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Challenges and Opportunities in Europe Monika Kosinska Secretary General

This overview explores the challenges and opportunities in EU alcohol policy, discussing the key factors influencing health policy, the dominance of economic interests, legal complexities, emerging evidence, and the importance of the Minimum Unit Pricing (MUP) case. It emphasizes the need for vigilant monitoring and strategic intervention to capitalize on favorable trends and drive positive change.

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Challenges and Opportunities in Europe Monika Kosinska Secretary General

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  1. Challenges and Opportunities in Europe Monika Kosinska Secretary General European Public Health Alliance

  2. Brief overview of the EU Alcohol in the EU Challenges for health policy Opportunities for health advocates Conclusions Introduction 2

  3. Coalition from across the EU Public health non-governmental organisations Health professionals’ associations Patient groups Academic organisations Population or disease-specific groups Others European Public Health Alliance 3

  4. Main goals of the European Union Peace and security Economic recovery and development …via economic integration and dismantling interwar protectionist measures Understanding the EU 4

  5. ‘Pristine’ policy environment (detached from ‘real’ citizens) Economic vssocia/environment/health Lobbying Legal & technocratic vs political & democratic Dominance of Think Tanks, lawyers, compared to size of civil service Understanding Brussels 5

  6. Alcohol is key EU commodity Agricultural subsidies Promotional funds for wine Internal market excise law International trade agreements and export good Marketing across borders Alcohol harm strategies… Understanding EU alcohol policy 6

  7. 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 Complex policy context 7

  8. Legal: Litigious sector + confidence from tobacco wins MUP is public health tipping point… Economic Tension between two sets of rights Political ‘Jobs and growth’ Strong lobbying from ‘key’ sector Challenges 8

  9. 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 Opportunities 9

  10. 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 Conclusions 10

  11. We need to keep an eye on the goal Identifying the problem Framing the policy issues Policy decision Implementing decision Evaluating decision 11

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