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THE EU’s PANDEMIC RESPONSE
How the Union’s response to COVID-19 set new precedents for
fiscal and industrial policy, strengthened health institutions
and weakened European democracy
Ditte Brasso Sørensen,
Chief Analyst, Think Tank EUROPA
Rasmus Egmont Foss,
Analyst, Think Tank EUROPA
January 2023
EPI, Alm.del - 2022-23 (2. samling) - Bilag 17: Tænketanken EUROPA's publikation: "The EU's pandemic response: How the Union’s response to COVID-19 set new precedents for fiscal and industrial policy, strengthened health institutions and weakened European democracy."
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THE EU’s PANDEMIC RESPONSE
CONTENTS
INTRODUCTION
1. MONEY:
A Lasting Imprint of COVID-19?
2. INSTITUTIONS:
Banking on Solidarity
3. INDUSTRY:
Enabling a Crisis-Resilient Private Sector
4. DEMOCRACY:
How to Reinstate Democratic Processes and Deliberation
REFERENCES
3
5
12
20
28
37
Think Tank EUROPA is an independent think tank focusing on Europe based in
Copenhagen. Through policy-oriented and evidence-based analyses, we strive
to ensure that European affairs become more visible in national policy debates.
The think tank was established in 2013 by the Central Organisation of Industrial
Employees in Denmark (CO-industri) and the Confederation of Danish Industry
(Dansk Industri) with the goal of strengthening public debates on Europe. Sin-
ce January 2020, Think Tank EUROPA has had a strategic partnership with the
European Council on Foreign Relations (ECFR).
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THE EU’s PANDEMIC RESPONSE
INTRODUCTION
As 2019 came to an end, the EU was convinced it had put a decade of crises behind it. In her inaugu-
ral speech as Commission President, Ursula von der Leyen on November 27, 2019, called for “a fresh
start for Europe.” The chaos of Brexit, refugee crisis and conflicts in the eurozone meant that “in the
last years, we had to focus on the here-and-now, managing crises after emergency, fighting to keep
our unity and solidarity intact,” as she told the European Parliament in Strasbourg.
1
Only four months
later, the COVID-19 pandemic hit Europe and provoked what Angela Merkel called the “gravest crisis
in the history of the European Union.”
2
More than 1.1 million people in the EU died of the virus accor-
ding to official figures from December 2022, but it might in fact have caused as much as 1.7 million
excess deaths as estimated by The Economist.3 It seems the pandemic was hardly over before the
war in Ukraine, the energy crisis and high inflation ravaged Europe in 2022.
While Europe still struggles to manage the unfolding crises in early 2023, it is time to take stock of
the EU’s response to the pandemic. The challenge in January 2023 to find a common position on pe-
ople travelling to Europe from China, where infections are surging, underscores how disagreements
on pandemic management are still in place. With only limited competences on health, the EU was
woefully unprepared in 2020 to deal with a health crisis to the extent that many Europeans expected
it to. COVID-19 forced the EU into unchartered waters because it had far-reaching consequences for
several of the Union’s core competences. Among the sources interviewed for this report, there was
nonetheless a broad consensus that the EU’s response for the most part was adequate. But Europe
cannot assume that future health crises will be similar. In 2020 the EU was saved by the fact that
member states acted in solidarity. This might not be the case in the next event.
Reflection is needed
on what the EU has learned, how the pandemic response changed the EU and what shortcomings are
yet to be sufficiently addressed. That is the purpose of this report.
Across four chapters we explore the lasting marks that COVID-19 left on the EU and what new
political conflicts and questions they raise. The human and economic catastrophes looming in early
2020 provoked first and foremost an unprecedented effort to save lives at a national level and, at
the European level, a race to rescue the economy. We deal with the immediate economic response in
chapter 1 (MONEY). Later during the pandemic followed a concerted push to transform the instituti-
onal architecture of EU health policy, which we study in chapter 2 (INSTITUTIONS), as well as efforts
to entrench ad hoc measures taken to protect the single market, described in chapter 3 (INDUSTRY).
Finally, in chapter 4 (DEMOCRACY), we discuss the challenges posed to European democracy by the
entirety of the crisis response, which are exacerbated by the growing sense that crisis management
has become a permanent feature of European politics. All national initiatives as well as some aspects
of the EU’s response such as social policy and geopolitics lie beyond the scope of this report.
