Activities of Philippe JUVIN related to 2010/2089(INI)
Shadow reports (1)
REPORT on reducing health inequalities in the EU PDF (265 KB) DOC (175 KB)
Amendments (48)
Amendment 2 #
Draft opinion
Citation 4 a (new)
Citation 4 a (new)
- having regard to Article 23 of the Charter of Fundamental Rights relating to equality between men and women in all areas,
Amendment 3 #
Motion for a resolution
Citation 5 a (new)
Citation 5 a (new)
- having regard to the 8 June 2010 Council Conclusions on “Equity and Health in All Policies: Solidarity in Health",
Amendment 3 #
Draft opinion
Citation 4 b (new)
Citation 4 b (new)
- having regard to Article 2 of the Treaty on European Union,
Amendment 4 #
Motion for a resolution
Citation 6 a (new)
Citation 6 a (new)
- having regard to Council Conclusions on Common values and principles in European Union Health Systems (2006/C 146/01),
Amendment 4 #
Draft opinion
Paragraph 1 a (new)
Paragraph 1 a (new)
1a. Stresses that health inequalities exist both between and within Member States;
Amendment 8 #
Motion for a resolution
Recital -1 (new)
Recital -1 (new)
Amendment 8 #
Draft opinion
Paragraph B
Paragraph B
B. whereas women oftecan find themselves in precarious situations linked to their gender, way of life, religion, age, social status and financial solvency,
Amendment 13 #
Draft opinion
Paragraph C
Paragraph C
Amendment 14 #
Motion for a resolution
Recital C
Recital C
C. whereas health inequalities have also an important gender dimension: women in generalthe gender dimension in terms of livfe longer than men but may spend a longer proportion of their lives in ill healthexpectancy is also a major issue to be addressed where health inequalities are concerned,
Amendment 14 #
Draft opinion
Paragraph 3
Paragraph 3
3. Stresses that within the internal market the accessibility and affordability of pharmaceutical treatments should be considered a key aspect of health inequality and, in this regsocioeconomic factors (obesity, smoking, etc.) and difficulties of access to care (non-reimbursement of the costs of care and of medicines, inadequate prevention, fragmentation of medical demography) are the main causes of health inequality within the internal market; in order to promote access to carde, calls on Member States to ensure that the Transparency Directive (89/105/EEC) is being properly implemented;
Amendment 19 #
Draft opinion
Paragraph C a (new)
Paragraph C a (new)
Ca. whereas there is a life expectancy gap between men and women, with women living longer,
Amendment 22 #
Draft opinion
Paragraph 3 a (new)
Paragraph 3 a (new)
3a. Calls on Member States to adapt their health systems to the needs of the most disadvantaged by developing methods of pricing and of remuneration of healthcare professionals which ensure access to care for all patients;
Amendment 23 #
Draft opinion
Paragraph 3 b (new)
Paragraph 3 b (new)
3b. Stresses the existence of discrimination against older persons in access to care; calls on the Commission and Member States to analyse the reasons for it and to take whatever measures are possible to combat such discrimination; calls on the Commission and Member States to make access to care for older persons a priority for the European Year of Active Ageing (2012);
Amendment 29 #
Motion for a resolution
Recital E
Recital E
E. whereas comparative measurement of health inequalities is a fundamental first step towards effective action,
Amendment 32 #
Draft opinion
Paragraph 1 a (new)
Paragraph 1 a (new)
1a. Calls on the Commission and the Member States to introduce and collate epidemiological tools to analyse the causes of the life expectancy gap between men and women;
Amendment 35 #
Draft opinion
Paragraph 2
Paragraph 2
2. Calls on the EU and the Member States to adopt strategies tailored to specific aspects of women's daily lives in order to reduceing economic and social inequalities, thereby also helping towhich will help reduce health inequalities;
Amendment 36 #
Draft opinion
Paragraph 5 a (new)
Paragraph 5 a (new)
5a. Stresses that the existence of geographical areas which are poor in healthcare professionals is one of the causes of health inequalities; advocates therefore mobility of healthcare professionals within the European Union in accordance with the genuine needs of the population;
Amendment 40 #
Motion for a resolution
Recital G
Recital G
G. whereas a social gradient in health status exists, whereby people in lower educational, occupational and income groups tend to die at a younger age and to have a higher prevalence of most types of health problemsthe Commission has observed that there is a social gradient in health status in all the EU Member States (Commission Communication of 20 October 2010 entitled ‘Solidarity in Health: Reducing Health Inequalities in the EU’); and whereas the World Health Organization defines this social gradient as being the link between socio-economic inequalities and inequalities in the areas of health and access to healthcare,
Amendment 43 #
Motion for a resolution
Recital H
Recital H
H. whereas health inequalities are due to differences between population groups in a wide range of factors which affect health, including: living conditions; health related behaviours; education, occupation and income; health care, disease prevention and health promotion services; and public policies influencing the quantity, quality and distribution of these factorsnot only the result of a host of economic, environmental and lifestyle-related factors, but also of problems relating to access to healthcare,
