European Policy Research Articles

Availability and Access to Orphan Drugs for Rare Cancers in Bulgaria: Analysis of Delays and Public Expenditures.

Rare cancers are defined by an annual incidence of fewer than 6 per 100,000. Bearing similarities to rare diseases, they are associated with substantial health inequalities due to diagnostic complexity and delayed access to innovative therapies. This situation is further aggravated in Southeastern European countries like Bulgaria, where limited public resources and expertise underscore the need for additional policy and translational research on rare cancers. This study aimed to explore the availability and access to orphan drugs for rare cancers in Bulgaria for the period of 2020-2023. We cross-compared data from both the European Union and national public sources to evaluate the number of available and accessible orphan drugs for rare cancers, the delay from market authorization to reimbursement, the dynamics of public expenditures, and regional disparities in access across the country. We juxtaposed the main characteristics of oncological and non-oncological orphan drugs as well. Only 15 out of 50 oncological orphan drugs that were authorized by the European Medicine Agency were accessible for rare cancer patients in Bulgaria. The median delay between market authorization and inclusion in the Bulgarian Positive Drug List was 760 days. The total expenditures for all orphan drugs for rare cancers amounted to EUR 74,353,493 from 2020 to 2023. The budgetary impact of this group rose from 0.24% to 3.77% of total public medicinal product expenditures for the study period. Rare cancer patients represent a vulnerable population that often faces limited to no access to treatment. We call for targeted European and national policies to address this major inequality.

Health policy developments in the Western Balkan Countries 2000-19: towards European Health and Health Care Policies.

Albania, Bosnia and Herzegovina, Kosovo, Montenegro, North Macedonia and Serbia have committed to becoming European Union (EU) member states. This, among others, implies that candidate/potential candidate states adopt legally authorized EU policies, including health. The study aims to identify the main country-specific health policy areas critical to the EU accession health policy dimension and present the change in associated selected health indicators from 2000 to 2019. The study draws on published reports and analyses of official statistics over time and cross-country. Health care policy adherence to the European Commission's recommended country-specific health actions was classified into five health policy areas: financing, payment, organization, regulation and persuasion. Key health policy areas for Western Balkan countries (WBCs) were identified. Health progress or lack thereof in catching up to the EU15 population health, health expenditure and the number of health professionals are measured. The European Commission prioritized financing and regulation for all WBCs in the five policy areas. Nine of the 18 analyzed selected health indicators showed divergence, and the other nine converged towards the EU15 averages. WBCs continue to face diverse public health challenges in improving life expectancy at birth, death rates caused by circulatory system diseases, malignant neoplasms, traffic accidents, psychoactive substance use, tuberculosis incidence, tobacco smoking prevalence and public-sector health expenditure. By 2019, there is limited evidence of WBCs catching up to the average EU15 health levels and health care policies. Closer attention towards EU health and health care policies would be favourable.

Russian diplomacy and the security policy of the European Union

European security policy has evolved over a number of historical stages. The fi rst developments appeared in the 50s — 90s of the last century within the framework of the Yalta- Potsdam bipolar system. After 1991, a number of projects for the development of the militarypolitical integration of the European Union, strategically linked to NATO, followed. At the present stage, Europe has embarked on an aggressive policy towards Russia, threatening its sovereignty and security. In this situation, Russia is determined to defend its national interests in order to neutralize emerging threats, create conditions for the cessation of unfriendly actions and form a new model of co-existence with European states.

Even more discouraged? The NEET generation at the age of COVID-19

ABSTRACT The Not in Education, Employment or Training (NEET) status is a long-standing problem that occupies a priority role in the European policy agenda, even more during the post-COVID-19 outbreak. This paper investigates whether and how the COVID-19 pandemic and the quality of institutions affect the probability of being NEET in Italy. In treating the 15–34 unemployed and inactive cohort jointly, our hypothesis is that the COVID-19 exposure has increased the risk of being NEET during the second quarter of 2020 whereas the quality of institutions could mitigate it. Estimates on a unique dataset obtained by merging the Italian Labor Force Survey with the Institutional Quality Index dataset, confirms it. In addition, in dealing the 15–24 and 25–34 cohorts separately, our results show that individuals in the older age group are the most affected. Finally, “good deeds” implemented by institutions, such as active policies conducted at regional level, are a further educational investment that could protect from becoming NEET.

