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Reinterpreting the health in all policies obligation in Article 168 TFEU: the first step towards making enforcement a realistic prospect

Published online by Cambridge University Press:  28 April 2020

Oliver Bartlett Open the ORCID record for Oliver Bartlett [Opens in a new window]  and
Anja Naumann
Oliver Bartlett*
Affiliation:
Maynooth University, Maynooth, Ireland
Anja Naumann
Affiliation:
School of Law, Queen Mary University of London, LondonE1 4NS, UK
*
*Corresponding author. Email: ollie.bartlett@mu.ie
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Abstract

The EU Treaties oblige the EU institutions to take health objectives and concerns into account in all policy fields. Nevertheless, this obligation is only marginally honoured in many EU policy areas at best. One problem is the lack of enforcement options to pursue further implementation. This paper examines the obligation to ‘mainstream’ health in Article 168 TFEU and demonstrates the difficulties in enforcing the obligation in more detail. It then offers a new, deeper interpretation of the contents of the mainstreaming obligation and discusses how this definition may be used to facilitate better enforcement in the future.

Keywords

Article 168 TFEUenforcementhealth in all policiesjusticiabilitymainstreaming
Type
Article
Information
Health Economics, Policy and Law , Volume 16 , Special Issue 1: SPECIAL ISSUE: The future of EU health law and policy , January 2021 , pp. 8 - 22
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Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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References

