How to assess health policy impacts of new generation trade agreements

Abstract

Abstract Issue Negotiation of trade agreements has become a key part of current international policy environment with the consequence of increasing concerns over impacts on public health, health protection and policy space for health. Trade agreements represent 'meta-regulation' where key impacts will be on how governments can regulate with different implications depending on existing regulatory framework within a country. Engaging with trade requires understanding how health-related arguments can be made and where they reside. Results This presentation discusses where and how public health advocates can engage with trade related decision-making on new generation trade agreements with focus on regulation, services and protection of investment and intellectual property rights. The innovative approach on policy space for health will overcome focus on existing standards and allows discussion on what exceptions and exclusions in trade agreements actually imply. Policy space allows analysis on impacts which may not relate to direct health outcomes, such as issues with privacy, health data, access to new technologies, and pricing of medicines. The presentation will use case examples from European Union trade agreements and will discuss politics of mandate negotiations as well as how diversions, rhetorical/empty claims and circular traps are used in in political decision-making and the extent to which and how these can be counteracted on key public health and health systems -related issues. Lessons learned If negotiated agreements will affect how governments can regulate in future rather than existing standards, this requires a different approach for public health researchers and advocates. The lessons learned will provide suggestions on how to approach trade policies as part of Health in All Policies and where limits and opportunities of health and sustainability impact assessments reside. Key messages New generation trade agreements impact on regulatory policy space. Assessing impacts of trade agreements need to go beyond impact assessments.