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Evidence and Power in EU Governance of Health Promotion: Discursive Obstacles to a “Health in All Policies” Approach

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  • Charlotte Godziewski

Abstract

This article explores the relation between the meaning of what constitutes ‘evidence’ in the European Commission (EC) and the Health in All Policies (HiAP) concept. Since the 2006 Finnish EU presidency, HiAP is regularly referred to by the Commission, but has not yet been implemented as an overarching political vision. While there is a growing literature on technical implementation of HiAP, little work has delved into the political obstacles to HiAP. This article explores three ways in which the dominant meaning of ‘evidence’ in the EC reinforces neoliberal institutional characteristics in a way that undermines HiAP: The problematization of health reinforces constitutional asymmetry; the definition of ‘EU added value’ hampers positive integration; and the politicization of evidence strengthens the Better Regulation meta‐regulatory agenda. The article suggests that the meaning of evidence in the EC reinforces neoliberal rationality present at institutional level, and calls for more dialogue across public health ontologies.

Suggested Citation

  • Charlotte Godziewski, 2020. "Evidence and Power in EU Governance of Health Promotion: Discursive Obstacles to a “Health in All Policies” Approach," Journal of Common Market Studies, Wiley Blackwell, vol. 58(5), pages 1307-1324, September.
    • Handle: RePEc:bla:jcmkts:v:58:y:2020:i:5:p:1307-1324
    DOI: 10.1111/jcms.13042
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    1. Scharpf, Fritz W., 2002. "The European Social Model: Coping with the challenges of diversity," MPIfG Working Paper 02/8, Max Planck Institute for the Study of Societies.
    2. Gkiouleka, Anna & Huijts, Tim & Beckfield, Jason & Bambra, Clare, 2018. "Understanding the micro and macro politics of health: Inequalities, intersectionality & institutions - A research agenda," Social Science & Medicine, Elsevier, vol. 200(C), pages 92-98.
    3. Fritz W. Scharpf, 2002. "The European Social Model," Journal of Common Market Studies, Wiley Blackwell, vol. 40(4), pages 645-670, November.
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    1. Toni Haastrup & Heather Macrae & Annick Masselot & Alasdair Young & Milford Soko & Richard G. Whitman, 2022. "Editing ‘Europe’: Reflections from Inside, Outside and Beyond," Journal of Common Market Studies, Wiley Blackwell, vol. 60(4), pages 853-866, July.
    2. Paul Cairney & Sean Kippin & Emily St Denny & Heather Mitchell, 2022. "Policy design for territorial equity in multi‐level and multi‐sectoral political systems: Comparing health and education strategies," Regional Science Policy & Practice, Wiley Blackwell, vol. 14(5), pages 1051-1061, October.

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