Amendment 43 #
Draft opinion
Paragraph 3
Paragraph 3
3. Calls on the EU and the Member States to introduce more targeted healthdevelop targeted prevention and awareness campaigns to encourage and improve access to the early detection and diagnosis of diseases, specifically affecting women, such asuch as cardiovascular diseases, breast, cervical and ovarian cancer, etc.;
Amendment 47 #
Draft opinion
Paragraph 7
Paragraph 7
7. Argues that open, competitive and well functioning markets stimulate innovation, investment and research in the healthcare sector and may help in identifying effective healthcare modelsCalls on the Commission and Member States to support innovation and R&D in the healthcare sector in order to promote the development of new technologies and their applications in this field (e.g. in telemedicine);
Amendment 49 #
Motion for a resolution
Recital H a (new)
Recital H a (new)
Ha. whereas despite the socio-economic and environmental progress that has led to an overall improvement in peoples’ health status over long periods, a number of factors such as hygiene, living and working conditions, malnutrition, education, income, alcohol consumption and smoking are still having a direct impact on health inequalities,
Amendment 50 #
Motion for a resolution
Recital H b (new)
Recital H b (new)
Hb. whereas the dearth of medical professionals in certain areas of the EU and their ability to move to other areas of the EU is a real problem, and whereas this situation is resulting in major inequalities in terms of access to healthcare and patient safety,
Amendment 51 #
Motion for a resolution
Recital H c (new)
Recital H c (new)
Hc. whereas health inequalities are also linked to problems in accessing healthcare, both for economic reasons (not as much for major treatment, which is dealt with correctly by the Member States, but rather for everyday treatment such as dental and eye care) and as a result of poor distribution of medical resources in certain areas of the EU,
Amendment 51 #
Draft opinion
Paragraph 3 a (new)
Paragraph 3 a (new)
3a. Calls on the Member States to solve the problems of inequalities in access to healthcare that has an effect on everyday life, such as dentistry or ophthalmology;
Amendment 55 #
Motion for a resolution
Recital I
Recital I
I. whereas the Commission forecasts that unemployment is likely to reach 10.3% by the end of 2010, and whereas there is widespread concern that the present economic crisis, particularly its effect on unemployment, will adversely affect population health, according to Eurostat, the EU’s statistical office, unemployment across the 27 EU Member States reached 9.6% in September 2010, and whereas the Council of the European Union’s Social Protection Committee, in its opinion of 20 May 2010, expressed concern that the present economic and financial crisis will adversely affect citizens’ access to healthcare and the Member States’ health budgets,
Amendment 55 #
Draft opinion
Paragraph 4
Paragraph 4
4. Urges the EU and the Member States to collect, analyse and make effective unduct epidemiological studies and to collect and produce comprehensive data based of data in order regularly to assessn common, strictly defined indicators in order to assess the impact of existing health policies and programmes specifically targeted aton the health of men and women;
Amendment 59 #
Motion for a resolution
Recital J
Recital J
J. whereas the current economic and financial crisis may have a severe impa, in its opinion of 20 May 2010, the Council of the European Union’s Social Protection Committee emphasised that the restrict ion the heals imposed by the care sector in several EU Member States, on both the supply and the demand sidesurrent economic and financial crisis mean that the Member States must step up their efforts to improve the effectiveness of health expenditure,
Amendment 64 #
Draft opinion
Paragraph 6
Paragraph 6
6. Calls on the EU and the Member States rapidly to find ways of combating ethnic discrimination, particularly in certain Member States where Council Directive 2000/43/EC has not been implemented and where women from ethnic minorities have little or no social protection or access to healthcarefacilitating and guaranteeing access to health services and fair social protection in compliance with the principles of gender equality and ethnic (in accordance with Council Directive 2000/43/EC), economic, social, linguistic, geographical or cultural non- discrimination;
Amendment 65 #
Motion for a resolution
Recital K
Recital K
K. whereas the combination of poverty with other vulnerabilities, such as childhood or, old age, disability or minority background, further increases health riskthe risks of health inequalities,
Amendment 66 #
Draft opinion
Paragraph 6 a (new)
Paragraph 6 a (new)
6a. Calls on the Member States to adapt their health systems to the needs of the most disadvantaged groups by developing pricing and wage systems for health professionals that guarantee access to healthcare for all patients;
Amendment 69 #
Motion for a resolution
Recital K c (new)
Recital K c (new)
Kc. whereas, with ageing populations, the Member States are having to deal with problems relating to dependency and an increasing need for geriatric care and treatment; whereas a change in the approach to organising healthcare is therefore needed; and whereas inequalities relating to access to healthcare for elderly people are on the increase,
Amendment 69 #
Draft opinion
Paragraph 7
Paragraph 7
Amendment 70 #
Motion for a resolution