1
2
3
ec.europa.eu/commission/presscorner/detail/en/SPEECH_19_6408 European Commission 2019
bundesregierung.de/breg-de/suche/pressekonferenz-von-bundeskanzlerin-merkel-und-praesident-macron-am-21-juli-2020-1770170 Die
Bundesregierung 2020
economist.com/graphic-detail/coronavirus-excess-deaths-estimates The Economist 2022
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The key arguments of the report can be summarized as follows:
1
MONEY:
COVID-19 will have lasting impacts on health spending and has moved the goalposts
for financing public investments through common debt in the EU.
New path dependencies arise
from the elevated budget for health policy and the Next Generation EU rescue package.
Yet the
pandemic response is unlikely to cause the creation of a fully-fledged European Health Union
with more competences in this policy area
because member states still have a strong preference
for national measures on health policy. While the EU’s ability to act on health-related issues in-
creased during the pandemic, member states are clearly not ready to delegate to the Commission
the responsibility of keeping their populations alive. Read more in chapter 1.
2 INSTITUTIONS:
The EU is still neglecting to finance the institutional structures that ensure ade-
quate preparedness for a future health crisis.
Although it has strengthened the mandates of
health agencies and established a new unit in the Commission, the EU is so far failing to back
them with sufficient and reliable funds to fulfil their obligations.
As a result of the war in Ukraine,
the political momentum behind reforms has already stalled.
Europe’s common response to health
crises remains vulnerable to emergent solidarity from individual member states. Read more in
chapter 2.
3 INDUSTRY: Early efforts to protect the single market were accompanied by wide-ranging measu-
res to enable the crisis response of European businesses.
Learnings from the pandemic response
have shaped and emboldened the Commission’s thinking behind the recently proposed Single
Market Emergency Instrument that seeks to institutionalize ad hoc measures taken during the
pandemic – and which proves that the Commission intends to increase its competences to in-
tervene in the market during crises.
The advancement of enabling measures to boost European
industry will likely continue to raise principled debates on questions such as ownership, fair
competition and taxation of extraordinary profits. Read more in chapter 3.
4 DEMOCRACY:
The increased use of article 122 since 2020 and the fact that the European Council
has taken on a central role in EU’s crisis management pose challenges to the European Parlia-
ment’s role in the institutional architecture.
On top of that the EU will be challenged to find an
effective approach to disinformation that balances respect for European values with the increa-
sing desire to deal with harmful content. Read more in chapter 4.
This report is the conclusion of a two-year project at Think Tank EUROPA on the EU’s pandemic
response, financed by the Novo Nordisk Foundation (NNF20SA0065656). For purposes of research
and to develop the arguments, we have interviewed employees at the Commission’s DG GROW, DG
HERA, DG SANTE and Commissioners’ Cabinets, members of the European Parliament with seats at
the Special Committee on the COVID-19 pandemic (COVI), national public authorities, scientific re-
searchers and peers of the think tank environment. A huge thank you to everyone who participated
and offered their help. We would also like to thank in particular our former colleague Maja Kluger
Dionigi who led the two-year project during its first 14 months and laid an invaluable foundation for
the final work.
3
3
See Dionigi 2021; Dionigi 2022
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THE EU’s PANDEMIC RESPONSE
1. MONEY:
A Lasting Imprint of COVID-19?
Key points
• COVID-19 transformed EU health policy in funding, powers and ambition. The elevated budget
agreed in 2020 will have a lasting impact on health policy in the EU by locking in new precedents
for future health spending.
• It is unlikely that the pandemic response will lead to a fully-fledged European Health Union with a
new division of competences. EU health policy remains constrained by the same structural forces in
place before COVID-19, in particular a strong preference among member states for national measu-
res on health policy as evidenced by the fraught negotiations on the EU4Health program in 2020.
• The NGEU has moved the goalposts for financing public investments through common debt in the
EU. At the same time the recovery fund also cements a national logic as it does not contain any
cross-border spending elements, and it remains uncertain if it will set a new precedent for finan-
cing grants and transfers within the Union through common borrowing.