Barbazza, E and Tello, J (2014) A review of health governance: definitions, dimensions and tools to govern. Health Policy 116, 1–11.Google ScholarPubMed
Bartlett, O and Garde, A (2017) EU Public health law and policy – on the rocks? A few sobering thoughts on the growing EU alcohol problem. In Hervey, T, Young, C and Bishop, L (eds), Research Handbook on EU Health Law and Policy, 1st Edn. Cheltenham: Edward Elgar, pp. 369–397.Google Scholar
Burrell, A, Ferrari, E, González Mellado, A, Himics, M, Michalek, J, Shrestha, S and Van Doorslaer, B (2011) Potential EU–Mercosur Free Trade Agreement: Impact Assessment Volume 1: Main results. Brussels: European Commission.Google Scholar
Case 11/70 Internationale Handelsgesellschaft mbH v Einfuhr- und Vorratsstelle für Getreide und Futtermittel [1970] ECLI:EU:C:1970:114.Google Scholar
Case C-15/91 Bukl [1992] ECLI:EU:C1992:454.Google Scholar
Case C-16/16 Belgium v Commission [2017] ECLI:EU:C:2017:959.Google Scholar
Case C-176/12 Association de médiation sociale [2014] ECLI:EU:C:2014:2.Google Scholar
Case C-183/95 Affish BV v Rijksdienst voor de keuring van Vee en Vlees [1997] ECLI:EU:C:1997:373.Google Scholar
Case C-221/08 Commission v Ireland [2010] ECLI:EU:C:2010:113.Google Scholar
Case C-284/95 Safety Hi-Tech Srl v S and T Srl [1998] ECLI:EU:C:1998:352.Google Scholar
Case C-31/13 P Hungary v Commission [2014] ECLI:EU:C:2014:70.Google Scholar
Case C-341/95 Bettati v Safety Hi-Tech [1998] ECLI:EU:C:1998:353.Google Scholar
Case C-358/14 Poland v Parliament and Council [2016] ECLI:EU:C:2016:323.Google Scholar
Case C-43/65 Lutticke [1966] ECLI:EU:C:1966:8.Google Scholar
Case C-482/17 Czech Republic v Parliament and Council [2019] ECLI:EU:C:2019:321.Google Scholar
Case C-526/14 Tadej Kotnik and Others [2016] ECLI:EU:C:2016:570.Google Scholar
Case C-547/14 Philip Morris Brands [2016] ECLI:EU:C:2016:325.Google Scholar
Case C-601/11 P France v Commission [2013] ECLI:EU:C:2013:465.Google Scholar
Case C-637/15 P VSM Geneesmiddelen [2016] ECLI:EU:C:2016:812.Google Scholar
Case C-77/09 Gowan Comércio Internacional [2010] ECLI:EU:C:2010:803.Google Scholar
Case T-13/99 Pfizer Animal Health SA v Council of the European Union [2002] ECLI:EU:T:2002:209.Google Scholar
Case T-158/03 Industrias Químicas del Vallés, SA v Commission of the European Communities [2005] ECLI:EU:T:2005:253.Google Scholar
Case T-177/13 Test Bio Tech [2106] ECLI:EU:T:2016:736.Google Scholar
Case T-204/11 Spain v Council [2015] ECLI:EU:T:2015:91.Google Scholar
Case T-257/07 France v Commission [2011] ECLI:EU:T:2011:444.Google Scholar
Case T-382/11 Pigui [2011] ECLI:EU:T:2012:350.Google Scholar
Case T-70/99 Alpharma Inc. v Council of the European Union [2002] ECLI:EU:T:2002:210.Google Scholar
Council of Europe (2015) European Social Charter Collected Texts, 7th Edn. Strasbourg: Council of Europe.Google Scholar
Council of the European Union (1995) Council Resolution of 20 December 1995 on the Integration of Health Protection Requirements in Community Policies, OJ C 350/2.Google Scholar
Council of the European Union (2006) Council Conclusions adopted on 30 November 2006 on Health in All Policies 16167/06 SAN 261.Google Scholar
Council of the European Union (2010) Council conclusions adopted on 8 June 2010 on equity and health in all policies: solidarity in health, 9947/10 SAN 120 SOC 355.Google Scholar
Council of the European Union (2011) Council conclusions on closing health gaps within the EU through concerted action to promote healthy lifestyle behaviours, OJ C 359/5.Google Scholar
Council of the European Union (2015) EU Action Plan on Human Rights and Democracy. Brussels: Council of the European Union.Google Scholar
Council of the European Union (2017 a) Council conclusions of 11 September 2017 on cross-border aspects in alcohol policy: tackling harmful use of alcohol, OJ C 441/3.Google Scholar
Council of the European Union (2017 b) Council conclusions of 6 June 2017 on halting the rise in childhood overweight and obesity, OJ C 205/46.Google Scholar
Council of the European Union (2018) Council conclusions on healthy nutrition for children: the healthy future of Europe, OJ C 232/1.Google Scholar
de la Rosa, S (2012) The directive on cross-border healthcare or the art of codifying complex case law. Common Market Law Review 49, 15–46.Google Scholar
de Sadeleer, N (2006) The precautionary principle in EC health and environmental law. European Law Journal 12, 139–172.Google Scholar
de Sadeleer, N (2010) The principles of prevention and precaution in international law: two heads of the same coin? In Fitzmaurice M, Ong D and Merkouris P (eds), Research handbook on International Environmental Law. Cheltenham: Edward Elgar, pp. 182–202.Google Scholar
de Sadeleer, N (2013) The principle of a high level of environmental protection in EU law: policy principle or general principle of law? In Gipperth, L and Zetterberg, C (eds), Miljörättsliga perspektiv och tankevändor: vänbok till Jan Darpö och Gabriel Michanek. Uppsala: Iustus Förlag, pp. 447–465.Google Scholar
Eberlein, B and Kerwer, D (2004) New Governance in the European Union: a theoretical perspective. Journal of Common Market Studies 42, 121–142.Google Scholar
Ermert, M (2018) Groups Target EU–Mercosur FTA To Advance Access To Health In Trade Deals. healthpolicy-watch.org. Health Policy-Watch, 16 May 2018. Accessed 24 October 2019. Available at https://www.healthpolicy-watch.org/eu-mercosur-fta-seen-best-chance-advance-access-health-trade-deals/.Google Scholar
European Commission (2017) Staff Working Document: Better Regulation Guidelines, SWD (2017) 350.Google Scholar
European Parliament and Council (2001) Regulation (EC) No. 999/2001 of 22 May 2001 laying down rules for the prevention, control and eradication of certain transmissible spongiform encephalopathies, OJ L 147/1.Google Scholar
European Parliament and Council (2006) Regulation (EC) No. 1923/2006 of 18 December 2006 amending Regulation (EC) No 999/2001 laying down rules for the prevention, control and eradication of certain transmissible spongiform encephalopathies, OJ L 404/1.Google Scholar
European Parliament and Council (2012) Charter of Fundamental Rights of the European Union, OJ C 326/391.Google Scholar
