EU competences in the fields of health and health care - Treaty provisions that might affect health and health care - Historical context of TFEU

3 important questions on EU competences in the fields of health and health care - Treaty provisions that might affect health and health care - Historical context of TFEU

Explain the historical context of art. 168 TFEU

At first, EU activity in the field of health since late 70s due to a broad interpretation of art. 352 TFEU

Treaty of Maastricht introduced an explicit legal basis provision
  • encouraging cooperation and lending support
  • concerned with public health
  • weak mainstreaming objective


Then a Council Resolution on future action in the field of public health was introduced (93).

Treaty of Amsterdam: the wording of the treaty became stronger
  • emphasis on EU competences with regard to public health were made stronger
  • introduction of a strong mainstreaming objective
  • linked to mad cow disease

Explain mad cow disease

There was an export ban for beef products
  • w/o proof of actual risks of consumers
  • measures where adopted to re-assure the belief of consumers in the products
  • strong economic goal + protection of health of citizens

How was it possible that EU institutions adopted directives regarding health before there were specific share competences in the treaties?

On different legal bases:
  • Art. 114(3) TFEU: they used internal market provisions to adopt harmonizing measures
  • Art. 9 TFEU: integration clauses: health protection as a goal should be integrated in all policy areas
  • Art. 168 (1) TFEU: same integration clause

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