In 2019, the idea of elevating the EU’s health policy would have seemed a long shot to most obser-
vers of European politics. Funds allocated for health in the seven-year budget cycle from 2014-2020
amounted to a meager €450 million, less than 0.05 percent of a budget close to €1 trillion. The issue
barely figured in Jean-Claude Juncker’s Commission and neither was health among Ursula von der
Leyen’s political priorities when she took office in November 2019.
4
Her new Commission originally
planned to devote just €413 million to health for the next seven years.
5
Few people then expected a pandemic provoking only four months later “the gravest crisis in the
history of the European Union,” as proclaimed by Angela Merkel.
6
In response the European Parlia-
ment and member states allocated more than €5 billion to the EU4Health program during 2020.
The
elevated budget caused by the COVID-19 pandemic will have a lasting impact on health policy in the
EU by instituting new path dependencies.
Ursula von der Leyen swiftly announced her intention to
build a European Health Union, defying member states’ strong preference for maintaining health as
a national competence.
In the aftermath of COVID-19, the health of the European people has increa-
singly come to be framed as a “prerequisite for a dynamic economy stimulating growth, innovation
and investment,” a line of argument spearheaded by the Commission itself.
7
Sources interviewed for this report stress that
2020 transformed EU health policy in funding, pow-
ers and ambition. But the process was fraught with steep political hurdles and outright animosity
between country leaders, demonstrating that obstacles to further integration remain.
Decisions ta-
ken at the height of the COVID-19 crisis to establish a €750 billion recovery fund, financed with com-
mon debt, were a turning point in the evolution of the EU. This outcome was, however, contingent
on a precarious set of conditions that were favorable in this specific case: A breakthrough was made
possible by an understanding of the crisis as an external and symmetrical shock. It demanded
4
5
6
7
europarl.europa.eu/RegData/etudes/BRIE/2020/646148/EPRS_BRI(2020)646148_EN.pdf Bassot 2020
agenceurope.eu/en/bulletin/article/12494/5 Agence Europe 2020a
bundesregierung.de/breg-de/suche/pressekonferenz-von-bundeskanzlerin-merkel-und-praesident-macron-am-21-juli-2020-1770170
Die Bundesregierung 2020
eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A52020DC0724 Official Journal of the European Union, 2020d
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THE EU’s PANDEMIC RESPONSE
brave choices by individual leaders, notably Merkel’s turn-around on the issue of common debt. But
whether the politics of the Next Generation EU (NGEU) rescue package sets a new precedent or not
is an open question.
Figure 1.1:
EU Health program budgets since 2003
Million
Euro
8.000
6.000
4.000
2.000
9.370
Budget
proposals
1.700
284
322
EU Health 2
(2008-2013)
5.300
450
EU Health 3
(2014-2020)
413
EU4Health
(2021-2027)
2019-COM
EU4Health
(2021-2027)
2020-COM
EU4Health
(2021-2027)
2020-EUCO
EU4Health
(2021-2027)
Final
0
EU Health 1
(2003-2007)
Chart: Think Tank EUROPA Source: European Commission
In spite of the elevated budget agreed in 2020, it is unlikely that European health policy will be
refashioned at a more fundamental level as it is still constrained by a lack of funding and limited
competences on health.
The long and winding negotiations throughout 2020 only served to under-
line the fact that member states have always shown a preference for national competence in this
area.
8
At heart of EU health policy remains an unresolved contradiction between the ambitions of
EU institutions and the willingness of member states to endow money and delegate powers. The
leap taken with the EU4Health program will thus not lead to a fully-fledged European Health Union.
This chapter explores the EU’s pandemic response through the lens of money with a focus on those
actions that may leave a significant lasting mark on the Union. The response involved a wide range
of economic and monetary initiatives to one of the largest shocks to Europe since World War II. An
in-depth study would examine measures such as the activation of the escape clause in the Stability
and Growth Pact
9
, temporary state aid provisions
10
, the European Central Bank’s €750 billion pande-
mic asset purchases
11
, the €100 billion SURE loans
12
, and Cohesion Funds redirected for the purpose
of handling the pandemic
13
, to name a few. In this chapter we direct attention towards EU4Health
and common debt as practiced in the NGEU instrument. Further aspects of the pandemic response
related to industrial policy, such as EU’s state aid rules, are described in chapter 3.
