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EuroHealthNet Analysis of the Multiannual Financial Framework 2021-2027

17 September, 2018
Cover picture "analysis of the MFF 2021"

A healthy EU budget?

Health is an enabler of social and economic participation. It is therefore vital to address key factors that undermine people’s opportunities for good health and wellbeing.

Earlier this year the European Commission published a set of proposals for the next EU budget 2021-2027, the Multiannual Financial Framework. Many of the areas affected by the EU budget are relevant to health – an issue most Europeans want more EU action on. EuroHealthNet has therefore produced brief analyses of 14 budget proposals from a health and health equity perspective.  They cover a diverse range of topics including research, education, agriculture, investment, the digital agenda, and structural reform as well as those traditionally associated with health and social issues.

“Health, prosperity, cohesion, and sustainability are intrinsically linked.” Explained EuroHealthNet director Caroline Costongs “Proposals for the health programme alone, which amount to an estimated 13 eurocents per person per year*, will not alone make a sustainable difference to people’s lives. It is crucial that the whole Multiannual Financial Framework is coherent, contributes to people’s health and wellbeing, and supports the implementation of the Sustainable Development Goals. Our analyses show that more needs to be done to achieve that.”

This summary report has been produced for all those who will be involved in the budget negotiations, particularly those not directly related to health, to highlight the effects of the proposals, and summarise needs and recommendations. It is also for all bodies working in health – international, national and regional – to help them prepare for future changes and identify opportunities to shape the future budgets to meet their needs.

The analyses cover:

  • The European Social Fund Plus (ESF+)
  • The 9th Framework Programme for Research and Innovation (horizon Europe)
  • The InvestEU Programme and EFSI
  • The Digital Europe programme
  • The Reform Support Programme
  • The Common Provisions Regulation
  • The European Regional Development Fund and Cohesion Fund
  • Internal Market, Competitiveness of SMEs and European Statistics
  • The European Solidarity Corps
  • The Erasmus Plus Programme 2021-2027
  • The Rights and Values programme 2021-2027
  • The Common Agricultural Policy
  • The Common Organisation of Agricultural Markets

The analyses summarise EuroHealthNet’s responses to Commission consultations which were submitted in August. The full text of the responses can be found online here..


70% of Europeans want to see more EU action on health and social security.…


*We reached the annual spending per person figures by dividing the current and proposed budgets by 7 years (the length of the budget period), then by the number of citizens in the EU. For the period 2021 -2027, a population of 443m citizens is assumed (current population minus UK population).

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