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Conference on effective advocacy for health in Europe

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Title: Conference on effective advocacy for health in Europe


1
Conference on effective advocacy for health in
Europe

Riga, 3-5th April 2003

The open method of coordination
EUROPEAN COMMISSION DG Employment and Social
Affairs Armindo Silva, Head of Unit Social
protection and inclusion policies
1
2
The Open Method of Coordination
  • Fixing guidelines for the EU combined with
    specific timetables for achieving their goals
  • Establishing indicators and benchmarks as a means
    of comparing best practice
  • Translating the EU guidelines into
    national/regional policies
  • Periodic monitoring, evaluation and peer review.

3
The merits of the Open Method of Coordination
  • facilitates policy reform by promoting mutual
    learning among Member States
  • gives a concrete meaning to the European social
    model, by helping to build consensus
  • creates a sense of urgency in driving reforms
    forward, by promoting emulation
  • contributes to greater balance between the
    social and the economic dimensions in EU policy

4
The Open Method of Coordination -Controversial
issues
  • Lack of democratic legitimacy? Risk of
    uniformity?
  • Ineffective for achieving greater social
    cohesion? Too soft for national governments?
  • Too bureaucratic and paper-loaded?

5
The Open Method of Coordinationin the field of
social inclusion
  • The strategic goal to make a decisive impact on
    the eradication of poverty by 2010
  • The instruments
  • National action plans gt Joint Report
  • A new Community programme to support cooperation
  • A shared role for Commission and Member States

6
A place for the Open Method of Coordination in
the new Treaty?
  • Yes, but only in those areas where no legal
    harmonisation is justifiable or specific Treaty
    provision exist.
  • Stronger role for the EP and consultation of
    social partners and NGOs
  • Scope for simplification and streamlining
    forthcoming communication by the Commission

7
The Open Method of Coordination for combating
poverty and social exclusion The Common
Objectives
  • 1. To facilitate participation in employment and
    access by all to resources, rights, goods and
    services
  • 2. To prevent the risks of exclusion
  • 3. To help the most vulnerable
  • 4. To mobilise all relevant actors

8
The key findings the dimension of poverty in the
EU
  • 15 of the EU population lived under the relative
    poverty line (at 60 of the median) in 1999 gt50
    million people
  • 9 were poor for three successive years.

9
The impact of social protection
  • Relative poverty would have affected 24 without
    social transfers,
  • and 39 without social transfers or pensions

10
The most disadvantaged groups
  • Relative poverty is especially high for
  • children
  • young people
  • older women
  • unemployed
  • single parents
  • numerous families

11
Wide variation across the EU
  • Monetary relative poverty varies between 9 and
    21
  • International comparisons based on subjective
    indicators of poverty show much wider variations

12
The key findings 8 core challenges
  • Developing an inclusive labour market and
    promoting employment as a right and duty
  • Guaranteeing adequate income and resources for a
    decent standard of living
  • Tackling educational disadvantage
  • Preserving family solidarity and protecting the
    rights of children

13
The key findings 8 core challenges
  • Ensuring reasonable accomodation for all
  • Guaranteeing equal access to and investing in
    high-quality public services
  • Improving the delivery of services and tuning
    them closely to the citizens needs
  • Regenerating areas of multiple deprivation

14
Assessing plus and minus in the EU process
  • All Member States are committed in new process
  • Greater political visibility of inclusion
    policies
  • NAPs contain a wealth of valuable information
  • Agreement on indicators to monitor progress
  • New programme to consolidate progress
  • Lack ambition/innovation in many NAPs
  • Limited strategic dimension, few targets set
  • Limited consultation of NGOs, local authorities
  • Insufficient gender dimension
  • Insufficient mainstreaming across other policy
    areas

15
What to expect from 2003 NAPs/inclusion?
  • Targets set at national level for the eradication
    of poverty
  • Emphasis on gender mainstreaming and inclusion
    of immigrants (the new issues)
  • More consultation of civil society in the
    preparation of the NAPs/inclusion
  • Frank assessment of strengths and weaknesses
    revealed since 2001.

16
Community Action Programme to combatSocial
Exclusion
  • Strand 1
  • Improving understanding of poverty and social
    exclusion (studies, indicators, statistical data)
  • Strand 2
  • Promoting exchanges on policies and mutual
    learning (peer reviews, transnational exchange
    projects expert networks, seminars)
  • Strand 3
  • Supporting participation of the various
    stakeholders and networking at EU level

17
Enlargement will present new and greater
challenges for combating poverty in EU
  • Large numbers live on low absolute income and
    lack access to basic services
  • High unemployment
  • Weak systems of social protection
  • Serious situation of children, ethnic minorities,
    mentally ill
  • Relative inequalities are lower than in EU

18
Involving applicant countries in EU process for
social inclusion is a priority
  • To draft Joint Inclusion Memoranda (JIM) until
    end 2003
  • Identifying challenges
  • Putting policies in the EU framework of common
    objectives
  • Highlighting key issues for further review
  • To allow participation in the Community
    programme
  • Studies
  • Joining partnerships and networks
  • Participating in peer reviews

19
The Open Method of Coordination in the field of
pensions
  • Demographic challenge is common across all Member
    States
  • The new process should not transfer political
    responsibility from national to EU level
  • Despite wide diversity of pension systems, there
    is consensus around 11 broad objectives.

20
The 11 common objectives come under three headings
  • To ensure the adequacy of pension systems in
    order to prevent poverty and comparable living
    standards in old age
  • To ensure the financial sustainability of pension
    systems over the long run
  • To adapt pension systems to societal and labour
    market changes

21
The process in 2002/3
  • Submission of National Strategy Reports
  • Examination by the Commission leading to a first
    draft
  • Adoption of a Joint Report on Pensions by the
    Council and the Commission, endorsed by the
    Brussels European Council
  • Continuing work on common indicators

22
The key messages from the 2003 Joint Report on
Pensions
  • Despite reforms, many pension systems are still
    facing considerable financial and demographic
    challenges. Budgetary impact ranges between 0 and
    6 of GDP until 2050.
  • Reforms show that it is possible to ensure
    financial sustainability and preserve adequate
    incomes for older people.
  • Privately funded systems are on the increase but
    they are not exempt of the impact of ageing

23
Policy co-operation in the field of healthcare
  • Joint report identifies three main challenges
    across the EU
  • To ensure access of all to affordable healthcare
    and care for the elderly
  • To ensure financial sustainability of healthcare
    systems
  • To guarantee a high level of quality of
    healthcare services.
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