8
9
eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A52020DC0724 Official Journal of the European Union, 2020d
consilium.europa.eu/en/press/press-releases/2020/03/23/statement-of-eu-ministers-of-finance-on-the-stability-and-growth-pact-in-light-
of-the-covid-19-crisis/ European Council 2020a
10 ec.europa.eu/commission/presscorner/detail/en/IP_20_496 European Commission 2020a
11 ecb.europa.eu/mopo/implement/pepp/html/index.en.html European Central Bank 2022
12 economy-finance.ec.europa.eu/eu-financial-assistance/sure_en Commission 2022a
13 bruegel.org/event/role-cohesion-policy-fight-against-covid-19-elisa-ferreira Ferreira 2020
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THE EU’s PANDEMIC RESPONSE
1.1 One of the Longest Summits in Union History
Over five days and four nights in the Summer of 2020, heads of state and government negotiated a fi-
nancial package bundling the next seven-year Multiannual Financial Framework (MFF) and the NGEU
pandemic recovery funds. Tensions occasionally ran high in the European Council as Southern leaders
accused Northern neighbors of blocking an economic rescue while frugal countries blamed others for
lack of responsibility. Negotiations almost broke down, with several threatening to leave the room.
14
During one low point, the then Italian Prime Minister Giuseppe Conte warned his Dutch colleague
Mark Rutte that “you can be a hero in your country for a day, but after a few weeks, you will be held
accountable for all European citizens for blocking an adequate and effective European response.”
15
The EU was split between countries favoring recovery loans like Netherlands, Austria, Denmark
and Finland against those advocating for grants, in particular France, Spain and Italy, with Germany
taking the decisive middle position. They also disagreed on how much money to allocate to specific
goals such as climate as well as about conditions for supervision of spending, for example whether it
should be linked to rule of law requirements.
On July 21, 2020, the European Council presented its deal
16
: €750 billion euro for the NGEU – grants
and EU expenditure comprising just over half – and a budget of €1,074 billion. Paolo Gentiloni, the
EU’s Commissioner for Economy, remarked this was unthinkable before the pandemic.
17
Others de-
scribed it as an “irretrievable change in Europe’s financial architecture”, some even calling it a Ha-
miltonian moment for the EU.
18
One of them was then finance minister Olaf Scholz of Germany.
19
This section comments on, first, the funds allocated for health and, second, the NGEU innovation of
common debt.
Figure 1.2:
Next Generation EU spending
20
Billion
Euro
1.000
1074
2
10
8
6
5
48
RescEU
Just Transition Funds
750
360
313
Rural Development
InvestEU
Horizon Europe
ReactEU
Recovery and Resilience Facility loans
Recovery and Resilience Facility grants
500
1074
0
Multiannual
Financial Framework
Next Generation EU
Agreement by European Council on July 21, 2020.
Chart: Think Tank EUROPA Source: European Commission
14 agenceurope.eu/en/bulletin/article/12531/1 Agence Europe 2020b
15 agenceurope.eu/en/bulletin/article/12531/1 Agence Europe 2020b
16 consilium.europa.eu/media/45109/210720-euco-final-conclusions-en.pdf European Council 2020b
17 economist.com/briefing/2021/03/31/europes-radical-economic-response-to-covid-19 The Economist 2021
18 economist.com/briefing/2021/03/31/europes-radical-economic-response-to-covid-19 The Economist 2021
19 Georgiou 2021
20 Agreement by European Council on July 21, 2020.
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THE EU’s PANDEMIC RESPONSE
1.2 EU4Health as a Step Towards a European Health Union?
For advocates of a stronger EU position on health the initial deal was a bitter pill to swallow. When
the Commission had first presented its proposal for a new budget, it dedicated €9.37 billion to a new
health program that would strengthen EU agencies, build up strategic equipment and accelerate
research.
20
Most of it would derive from recovery borrowing. The agreement made by the European
Council in July 2020 lowered the figure to just €1.7 billion.
21
Intense negotiations ensued during the
following months. Agence Europe reported in September 2020 that “Member States are particularly
concerned about keeping a tight grip on public health.”
22
Yet in the end a November agreement bet-
ween the European Council and the European Parliament allocated €5.3 billion for EU4Health in the
MFF.
The Commission describes EU4Health as “an investment” and “one of the main instruments to pave
the way to a European Health Union.”