European foreign language policies, national language testing and ambivalence towards the introduction of the logics of standardisation

Educational policies and priorities shaped at the supranational level by European and global agencies and players impact the processes of national policymaking in complex ways. In this study, recontextualisations of European foreign language education and language assessment policies in the Greek policy and pedagogical contexts are examined. Specifically, the politics of foreign language education and assessment are explored with a focus on English language teaching in public schools and the expected introduction of the Greek National Certificate of Language Proficiency (known as KPG) which is a state-led testing system formed by adopting the six-level scale of the Common European Framework of Reference for languages. Drawing on Bernstein’s theory of symbolic control and pedagogic discourse, it is shown that extensive recontextualisations of European (and global) discourses on English language teaching and assessment in the Greek context project competency and outcome-based curricula and learning as the desirable pedagogic model. Furthermore, attempts to introduce certification procedures in public schools derive from market-driven discourses that sanction a standardised system of student performance while the implications of standardisation for schools, teachers and students alike are downplayed.

European Union politicians debating European language education policy

The European Union’s (EU) high regard for multilingualism and linguistic diversity is expressed through its language education policy (LEP), a policy adopted by the European Parliament, which represents all EU member states. However, as education falls within the remit of the member states, EU LEP has an advisory function only. Support for the LEP at national level is thus crucial. By analysing a significant parliamentary discussion by Members of the European Parliament (MEPs), this article asks what evidence there is that MEPs support the EU’s goals of learning the mother tongue plus two foreign languages (1+2), and of learning a diversity of languages at school. Secondly, the article investigates current evidence of the success of EU LEP in terms of developing dual language capacities, and of maintaining diversity in language learning. Figures on the learning of two languages, on the learning of English, and on linguistic diversity are compared, covering the last decade. The results reveal that although the training of dual linguists has stagnated, no MEP expressed concerns that the EU goals of 1+2 are not being met. MEPs are, however, concerned with protecting ‘their’ national languages, and the smaller ‘their’ own language(s), the more so. Furthermore, only representatives of large EU languages express concern over English dominance in the EU’s education systems. Thus, parliamentary representatives of smaller languages unite in solidarity for greater status recognition of their language, while MEPs’ support for the EU LEP goal of 1+2 is at best patchy. The article concludes that, given the limited remit of EU LEP, discrepancies between European recommendations and national practices are somewhat inevitable, and that to improve on the 1+2 goal and counter English dominance across education systems in the EU, member states need to be better supported to appreciate and disseminate the rationales for dual language learning (1+2) and diversity in language learning.

Unveiling intra-rural divides: investigating decline and prosperity in rural areas. The case study of southern Italy

ABSTRACT Strategies to address the decline and marginalization of rural areas are emerging as a central issue of European and national policies. Yet, the conceptualization of decline and the recognition of forms of decline specific to distinct rural areas, resulting in conditions of intra-rural divide, are fundamental aspects for developing place-based and targeted strategies. The article thus focuses on the concept of intra-rural divide. It introduces the categories of declining, adapting, stabilizing, and developing regions as spatial clusters that present specific population trends and require specific place-based policies. These policies are defined as adaptation, mitigation, and development strategies. The aim of the study is to develop a procedure, based on a set of indicators of population trends and population structure, to investigate the impact of active decline resulting from out-migration and legacy decline resulting from demographic imbalances produced by past migration. The objective is to understand the intra-rural divide and identify clusters of declining transition and prosperous rural areas. Six Italian regions were selected as study areas, including Abruzzo, Basilicata, Calabria, Campania, Molise, and Puglia. The Municipalities are selected as the unit of analysis. The study’s findings provide relevant information for defining targeted policies and balancing adaptation, mitigation, and development strategies.

Non‐chemical weed management for sustainable rice production in the Ebro Delta

AbstractWeed control is one of the major challenges in rice cultivation, and the use of agrochemicals for this crop is severely restricted under the new European agricultural policy. Therefore, new effective non‐chemical weed control techniques are the key to sustain European rice production. We investigated four non‐chemical weed management strategies in the Ebro Delta in north‐eastern Spain, two in dry‐seeded rice fields and two in water‐seeded rice fields. In addition, two controls per sowing condition were included: a positive control consisting of chemical herbicides treatment and a negative control consisting of no weeding and no seeding. Mechanical weeding using a rotary harrow placed in front of the seeder was the best weeding technique for dry seeding, while ‘stale seed bed’ and transplanting was the best performing technique for wet seeding. Both techniques were as effective as the chemical weeding control, reducing the density of weeds and the supplementary manual weeding time needed for those weed species more abundant in Ebro Delta rice fields (i.e., Echinochloa oryzoides, Echinochloa crus‐galli, Bolboschoenus maritimus and Heteranthera reniformis). Thus, non‐chemical weeding alternatives have been proven effective for both, transplanting and dry seeding field management strategies.

