title: The New Political Economy of Health Care in the European Union: The Impact of Fiscal Governance.
abstract: We argue that the political economy of health care in the European Union is being changed by the creation of a substantial new apparatus of European fiscal governance. A series of treaties and legal changes since 2008 have given the European Union new powers and duties to enforce budgetary austerity in the member states, and this apparatus of fiscal governance has already extended to include detailed and sometimes coercive policy recommendations to member states about the governance of their health care systems. We map the structures of this new fiscal governance and the way it purports to affect health care decision making.
authors.affiliation: Associate Professor, Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI, USA; Senior Expert Advisor on Governance to the European Observatory on Health Systems and Policies slgreer@umich.edu.
authors.forename: Scott L
authors.initials: SL
authors.lastname: Greer
authors.affiliation: Assistant Professor, Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
authors.forename: Holly
authors.initials: H
authors.lastname: Jarman
authors.affiliation: Senior Policy Analyst, European Social Observatory (OSE), Brussels, Belgium.
authors.forename: Rita
authors.initials: R
authors.lastname: Baeten
mesh_terms: D003657:Decision Making; D003695:Delivery of Health Care / Q000191:economics* / Q000331:legislation & jurisprudence*; D005062:European Union / Q000191:economics*; D006291:Health Policy / Q000191:economics* / Q000331:legislation & jurisprudence*; D006302:Health Services Research; D006801:Humans; D011050:Policy Making; D011057:Politics
keywords: European Union; austerity; fiscal policy; health policy