23
Regulation 2021/522 establishing the program lays out spe-
cific objectives to achieve this goal, including better preparedness to cross-border health threats,
further integration of national health systems and data as well as a goal to ensure medicinal products
are available. “While Member States are responsible for their health policies,” it notes, “they should
protect public health in a spirit of European solidarity.”
24
The six months from May to November 2020 illustrate the inherent challenges for EU health policy,
especially with regards to cross-border solidarity. Today’s funds were allocated at the height of the
pandemic when health was at the top of the political agenda, but even then it proved difficult to
agree on a budget increase.
Contrary to the transformative rhetoric delivered by the Commission,
COVID-19 has not changed member states’ preferences for national competences on health policy.
A contradiction remains between the Commission’s ambitions on health and national willingness
to endow the money and delegate the powers. The majority of sources interviewed for this report
expect that
the further we leave the pandemic behind, the more likely the contradiction is to be
compounded as political attention shifts and momentum evaporates.
One unknown factor is the will of European citizens. As put forward by the Commission, the rationale
for the European Health Union is that “European citizens have been increasingly clear that they expe-
ct the EU to have a more active role in protecting their health, particularly in protecting them from
health threats that transcend national borders.”
25
The conclusions from the Conference on the Future
of Europe echo this sentiment. They include, among other proposals, a demand for further integrati-
on, stating: “Enhance the European Health Union using the full potential of the current framework,”
and “in order to achieve necessary coordinated, long-term action at Union level, include health and
healthcare among the shared competencies between the EU and the EU Member States by amending
article 4 TFEU.”
26
A proposal to establish common minimum standards for healthcare at the EU level
is also part of the report.
The Conference on the Future of Europe imposes the urgent question – not only on the Commission,
but also member states – of how to respond respectfully to the process and its conclusions. Or, in this
20 agenceurope.eu/en/bulletin/article/12494/5 Agence Europe 2020a
21 Plus almost €3 billion for a temporary RescEU pandemic response and more funds for Horizon Europe research
22 agenceurope.eu/en/bulletin/article/12586/2 Agence Europe 2020c
23 eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A52020DC0724 European Commission 2022b
24 Official Journal of the European Union 2021
25 eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A52020DC0724 Official Journal of the European Union, 2020d
26 Conference on the Future of Europe 2022: 50
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THE EU’s PANDEMIC RESPONSE
specific case, whether or not member states should strive towards a fully-fledged European Health
Union. In the short term, the question is about what money to endow and at the expense of what. The
first building blocks of the European Health Union will respect the member states’ competence in the
area of health, the Commission wrote in 2020.
27
But in the long term, the question becomes whether
or not the Union can honor citizens’ demands without treaty change and what powers member states
wish to delegate to the EU.
So far the tone set by Council ministers is less ambitious. In December 2021, conclusions from the
meeting of the Employment, Social Policy, Health and Consumer Affairs Council approved the vision
of strengthening the European Health Union, but their wording was different than that of the Com-
mission. It underscored “the need for strategic investments in health systems” and “better collabo-
ration internally and with other countries” rather than a fundamental rewrite of the rules.
28
What
member states will and won’t commit to on health policy in the EU will be a key determinant of how
the Union responds to lessons learned from COVID-19.
The years gone since Ursula von der Leyen’s inaugural address to Parliament in 2019 have left a
lasting imprint on the Union that goes beyond mere rhetoric. Yet
political momentum has shifted.
In her State of the Union speech of 2022, von der Leyen did not mention the vision of building a
European Health Union (the word ‘health’ was mentioned just once).
29
COVID-19 already seemed like
ancient history in the new context of war and inflation. That momentum has shifted was confirmed
on December 15, 2022, in the EU Legislative Priorities for 2023 and 2024 that only mentioned the
European Health Union once.
30
In conclusion,
EU4Health will not lead to a fully-fledged European Health Union.
Even in the case of a
European Convention to discuss treaty change, as Ursula von der Leyen called for in her State of the
Union speech 2022
31
,
we argue that the division of competences on health is unlikely to change.
The
sources interviewed for this report expect health policy will remain grounded in TFEU article 168 for
the foreseeable future. This will still leave considerable room for EU health policy based on economic
competences but will not transfer new health competences to the EU.
1.3 NGEU Bonds as a Blueprint for more Common Debt in the EU?
A larger mark made by the EU’s pandemic response is the new model of common borrowing inno-
vated in the NGEU instrument of 2020.