Preserving the Past, Enabling the Future: Assessing the European Policy on Access to Archives in the Digital Age

Abstract In this study we investigate the implementation and challenges of accessing archives in the digital age. Through an online survey and expert interviews, data were collected from archival institutions, professional users, and civil society organizations in all Council of Europe member states. The findings reveal that digitization has had a positive impact on document accessibility, providing convenience, reducing workload, and improving user access. However, only a small portion of archival holdings have been digitized, highlighting the need for further efforts in this area. Data protection and copyright present significant obstacles, with the European General Data Protection Regulation leading to access restrictions and legal uncertainties. Preservation, interoperability, and organization of records pose challenges in the digital realm, and while artificial intelligence shows promise in automating metadata creation and identifying sensitive materials, concerns about algorithmic biases and the need for additional checks are highlighted. To enhance accessibility, user-friendly interfaces, cooperation among memory preserving institution, and outreach to new user groups are crucial, which can ensure the effective preservation and accessibility of digital collections in the digital age. We provide insights for policy-making and archival institutions in navigating the evolving landscape of accessibility.

Challenges and opportunities for European energy policy and sustainable transformations in the aftermath of Russia’s military intervention in Ukraine

Challenges and opportunities for European energy policy and sustainable transformations in the aftermath of Russia’s military intervention in Ukraine

English-Chinese Translation Practice Report Based on the “Understanding, Expression, and Adaptation” Framework

The European Policy Centre is an independent, not-for-profit think tank dedicated to fostering European integration through analysis and debate. Taking into account the context of the current era deeply affected by the COVID-19 pandemic, this article excerpts an article Addressing the Challenges of the Healthcare Workforce: Ensuring the Future of Health in Europe recently published by the agency. The article combines actual conditions and data in Europe and puts forward thoughts on how to improve healthcare systems after the pandemic. Using this as the corpus, this paper uses the “understanding, expression and adaptation” framework as theoretical support. The text is sorted, studied, and translated practices from these three aspects separately, with a view to further familiarizing themselves with the characteristics of political essays in practice, using classroom knowledge and mastering the translation techniques of political essays.

European Union media policy: a tool for strengthening members relationship

European Union media policy has evolved significantly over the years, serving as a powerful tool for fostering stronger relationships among its member states. The development of this policy can be divided into several distinct phases, each reflecting the changing landscape of media and the EU’s expansion. EU media policy aims to establish a common framework for media services, facilitating the free movement of audiovisual content across borders. The EU recognized the need to compete with non-European productions and introduced programs to support and promote European works, providing essential funding to bolster the industry. EU media policy has played a pivotal role in strengthening relationships among member states by promoting a unified media market, facilitating cross-border content sharing, and fostering a sense of common identity through media. However, it also faces ongoing challenges in adapting to the fast-paced media landscape and accommodating the diverse needs of member and candidate states. The article explores the multifaceted role of EU media policy in fostering closer ties among member states and highlights ongoing challenges in the media field.

Bridging the SEL CASEL Framework with European educational policies and assessment approaches

The importance of enhancing social and emotional skills in educational settings has gained prominence, with many countries and organizations embracing the Social and Emotional Learning (SEL) framework to equip individuals with the tools needed for shaping a self-identity, emotional regulation, goal achievement, empathy, nurturing relationships, and responsible decision-making and overall well-being. In this paper, we aim to connect the globally acknowledged Collaborative for Academic, Social, and Emotional Learning SEL framework with international policies that underscore the importance of social and emotional skills in the school context. To accomplish this goal, we first provide a brief overview of the key components of the SEL framework. Subsequently, we explore two significant educational policies within the European context. The first policy is the World Health Organization Health Promoting Schools initiative. We present its objectives, a WHO-affiliated program example, the promoted and assessed competencies of students, and its results, connecting its framework with the CASEL SEL approach. The second focus is the Organisation for Economic Co-operation and Development Study on Social and Emotional Skills, describing its developmental process and the assessment framework. Finally, we describe the alignment of SEL with these European educational policies and illustrate their role in advancing and improving the evaluation of SEL initiatives in educational environments.