Recital K d (new)
Recital K d (new)
Kd. Whereas equitable access to healthcare is not secured, not only in practice but also in law, for undocumented migrants in many EU countries,
Amendment 76 #
Motion for a resolution
Paragraph 2
Paragraph 2
2. Stresses that attention must focus on the whole social gradient, with particular attention to be given to the needs of people in poverty, disadvantaged migrant andCalls on the Commission and the Member States to press ahead with their efforts to tackle socio-economic inequalities, which will ultimately make it possible to iron out some of the inequalities relating to healthcare; furthermore, calls on them to focus on the needs of vulnerable groups, including disadvantaged migrant groups and people belonging to ethnic minority groupies, people with disabilities, elderly people and children living in poverty;
Amendment 86 #
Motion for a resolution
Paragraph 2 b (new)
Paragraph 2 b (new)
2b. Calls on the Member States and the Commission to make access to adequate, quality healthcare for the elderly a priority for 2012, the European Year of Active Ageing and Intergenerational Solidarity;
Amendment 87 #
Motion for a resolution
Paragraph 2 c (new)
Paragraph 2 c (new)
2c. Calls on the Member States to ensure that the most vulnerable groups, including undocumented migrants, are entitled to and are provided equitable access to healthcare;
Amendment 88 #
Motion for a resolution
Paragraph 2 d (new)
Paragraph 2 d (new)
2d. Calls on the Member States to look into the feasibility of publicly funding healthcare for irregular migrants by providing a common definition for the basic elements of healthcare to which all residents of the EU would be entitled, irrespective of their legal situation;
Amendment 97 #
Motion for a resolution
Paragraph 4
Paragraph 4
4. Calls on the Council toand the Member States to implement and evaluate new measures to mitigate the impact of the economic crisis on the health care sector, in particular in the following areas: investing in health infrastructure, public health, health promotion and disease prevention, optimising funding for the health care sector, restructuring and reorganising the health care systemoptimise and rationalise public spending on health care, to restructure failing health care systems in order to provide equitable access to high- quality health care (in particular routine medical care) without discrimination throughout the EU, to support investment in infrastructure, research and training and to promote and step up disease prevention;
Amendment 102 #
Motion for a resolution
Paragraph 4 a (new)
Paragraph 4 a (new)
4a. Stresses on the need for the European Union and its Member States to anticipate through an appropriate long term strategy the social and economic impacts of the ageing of the European population, in order to guarantee the financial and organisational sustainability of healthcare systems, as well as an equal and continued delivery of care for patients;
Amendment 106 #
Motion for a resolution
Paragraph 5
Paragraph 5
5. Calls on the Member States to improve their capacity to monitor closely the socialhealth impacts of the crisis;
Amendment 109 #
Motion for a resolution
Paragraph 5 a (new)
Paragraph 5 a (new)
5a. Calls on the Member States to promote access to good quality legal advice and information in coordination with civil society organizations to help the citizens, including undocumented migrants, to learn more about their individual rights;
Amendment 110 #
Motion for a resolution
Paragraph 6
Paragraph 6
6. Encourages all the Member States to invest in social, educational, environmental and health services infrastructure; and to coordinate actions with regards to the qualification, training and mobility of health professionals, thus ensuring capacity and sustainability of the health workforce at both EU and national level;
Amendment 126 #
Motion for a resolution
Paragraph 7
Paragraph 7
7. Calls on the Member States to promote public policies aiming at ensuring healthy life conditions for all children, including actions to support pregnant women and parents;
Amendment 129 #
Motion for a resolution
Paragraph 7 b (new)
Paragraph 7 b (new)
7b. Calls on the Member States to ensure all pregnant women and children, irrespective of their status, are entitled to and effectively benefit from social protection as defined in their national legislation;
Amendment 137 #
Motion for a resolution
Paragraph 8
Paragraph 8
8. Points to the importance of raisimproving the average level ofccess to disease prevention, health promotion, primary and specialised healthcare services, and decreasing the inequalities between different social groups, and underlines that these objectives could be achieved through the optimisation of public spending for healthcare;
Amendment 152 #
Motion for a resolution
Paragraph 10
Paragraph 10
10. Calls on the Council and the Commission to give greater recognition within the Europe 2020 strategy to the fact that physical and mental health and well- being are key to fighting exclusion and to include comparative indicators stratified by socio-economic status in the monitoring of the Europe 2020 strategy;
Amendment 200 #
Motion for a resolution
Paragraph 18 c (new)
Paragraph 18 c (new)
18c. Asks the Commission and the Member States to develop policies and programmes to promote research of causes, early diagnosis, prevention and access to quality treatments for chronic diseases in the European Union, regardless of geographic or socio- economic origins;