32
It was unique because it allowed the EU to issue bonds
to finance direct spending in the form of grants, guaranteed by the EU budget (in contrast to other
forms of common borrowing that finance loans, e.g. for the European Investment Bank or the €100
billion SURE loans made available in the COVID-19 crisis
33
). Between 2020 and 2022 the common
outstanding debts of the EU increased six-fold, and they will only surge further in coming years.
34
27 eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A52020DC0724 European Commission 2020b
28 consilium.europa.eu/en/meetings/epsco/2021/12/06-07/ European Council 2021
29 ec.europa.eu/commission/presscorner/detail/ov/speech_22_5493 Von der Leyen 2022
30 commission.europa.eu/system/files/2022-12/221213-Joint%20Declaration%202023-2024.pdf Metsola et al. 2022
31 ec.europa.eu/commission/presscorner/detail/ov/speech_22_5493 Von der Leyen 2022
32 commission.europa.eu/strategy-and-policy/recovery-plan-europe_en European Commission 2020c
33 economy-finance.ec.europa.eu/eu-financial-assistance/sure_en European Commission 2022a
34 bruegel.org/blog-post/do-financial-markets-consider-european-common-debt-safe-asset Bonfanti & Garicano 2022
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THE EU’s PANDEMIC RESPONSE
Figure 1.3:
EU Outstanding Debts, billion euro
Billion
Euro
300B
250B
200B
150B
100B
50B
0
2006
New EU Debt
2008
2010
2012
2014
2016
2018
2020
2022
Total Outstanding EU Debt
Chart: Think Tank EUROPA Source: European Commission Investor Relations
The idea of issuing such bonds was not new in 2020. However, it had been ruled out again and again
by reluctant countries throughout previous decades. When France, Italy and Spain proposed it as a
solution to the eurozone crisis in 2012, Angela Merkel plainly refused, stating about Eurobonds that
“I don’t see total debt liability as long as I live.”
35
When the same countries plus six more raised the
same idea in March 2020, Merkel refused again. But her position changed dramatically in the follow-
ing weeks as the pandemic exploded and political conditions changed, leading her to supporting the
idea of common debt in May 2020.
This followed in part from the logic of what early became the prevailing narrative about the pande-
mic. Merkel’s shift of positions ensued from an idea – which she herself promoted during the spring of
2020 – that the pandemic was an exogenous and “symmetrical shock” which no one was responsible
for.
36
The eurozone crisis was, in contrast, easy to place blame for and it affected countries differently
(although no one was safe from the fall-out). But “it is hard to imagine a shock better suited to elicit
European fiscal solidarity than a deadly pandemic,” as an article in the Journal of Common Market
Studies concluded in 2021.
37
A narrative of common interests thus replaced the former discourse of
southern sinners versus northern saints, and Europe found a solution.
38
On one hand the NGEU bonds do advance a logic of European solidarity by raising money through
common borrowing with a strong redistributive element. But
the NGEU also cements a national logic
as it does not contain any cross-border spending elements.
As of December 2022, more than €40 bil-
lion from the Recovery and Resilience Facility was earmarked for national health systems, according
35 euractiv.com/section/euro-finance/news/merkel-on-eurobonds-not-in-my-lifetime/ EUROACTIV 2012
36 Merkel in van Middelaar 2021: 85
37 Tesche 2022:493
38 Matthijs & McNamara 2015
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to the 2022 State of Health Preparedness report by HERA.
39
The lack of cross-border coordination
can be viewed as a compromise made to ensure transparency on national allocations. But it also
stands in sharp contrast to the wide-spread sentiment – echoed throughout interviews made during
this project – that better preparedness for a future pandemic requires cross-border collaboration on
health.
The open question is whether jointly financed spending will remain a one-off measure for the excep-
tional COVID-crisis or if it will form the basis for further integration on fiscal policy.
As of late 2022,
calls are growing for similar methods to finance spending needs ranging from the reconstruction of
Ukraine to a sovereignty fund for industrial policy.
The growing calls sustain the debate on common
EU debt thus makes it a normalized and more palatable tool.
Such demands face two challenges in particular. First, the bonds must be issued on attractive terms.