Environmental, social, governance and gender diversity under the adoption of European Di-rective 2014/95/EU

Research Question: Does Gender Diversity positively or negatively affect the non-financial information on ESG? Motivation: This research explores the connection between ESG and the synthesis of the Board of Directors. More explicitly, we explore if the board's Gender Diversity improves non-financial information on ESG. Also, the effect of board gender diversity on ESG is under investigation as the findings in the current literature about the synthesis of board gender diversity are mixed. Considering this gap, this research tries to understand if Gender Diversity positively or negatively affects the non-financial information on ESG. Idea: This research article aims to study the relationship between gender diversity on board and European companies' environmental, social, and governance (ESG) ratings. It also examines the potential impact of European Directive 2014/95/EU, which re-quires disclosure of non-financial information, on this relationship. Data: The investigation used the dataset of 5,380 observations from 20 European countries from 2013 to 2022. Tools: The association between the ESG ratings and control variables was examined using regression analysis. Findings: The investigation results confirm a statistically significant impact between gender diversity and ESG performance ratings. The findings confirm conclusions drawn in other research studies. The adoption and enforcement of EU Directive 2014/95/EU had a remarkable and positive impact on European firms' ESG policies, as shown by statistical significance in several regression models. Gender diversity on company boards positively impacted all ESG models except the Governance Pillar Score. The investigation shows the importance of board synthesis, gender diversity, and additional variables concerning ESG reporting practices. Contribution: This research explores the connection between ESG and the synthesis of the Board of Directors. More explicitly, we explore if the board's Gender Diversity improves non-financial information on ESG. Also, the effect of board gender diversity on ESG is under investigation as the findings in the current literature about the synthe-sis of board gender diversity are mixed. Considering this gap, this research tries to understand if Gender Diversity positively or negatively affects the non-financial in-formation on ESG.

Forces of energy welfare in Central Europe: The Russian war in Ukraine as a game changer

The Russian war in Ukraine has changed global geopolitical priorities and the policies of individual countries. The consequences of this ongoing war will be felt for decades to come, including the militarisation of states and the strengthening of political-military alliances. This article explores the effects of this conflict through the lens of energy welfare, which is used as an essential litmus test for the transforming economies of the Visegrad Group (V4) countries in Central Europe. Energy security and the energy transition have become critical topics, and energy security and its impact on social welfare affect the sensitive areas of policy choices that will determine the direction of development in this part of Europe. The V4 countries – Poland, the Czech Republic, Slovakia and Hungary – illustrate a wide range of domestic and geopolitical orientations that place individual countries in different decision-making situations. The ideological and political forces determine the scope for achieving energy welfare and are, therefore, the subject of this article. Based on macroeconomic and survey data results, the article’s primary research query examines how the V4 countries’ reliance on Russian fossil fuels affects their political attitudes and societal perceptions of the conflict in Ukraine, and the implications for their energy security and welfare in the face of the European Green Deal efforts. The different strategies adopted by the four countries considered translate into energy transition pathways to a low carbon economy described in the European Green Deal and strategies to provide energy at a reasonable price at the expense of a coherent European policy towards Russian aggression.

Specialization in climate technologies at the regional level in Europe: relatedness and the moderating role of policy direction

This study focuses on the influence of related and unrelated variety on specialization in climate change mitigation technologies on a regional level in Europe. We consider two dimensions of specialization: the degree of specialization and being specialized or not. We also investigate the moderating role of public policy direction towards climate change mitigation at regional, national, and EU regime level. Based on a fixed effect specification of patent data relating to climate technologies in 194 regions during the period 2008–2017, we find that related variety positively influences the degree of specialization in climate technologies, but only in regions with a low degree of specialization. We also report a weakening effect of national policy level environmental taxation and of the European Regional Development Fund for related variety. Regarding being specialized as a region in climate technologies, our study reveals a positive role played by unrelated variety and a negative moderating effect exerted by both national policy level environmental taxation and European Regional Development Fund policy support. We discuss implications for policymaking in the field of climate change mitigation technologies.

Food security and nutrition in refugee camps in the European Union: Development of a framework of analysis linking causes and effects

AbstractThe literature on food security and nutrition -FSN among refugees found high rates of food insecurity- FI among refugees in both, low- and middle-income - LMIC countries and high-income countries- HIC. Despite high rates of FI among refugees in HIC, little is known about FSN status of refugees and asylum-seekers living in refugee camps in the European Union- EU. This paper addresses this knowledge gap by reviewing issues related to the Food Security and Nutrition-FSN of refugees in the EU and worldwide and provides three main contributions to the existing knowledge. Firstly, it identifies the main drivers of FSN in a refugee context and offer a causal framework describing the main causes and effects of FNI in refugee camps. The immediate causes of FNI are poor Shelter and Settlement, Water, Sanitation and Hygiene and Healthcare. Moreover, secondary causes of FNI are the lack of adaptation to a new environment; Lack of culturally adapted food; Inadequate FSN interventions; Poor livelihood strategies. Secondly, it demonstrates that FNI exists in European refugee camps underscoring that EU member states have been unable to deliver sustainable solutions towards the realization of FSN in the E.U. Finally, the paper calls for a multisectoral and non-discriminatory European common policy targeting refugees’ FSN.

