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Challenges and opportunities in Europe


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Monika Kosinska, Secretary General of the European Public Health Alliance on challenges and opportunities in Europe at Alcohol Action Ireland's conference "Time Please... For Change"

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Challenges and opportunities in Europe

  1. 1. Challenges and Opportunities in Europe Monika Kosinska Secretary General European Public Health Alliance Dublin, 1 November 2012
  2. 2. Introduction Brief overview of the EU Alcohol in the EU Challenges for health policy Opportunities for health advocates Conclusions 2 Dublin, 1 November 2012
  3. 3. European Public Health Alliance Coalition from across the EU o Public health non-governmental organisations o Health professionals’ associations o Patient groups o Academic organisations o Population or disease-specific groups o Others 3 Dublin, 1 November 2012
  4. 4. Understanding the EU Main goals of the European Union o Peace and security o Economic recovery and development…via economic integration and dismantling interwar protectionist measures 4 Dublin, 1 November 2012
  5. 5. Understanding Brussels ‘Pristine’ policy environment (detached from ‘real’ citizens) Economic vs socia/environment/health Lobbying Legal & technocratic vs political & democratic Dominance of Think Tanks, lawyers, compared to size of civil service 5 Dublin, 1 November 2012
  6. 6. Understanding EU alcohol policy Alcohol is key EU commodity o Agricultural subsidies o Promotional funds for wine o Internal market excise law o International trade agreements and export good o Marketing across borders o Alcohol harm strategies… 6 Dublin, 1 November 2012
  7. 7. Complex policy context 20 years of economic thinking in question Europe in decline vs other regions Technology developing quicker than policy Budgets and public spending crisis Financial -> Economic -> Political crisis Political confidence in private sector low 7 Dublin, 1 November 2012
  8. 8. Challenges Legal: o Litigious sector + confidence from tobacco wins o MUP is public health tipping point…o Economic o Tension between two sets of rightso Political o ‘Jobs and growth’ o Strong lobbying from ‘key’ sector 8 Dublin, 1 November 2012
  9. 9. Opportunities Evidence has caught up – need to watch the Think Tanks North Europe / South Europe gap is closing Growing confidence from other regions – pushing back Appetite for intervention – stretching regulatory muscle (taxes, MUP…) Cracks in the economic-dominant hegemony 9 Dublin, 1 November 2012
  10. 10. Conclusions MUP is the most important public health case in 30 years EU trend is in favour of health BUT need to be ready to capitalise on this 2013 / 2014 very important for alcohol – (MUP, alcohol strategy, audio-visual media directive) 2013 / 2014 will set the stage until 2020 10 Dublin, 1 November 2012
  11. 11. We need to keep an eye on the goalIdentifying the Framing the Policy Implementing Evaluating problem policy issues decision decision decision 11 Dublin, 1 November 2012