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Health systems in Europe were hit by the economic crisis to various degrees. Evidence from worst affected countries shows detrimental consequences for health systems and health outcomes. EU member states face an increased risk of cross-border health threats given the growing difficulties to prevent and control infectious disease outbreaks with resources limited by cuts to public spending on health. Although health systems constitute a core national competence, the crisis has triggered the extension of EU economic surveillance over this field. The related debate focuses on the added value of EU action to support health systems in coping with the crisis challenges vs. the constraints imposed by stricter EU fiscal governance on national health policymakers. This paper provides an analysis of the changes triggered by the economic crisis. The analysis focuses on the EU level, exploring the changes in the output of EU institutions and their (possible) implications for health systems.
