The transversality of mental health in a “European Health Union”

Alessandra Silveira (Editor) and Maria Inês Costa (Master's student in Human Rights at University of Minho)

The Portuguese Presidency of the Council of the EU 2021 Program reinforces the need to strengthen cooperation between Member States in the field of health, to support actions needed to increase the responsiveness of health services to threats to public health.[1] In the debate regarding a “European Health Union” it is important to underscore that mental health is a transversal approach to all health policies. However, despite the many targeted resolutions covering urgent aspects of mental health,[2] the debate on this issue never found its way to a comprehensive European framework.[3] Indeed, it is critical to consider the impediments to mental healthcare, the costs of neglecting mental healthcare, and Covid-19 impact on increasing fatigue and its consequences on mental healthcare.[4]

Above all, it is important to ponder that many mental disorders are shaped, to a large extent, by social, economic, and environmental factors[5] – that is, many of the causes and triggers of mental disorders reside in the Europeans daily life conditions.[6] According to the World Health Organization (WHO), the response to social, environmental, and economic determinants of health requires multisectoral approaches anchored in a human rights perspective. Multisectoral action is central to the SDG (“sustainable development goals”) agenda because of the range of determinants acting upon people’s health – such as socioeconomic status, gender, and other social determinants.[7]

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Citizens pro Europe’s letter to the EU institutions

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Dear Presidents,

In the face of the health crisis lashing Europe and the world, and costing the lives of thousands of citizens, Citizens Pro Europe, a non-governmental organisation present in 10 EU-Member countries, would like to present a number of considerations, for this crisis calls for determination and courage from political leaders and democratic institutions, the industry, and European civil society. In these times of great need, we are all called upon to contribute our bit.

Firstly, we must work to save lives. Member States are the first line of defence. We want to thank all workers who make it possible for our fellow European citizens to be taken care of. In order for all national health systems to be able to absorb the avalanche of those seriously affected by COVID-19, these workers must have at their disposal all the necessary financial and material means.

Secondly, we would like to highlight the importance of a joint action by all Member States and European Institutions in this grave moment. We make an appeal to their political leaders to act, at all times, with solidarity, Europe’s true hallmark. In this sense, we regret some Member States’ decisions to ban the sale and distribution of essential equipment to other Member States. We are pleased to see that, owing to the European Commission’s intervention, these bans will not be put in place and that mutual assistance mechanisms are being implemented. In these times of great need, it is critical to maintain channels for trade and the distribution of essential goods on the common market open. We congratulate the European Institutions for their proposal of green corridors ensuring the transit of these goods. We condemn the obstacles to the freedom of movement of these merchandises taking place at the borders of several Member States. This is a very serious error that jeopardizes citizens’ lives and will notably hinder the economic recovery once this health crisis abates. The common market is a source of prosperity for all and a relying factor on the speedy recovery of our economies after this crisis. Today, it is an instrument that can save many lives.
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The European Union and covid-19

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 by Teresa Freixes, Professor of Constitutional Law and Jean Monnet Chair ad personam

In these difficult days, many of us look up at the European Union, as no country is oblivious to this health crisis that we are facing. Many wonder what the EU is doing while the virus crosses borders, endangers the health and life of citizens and also likely causes a major economic crisis. More coordinated action by the EU is lacking in this regard, but we must remember all the framework: the EU has pre-standards that it is applying; it has reached important agreements to deal with the various issues in place and it is planning future policies so that the effects of the health crisis and its economic outcomes are as limited as possible.

To start, it should be noted that Decision 1082/2013 of the European Parliament and of the Council of 22 October 2013 on serious cross-border threats to health provides that: “Article 168 of the Treaty on the Functioning of the European Union (TFEU) states, inter alia, that a high level of human health protection is to be ensured in the definition and implementation of all Union policies and activities. That Article further provides that Union action is to complement national policies, is to cover monitoring, early warning of, and combating serious cross-border threats to health, and that Member States are, in liaison with the Commission, to coordinate among themselves their policies and programmes in the areas covered by Union action in the field of public health”.
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Summaries of judgments

 

Summaries of judgments made in collaboration with the Portuguese judge and référendaires of the CJEU (Nuno Piçarra, Mariana Tavares and Sophie Perez)
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Judgment of the Court (Sixth Chamber) of 27 March 2019, slewo – schlafen leben wohnen GmbH v Sascha Ledowski (Case C-681/17, EU:C:2019:255)

Reference for a preliminary ruling — Consumer protection — Directive 2011/83/EU — Article 6(1)(k) and Article 16(e) — Distance contract — Right of withdrawal — Exceptions — Concept of ‘sealed goods which are not suitable for return due to health protection or hygiene reasons and which have been unsealed by the consumer after delivery’ — Mattress whose protective seal has been removed by the consumer after delivery

The dispute in the main proceedings and the questions referred for a preliminary ruling

The request for a preliminary ruling was made in proceedings between slewo — schlafen leben wohnen GmbH (‘slewo’), an online trader which sells, inter alia, mattresses, and Mr Sascha Ledowski, concerning his exercise of his right of withdrawal in relation to a mattress purchased on slewo’s website.
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