis management. Meanwhile, important decisions such as the approval of the Next Generation EU package and the new budget for 2021– 2027 risked ending in failure due to the opposition of some member states.
Topic:
Regional Integration, Crisis Management, and COVID-19
Political Geography:
Europe

69. Appeasement and Autonomy: Armenian-Russian relations from revolution to war

Author:
Narek Sukiasyan
Publication Date:
02-2021
Content Type:
Policy Brief
Institution:
European Union Institute for Security Studies
Abstract:
Armenia’s foreign policy and its role in the post-Soviet space are often characterised as ‘pro-Russian’. While such a description is partially true, it is overly simplistic. This Brief analysis the main trends and evolutions in Armenia’s Russia policy after the 2018 Velvet Revolution: how the changes have influenced Russia’s approach towards Armenia, how these dynamics affect Armenia’s autonomy and what the consequences of the 2020 Nagorno-Karabakh war are for Armenia’s regional security and alliances. After the revolution and up until the 2020 Nagorno-Karabakh war, no substantial strategic changes were made to Armenian foreign policy. The leadership has avoided framing its external affairs in geopolitical ‘pro or against’ terms, promoting a ‘pro-Armenian’ policy that aims to maintain good relations in all directions and prioritises sovereignty as a foreign policy principle. Instead, the revolutionary ambitions of the new leadership have been directed towards domestic issues such as fighting corruption, reforming the judiciary and law enforcement bodies, improving the business environment and addressing social issues.
Topic:
Foreign Policy, Economy, Conflict, Regional Integration, Nagorno-Karabakh Conflict, and Appeasement
Political Geography:
Russia, Europe, Eurasia, and Armenia

70. Sino-Russian Convergence on Eurasian Integration: Understanding the Long-Term Engagement

Author:
Shabir Amhad Khan
Publication Date:
01-2021
Content Type:
Journal Article
Journal:
South Asian Studies
Institution:
Department of Political Science, University of the Punjab
Abstract:
Russia and China surrounding Eurasia, realizing Halford Mackinder‘s Heartland theory by integrating the Eurasian landmass. Economic, political and strategic complementarities between Russia and China plus geography are the integrative forces compelling both the powers to accommodate each other‘s interests and provide indispensable benefits to each other in the context of Eurasian integration. By developing both the components of cross border connectivity infrastructure i.e. hardware (Roads, Railways, Pipelines, Ports) as well as software (harmonization and coordination of policies, regulations) the dyad is turning the 21st Century into ―Eurasian Century‖. Historically, with the inventions of maritime (Sea lanes of Communication) transportation, the power shifted to Sea powers(West) as they controlled the main transportation routes. The development and hence control over the transportation routes over Eurasia will result into a power shift from Sea powers to land powers (Russia & China). Therefore the stakes are high for both the continental powers in integrating Eurasia. One is World‘s largest energy producer while the other is largest energy consumer. All this mean a permanent need for each other and long-term engagement for at least the rest of 21st century. This complementarily between Russia and China is also turning the heartland i.e. landlocked geography of Central Asian Republics into a blessing for these republics as opposed to the landlocked Afghanistan for which its geography turned to be a curse. Both consider Central Asia as their backyard and therefore unanimous on keeping the backyard stable and developed.
Topic:
International Cooperation, Conflict, Regional Integration, and Integration
Political Geography:
Russia, China, Europe, and Asia