Bringing EU citizens together or pulling them apart? The European Health Insurance Card, east–west mobility, and the failed promise of European social integration

DC FieldValueLanguage
dc.contributor.authorStan, Sabina-
dc.contributor.authorErne, Roland-
dc.contributor.authorGannon, Susan-
dc.date.accessioned2020-09-30T14:22:13Z-
dc.date.available2020-09-30T14:22:13Z-
dc.date.issued2020-
dc.identifier.citationJournal of European Social Policyen_US
dc.identifier.issn0958-9287-
dc.identifier.urihttp://hdl.handle.net/10197/11609-
dc.description.abstractAlthough the European Health Insurance Card (EHIC) was meant to bring Europeans together, this study shows that it is amplifying social inequalities across regions and classes. First, we evaluate the effects of east–west EHIC mobility, and of Eastern Europeans’ participation in it, on the practice of EU social citizenship rights to access cross-border care along spatial (east–west) and social class divides. We then assess the impact of these mobilities on healthcare resources in Western and Eastern Europe. Our findings show that the EHIC reinforces rather than reduces the spatially and socially uneven access to social citizenship rights to cross-border care. Moreover, EHIC patient outflows from Eastern to Western Europe result in a much higher relative financial burden for the budgets of Eastern European states than outflows from Western to Eastern Europe do for Western European countries. As a result, east–west EHIC mobility is reproducing rather than reversing healthcare inequalities between the two regions. Hence, the EHIC does not fulfil its promise of European social integration – not, however, because it creates a burden on Western European welfare states as often argued in Eurosceptic tabloids, but because it increases social inequalities both inside and between richer and poorer EU member states.en_US
dc.description.sponsorshipEuropean Research Councilen_US
dc.description.sponsorshipUniversity College Dublinen_US
dc.language.isoenen_US
dc.publisherSageen_US
dc.rightsAuthor(s), Article Title, Journal Title (Journal Volume Number and Issue Number) pp. xx-xx. Copyright © [year] (Copyright Holder). Reprinted by permission of SAGE Publications.en_US
dc.subjectEuropean integrationen_US
dc.subjectHealthcareen_US
dc.subjectIntra-EU migrationen_US
dc.subjectBenefit tourismen_US
dc.subjectUneven developmenten_US
dc.subjectCross-border careen_US
dc.subjectSocial integrationen_US
dc.subjectSocial Europeen_US
dc.titleBringing EU citizens together or pulling them apart? The European Health Insurance Card, east–west mobility, and the failed promise of European social integrationen_US
dc.typeJournal Articleen_US
dc.internal.authorcontactotherroland.erne@ucd.ieen_US
dc.internal.webversionshttps://journals.sagepub.com/home/esp-
dc.statusPeer revieweden_US
dc.identifier.volumeOnline firsten_US
dc.check.date2021-03-30-
dc.identifier.doi10.1177/0958928720974188-
dc.neeo.contributorStan|Sabina|aut|-
dc.neeo.contributorErne|Roland|aut|-
dc.neeo.contributorGannon|Susan|aut|-
dc.description.adminUpdate citation details during checkdate report - ACen_US
dc.description.admin2020-11-06 JG: DOI added at author's request, but does not yet resolve. Please check during checkdate reporten_US
dc.date.updated2020-09-23T16:27:12Z-
dc.identifier.grantid725240-
dc.rights.licensehttps://creativecommons.org/licenses/by-nc-nd/3.0/ie/en
item.fulltextWith Fulltext-
item.grantfulltextopen-
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