The COVID-19 pandemic has sparked the debate on strengthening European-level cooperation and solidarity in tackling the disease. The debate has focused on several questions: Given the common threat to public health, is conferral of more competences upon the EU (1) desirable and (2) feasible? As for desirability: Can the EU better achieve the public health goals than Member States can and is there an added value in increasing EU competences? As for feasibility: Can a competence increase be carried out in practice - given the cross-country differences in the organizational and managerial features of national healthcare systems? Healthcare systems are influenced by the underlying normative aspirations, historic legacies, and level of economic development of the given country. They are characterized by a high degree of government intervention and absorb a significant share of public funds, so no wonder this sector is politically sensitive. So concretely, if more powers are to be conferred upon the EU, what exactly should these powers consist of, bearing in mind the principles of subsidiarity and proportionality?
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Don’t mind me while I drive through your neighborhood taking photo’s of your house, gathering your emails, passwords and other private information from your wifi network. It’s nothing personal, I’m doing it to everyone, in every street, in over 30 countries. Perhaps you can also excuse me while I give access to data you and your friends shared with me and each other, to individuals and companies I have no relation to or control over at all, and while leaking your data, again it’s nothing personal, I’m doing it to 87 million others, you probably won’t mind me showing you and 126 million others some political disinformation, there’s an election coming and I could really use the money. It’s not as if we don’t know each other, I’ve been following your every move online for years now, and it’s no secret that I’m worth hundreds of billions because I sell access to you, promising my customers influence over your voting and purchasing behavior. I’ve got power. Monopolies are rare lol. If all this makes you uncomfortable, you can always cut ties with me and everyone you work and communicate online with, but what would that solve? Your friends are totally oversharing…
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The high prevalence and burden of cardiovascular diseases (CVD) is largely attributable to unhealthy lifestyle factors such as smoking, alcohol consumption, physical inactivity and unhealthy food habits. Prevention of CVD, through the promotion of healthy lifestyles, appears to be a Sisyphean task for healthcare professionals, as the root causes of an unhealthy lifestyle lie largely outside their scope. Since most lifestyle choices are habitual and a response to environmental cues, rather than rational and deliberate choices, nationwide policies targeting the context in which lifestyle behaviours occur may be highly effective in the prevention of CVD. In this point-of-view article, we emphasise the need for government policies beyond those mentioned in the National Prevention Agreement in the Netherlands to effectively reduce the CVD risk, and we address the commonly raised concerns regarding ‘paternalism’.
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