Developing a Wilderness Quality Index for Continental Europe

This paper presents an updated wilderness quality map, WQI 2.0, for Europe, which extends the existing map (WQI 1.0) to include non-EU states in Eastern Europe. The analysis utilizes the Google Earth Engine (GEE) cloud platform and incorporates contemporary datasets to assess wilderness quality across the continent. WQI 2.0 is compared to the previous version from the EU Wilderness register and global data from the WCS Human Influence Index (HII). Results indicate a high level of consistency between the versions, validating the robustness of the approach and the value of up-to-date datasets. WQI 2.0 serves as a valuable tool for developing a coordinated European policy on wilderness protection, encompassing both EU and non-EU states. By identifying areas outside current protected boundaries, the map helps to identify regions at risk of degradation and loss, due to resource exploitation. While small changes are seen between WQI 1.0 and WQI 2.0, expanding the coverage over the whole of continental Europe provides a foundation for the longer-term monitoring and evaluation of conservation targets. The findings contribute to meeting international commitments, such as the COP15 Kunming–Montreal Agreement and CBD targets, by highlighting the importance of preserving intact wilderness areas and increasing protected areas through restoration and rewilding efforts. Future iterations, such as WQI 3.0+, can track trends and potential threats to wilderness areas, while also identifying opportunities for ecosystem recovery through restoration and rewilding. To ensure comprehensive coverage, there is a need to update the existing Wilderness Register 1.0 and expand its scope to include non-EU states. This can be facilitated through collaboration with national WQI mapping programs, building on the experiences of countries such as Scotland, France, Iceland, and Germany, which have well-established national mapping initiatives. Overall, WQI 2.0 and the proposed updates provide valuable tools for informed decision-making in wilderness conservation and restoration efforts across Europe.

Ukraine’s post-war recovery program as a basis for the development of electric vehicles and electric infrastructure

The article is devoted to the determination of the development of domestic electric vehicle transport and electric vehicle infrastructure on the basis of such an economic and legal instrument as the post-war recovery program of Ukraine, taking into account EU approaches in the legal regulation of decarbonization of the transport sector. The European Commission adopted the Communiqué to the European Parliament, the European Council, the European Economic and Social Committee and the Committee of the Regions «Assistance and Reconstruction of Ukraine» on 18.05.2022, where the provision of funds for the post-war reconstruction of Ukraine is conditioned by our country’s compliance with current European policies and standards, one of which there is decarbonization. Therefore, Ukraine should carry out post-war reconstruction taking into account the experience and approaches outlined by the international acts of the EU. The National Council for the Recovery of Ukraine from the Consequences of the War, a consultative and advisory body under the President of Ukraine, proposed a draft Plan for the Recovery of Ukraine. Based on the analysis of the provisions of the project component of the Recovery Plan of Ukraine «Restoration and development of infrastructure». It was concluded that the project of the Recovery Plan of Ukraine and its component «Recovery and development of infrastructure» is an economic and legal instrument of a programmatic nature. It establishes a systematic approach to the more active use of electric vehicles and the development of electric charging stations. The plan defines short-term, medium-term and strategic tasks for the development of electric mobility infrastructure. The general program approaches defined in this act correspond to the directions established by the normative legal acts that were adopted to regulate the issues of environmentalization of the domestic transport sector before the war, as well as the general directions of the development of the charging infrastructure of electric vehicles, outlined by the international acts adopted in the EU. The disadvantage is that a complete transition to electric transport for the transportation of passengers on urban and suburban routes is foreseen in the medium term, which is an extremely limited period. In the Plan, it is expedient to use the objective indicators of the development of the system of electric filling stations, which are established in the domestic regulatory and technical acts. Also, the directions of the development of electric transport and the network of electric gas stations should be reflected in the programs of comprehensive restoration of the region, the territory of the territorial community.

Sustainable and Climate-Friendly Products: What Role Is There for Product Standards?

The legal regulation of products within the European Union has witnessed significant developments over time. Originally driven by the imperative to remove barriers to the free movement of goods, it gradually incorporated environmental considerations, albeit to a limited extent. However, the importance of environmental requirements for products is gradually increasing and the effort to ensure that products placed on the market are sustainable and climatefriendly is gaining momentum. This article delves into the fundamental aspects of regulating products in the EU through the establishment of standards. It offers an analysis of the main trends of European standard-based product policy from a historical perspective and discusses various general contemporary issues of product standard-setting in the view of ensuring a high level of environmental protection.