If most member states can borrow with lower interest rates than the EU, much of the sense of com-
mon debt evaporates. Yields have already increased significantly, leading a Bruegel report to conclu-
de in December 2022 that the yield of EU bonds “is not, by any means, the yield of a safe asset.”
40
Second, several member states remain deeply skeptical of further fiscal integration. Opposition is
typically confined to a few countries, the frugal four and Germany in particular. The recovery fund
was challenged in the German Constitutional Court, which ruled in December 2022 that it did “not
overstep the EU’s current integration programme”, but only because it was limited to a “historically
exceptional situation” and was “strictly for a specific purpose from the start.”
41
More permanent
constructions might not be judged to comply with the treaty boundaries.
Legal interventions from
national constitutional courts add uncertainty to the future evolution of common debt in the EU.
Third, the EU has still not found common ground regarding how to repay the debts. The Commission
tabled a communication on future Own Resources in 2021. Among its proposals for such are revenu-
es from emissions trading, carbon border adjustment mechanisms and corporate taxation, as of late
2022.
42
The Commission is currently preparing a proposal (expected in Q3 2023).
43
We expect that
agreement of some sorts regarding increased Own Resources will be reached, and this in itself poses
a lasting impact on the Union, regardless of future borrowing.
In conclusion, the NGEU bonds move the goalposts for financing public investment through common
debt in the EU.
Demands for such measures are growing in a wide range of areas from industrial to
climate policy, at a time when geopolitical allies and rivals are accelerating similar efforts.
It remains
uncertain whether or not the NGEU bonds will also set a new precedent for financing cross-border
grants and spending, not just loans, through common borrowing as there is still deep opposition to
this in several member states.
39 health.ec.europa.eu/system/files/2022-11/hera_shp-report-2022_en_0.pdf
European Health Emergency preparedness and Response Authority 2022
40 bruegel.org/blog-post/do-financial-markets-consider-european-common-debt-safe-asset Bonfanti & Garicano 2022
41 ft.com/content/361769c1-b9a3-4410-958f-36ba4cf2cc87 Chazan 2022
42 ec.europa.eu/commission/presscorner/detail/en/ip_21_7025 European Commission 2021a
43 commission.europa.eu/strategy-documents/commission-work-programme/commission-work-programme-2023_en
European Commission 2022c
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2. INSTITUTIONS:
Banking on Solidarity
Key points
• The EU is neglecting to finance the institutional structures that ensure due preparedness for a
future health crisis. Although it has established HERA and strengthened the mandates of health
agencies ECDC and EMA, it is so far failing to back them with sufficient and reliable funds to fulfil
their obligations.
• The EU needs a more structural, long-term answer to the weaknesses exposed by COVID-19. It
cannot rely on ad hoc solutions because in the preparedness phase political wins are scarce while
costs are high, which implies that more urgent priorities tend to steal funds. As a result of the
Ukraine war, the political momentum behind reforms has already stalled.
• Voluntary acts of solidarity cannot be taken for granted in the next European health crisis. New
health initiatives taken by the EU after COVID-19 can be viewed as attempts to hardwire solida-
rity into the system for emergency response. But the EU’s crisis response remains vulnerable to
decisions by individual member states.
The first reactions to COVID-19 in Europe relied on national instincts: Across the continent state lea-
ders closed borders and restricted critical exports while ignoring neighbors’ calls for help. European
countries neglected solidarity for a few weeks in the spring of 2020 while resorting to actions that
may in the short term protect its citizens, but in the long term undermine the common ability to
suppress a virus that knows no borders.
If gut instinct is what psychologist Daniel Kahneman has labelled ‘system one’ of the mind, the EU
typically functions as Europe’s collective ‘system two’: the slow, rational and deliberate institution
that counters protectionist instincts. That system was severely challenged in early 2020. The EU
structures were not geared to deal with the pandemic, in part because the EU as a ‘system two’ is
constructed as a rules-based institution, not a crisis manager. On top, the EU was not well prepared
for it, one reason being that it had only limited competences on health policy.
44
As such the Commis-
sion’s first response was limited. Yet after a few weeks, it stepped into a leading role and ended up,
according to most of the people interviewed for this report, doing a fairly good job.
European unity was saved by the fortunate circumstance that its national leaders found a sufficient
degree of solidarity to work together in a crisis that was framed as an exogenous, symmetrical shock,
as described in chapter 1.