European Parliament and Council (2014 a) Directive 2014/40/EU of 3 April 2014 on the approximation of the laws, regulations and administrative provisions of the Member States concerning the manufacture, presentation and sale of tobacco and related products and repealing Directive 2001/37/EC, OJ L 127/1.Google Scholar
European Parliament and Council (2016) Interinstitutional Agreement on Better Law-Making, OJ L 123/1.Google Scholar
European Parliament, Council of the European Union, and European Commission (2007) Explanations relating to the Charter of Fundamental Rights, OJ C 303/17.Google Scholar
Franklin, C (2011) The burgeoning principle of consistency in EU law. Yearbook of European Law 30, 42–85.Google Scholar
Hervey, T and McHale, J (2004) Health Law and the European Union, 1st Edn. Cambridge: Cambridge University Press.Google Scholar
Hervey, T and McHale, J (2015) European Union Health Law: Themes and Implications, 1st Edn. Cambridge: Cambridge University Press.Google Scholar
Hill, M and Hupe, P (2014) Implementing Public Policy: An Introduction to the Study of Operational Governance, 3rd Edn. London: Sage Publications.Google Scholar
Huber, M, André Knottnerus, J, Green, L, van der Horst, H, Jadad, A, Kromhout, D, Leonard, B, Lorig, K, Loureiro, M, van der Meer, J, Schnabel, P, Smith, R, van Weel, C and Smid, H (2011) How should we define health? BMJ 343, d4163.Google ScholarPubMed
Koivusalo, M (2010) The state of health in all policies (HiAP) in the European Union: potential and pitfalls. Journal of Epidemiology and Community Health 64, 500–503.Google ScholarPubMed
Kovács, A, Toth, T and Forgacs, A (2016) Effects of European soft law at national administrative courts. Loyola University Chicago International Law Review 14, 1–30.Google Scholar
Leppo, K, Ollila, E, Peña, S, Wismar, M, Cook, S (eds) (2013) Health in All Policies: Seizing Opportunities, Implementing Policies Helsinki. Finland: Ministry of Social Affairs and Health.Google Scholar
London School of Economics (2019) Sustainability Impact Assessment in Support of the Association Agreement Negotiations between the European Union and Mercosur. London: LSE Enterprise Ltd.Google Scholar
Mazmanian, D and Sabatier, P (1983) Implementation and Public Policy. Lanham: University Press of America.Google Scholar
Merriam-Webster Online (2018) Protect. merriam-webster.com. Merriam-Webster. Accessed 24 October 2019. Available at https://www.merriam-webster.com/dictionary/protect.Google Scholar
Misonne, D (2015) The importance of setting a target: the EU ambition of a high level of protection. Transnational Environmental Law 4, 11–36.Google Scholar
Ollila, E (2011) Health in all policies: from rhetoric to action. Scandinavian Journal of Public Health 39 (suppl. 6), 11–18.Google Scholar
Ollila, E, Ståhl, T, Wismar, M, Lahtinen, E, Melkas, T and Leppo, K (2006) Health in All Policies in the European Union and its member states. europa.eu. European Commission. Accessed 24 October 2019. Available at http://ec.europa.eu/health/ph_projects/2005/action1/docs/2005_1_18_frep_a4_en.pdf.Google Scholar
Poncelet, C (2012) Access to justice in environmental matters – does the European Union comply with its obligations? Journal of Environmental Law 24, 287–309.Google Scholar
Romero, S (2017) Brazil's Largest Food Companies Raided in Tainted Meat Scandal. New York Times, 17 March, 2017. Accessed 24 October 2019. Available at https://www.nytimes.com/2017/03/17/world/americas/brazil-food-companies-bribe-scandal-salmonella.html.Google Scholar
Rosenkötter, N, Clemens, T, Sørensen, K and Brand, H (2013) Twentieth anniversary of the European Union health mandate: taking stock of perceived achievement, failures and missed opportunities – a qualitative study. BMC Public Health 13, 1074.Google ScholarPubMed
Scott, J and Trubek, D (2002) Mind the gap: law and new approaches to governance in the European Union. European Law Journal 8, 1–18.Google Scholar
Snyder, F (1993) The effectiveness of European community law: institutions, processes, tools and techniques. Modern Law Review 56, 19–54.Google Scholar
Ståhl T, Wismar, M, Ollila, E, Lahtinen, E and Leppo, K (eds) (2006) Health in All Policies: Prospects and Potentials. Helsinki, Finland: Ministry of Social Affairs and Health.Google Scholar
Stefan, O (2012) European Union soft law: new developments concerning the divide between legally binding force and legal effects. The Modern Law Review 75, 879–893.Google Scholar
Stefan, O (2014) Helping loose ends meet: the judicial acknowledgment of soft law as a tool of multi-level governance. Maastricht Journal of European and Comparative Law 21, 359–379.Google Scholar
Thurley, G (2019) The EU–Mercosur agreement means serious potential impacts for health. epha.org. European Public Health Association, 30 July 2019. Accessed 24 October 2019. Available at https://epha.org/the-eu-mercosur-agreement-means-serious-potential-impacts-for-health/.Google Scholar
United Nations Economic and Social Council (2000) General Comment No. 14: The Right to the Highest Attainable Standard of Health (Art. 12) (E/C.12/2000/4).Google Scholar
Van Der Mei, A and Waddington, L (1998) Public health and the treaty of Amsterdam. European Journal of Health Law 5, 129–54.Google Scholar
Vollaard, H and Sindbjerg Martinsen, D (2017) The rise of a European healthcare union. Comparative European Politics 15, 337–351.Google Scholar
Wallace, H (2000) Analysing and Explaining Policies. In Wallace, H and Wallace, W (eds), Policy-Making in the European Union. Oxford: Oxford University Press, pp. 65–84.Google Scholar
World Health Organization (1978) Declaration of Alma-Ata, International Conference on Primary Health Care, Alma-Ata, USSR, 6–12 September 1978. Geneva: World Health Organization.Google Scholar
World Health Organization (1986) The Ottawa Charter for Health Promotion. Geneva: World Health Organization.Google Scholar
World Health Organization (2008) The Tallinn Charter: Health Systems for Health and Wealth. Copenhagen: WHO Regional Office for Europe.Google Scholar
World Health Organization (2010) Adelaide Statement on Health in All Policies. Adelaide: WHO, Government of South Australia.Google Scholar
World Health Organization (2013) Helsinki Statement on Health in All Policies. Helsinki: World Health Organization.Google Scholar
World Health Organization (2014) Helsinki statement, framework for country action. Helsinki: World Health Organization.Google Scholar