EU Governance of Healthcare and Its Discontents

Chapter 10 traces the EU governance of health services and its discontents. The first European interventions in the health sector facilitated mobile workers’ access to health services in their host countries, thereby decommodifying cross-border care, albeit by recourse to solidaristic mechanisms situated at national rather than EU level. Since the 1990s however, European horizontal market pressures and EU public deficit criteria have led governments to curtail healthcare spending and to introduce marketising reforms. Thereafter, healthcare became a target of EU competition and free movement of services law. In 2006, transnational collective action of trade unions and social movements moved EU legislators to drop healthcare from the scope of the draft EU Services Directive. After the financial crisis of 2008 however, EU executives pursued commodification of healthcare through new means, as shown by our analysis of their new economic governance (NEG) prescriptions for Germany, Italy, Ireland, and Romania. Even when commodifying prescriptions were on occasion accompanied by decommodifying ones, the latter remained subordinated to the former. Although NEG’s country-specific methodology hampered transnational protests, the overarching commodification script of NEG prescriptions led not only to transnational protests by the European Federation of Public Service Unions, but also to the formation of the European Network against the Privatisation and Commercialisation of Health and Social Protection, which unites unionists and social-movement activists.