The conditions for solidarity might not be as favorable in the next health
crisis – and so we cannot take for granted the same degree of solidarity again.
How might events turn
out if a future health threat, such as a chemical spill or a nuclear leak, strikes alongside structural
fault lines? Can we trust voluntary action then? Faced with a self-inflicted or asymmetrical health
crisis the EU might not have the means to prevent disaster.
44 The EU has supporting competences on health, expect under the scope of article TFEU 168 which provides it with shared competence
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The EU must therefore be better prepared for the next health crisis.
Europe is neglecting due prepa-
redness again as it is failing to back EU health structures with sufficient and reliable funds and the
required political capital.
After the Ukraine war, the political momentum necessary to spark reforms
has stalled. But, as HERA’s 2022 State of Health Preparedness report concludes, “preparedness is not
a sprint – it is a marathon.”
45
Initiatives taken by the EU to strengthen its health policy after COVID-19 can be viewed as an at-
tempt to hardwire solidarity into the system for emergency response – to institutionalize solidarity
– in order to ensure an effective, deliberate and common reaction to the next health crisis. But, as
stressed by interviewed sources in HERA and DG GROW, under current legislation Europe still de-
pends on voluntary acts of solidarity, for example to allocate emergency funding.
Figure 2.1:
Illustration of the relation between how a health crisis
is framed and how likely it is to generate solidarity
Earthquake
COVID 19
More exogenous shock
45 European Commission 2022d
46 Greer et al. 2019
id
Sol
ly
like
ore
ym
arit
Nuclear leak
Chemical spill
Lab virus
More symmetrical impact
“Historically, crisis response and management has been the weak point of European action on health
threats”, concluded the European Observatory on Health Systems and Policies in an analysis written
one year prior to the pandemic.
46
To solve this the EU and its member states will not only have to
increase budgets for health. They must also confront more long-term institutional questions about
where authority and competences should lie on health policy.
This chapter explores the EU instituti-
ons’ response to weaknesses exposed by COVID-19, what has been learned and what shortcomings the
EU has yet to fully address.
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2.1 The Early Response and How It Exposed Shortcomings in EU Institutions
On February 27, 2020, when the novel coronavirus had just four days earlier forced Italy to lock down
11 districts, the Commission’s Directorate-General for Health and Food Safety (DG SANTE) concluded
that EU member states had a strong level of preparedness in place.
47
In fact, the EU was unprepared
for a pandemic: it lacked an effective early warning system, strategic stockpiles of equipment, emer-
gency plans, a unit responsible for coordination, to name a few.
48
Member states were barely better
equipped, however, and so they soon demanded new and better solutions at the European level.
This
section describes the how the ECDC and EMA evolved in response to COVID-19 and argues that the
pandemic’s primary impact has been strengthened institutional mandates.
Shortcomings of the ECDC
Shortcomings first became apparent at the European Centre for Disease Control (ECDC). Established
in 2004 after SARS, the agency based in Stockholm should support preparedness planning and “iden-
tify, assess and communicate current and emerging threats to human health from communicable
diseases.”
49
Yet the ECDC initially failed to assess and warn of the risk of COVID-19 to Europe.
The pandemic exposed several weaknesses of the ECDC, two in particular
50
:
1 Its disease surveillance was inadequate as it received incomplete, untimely and incomparable data
from member states.
2 The ECDC was cautious and shied away from giving hands-on, practical advice for member states
as it had a strict interpretation of its mandate, focusing primarily on risk assessment rather than
management.
51
Upon this the EU drew an early lesson of the pandemic: The ECDC should provide early advice to
decision-makers, provide practical and timely recommendations for risk management and deliver
cross-country learnings. These lessons have been operationalized through the amendment to regula-
tion (EC) No 851/2004
52
adopted by the Council and Parliament in October 2022, which strengthens
the mandate of the ECDC.
The EU has however widened the mandate of the ECDC without allocating sufficient resources to
fulfill it.
Based on interviews with people from HERA, DG SANTE and the COVI Special Committee
53
,
it brings attention to two challenges for the ECDC: relating to data and funds.
First, the problem of unharmonized data is likely to persist. The output of the ECDC can only be as
good as the input it receives from member states. A well-performing ECDC requires a harmonization
of standards and practices across a patchwork of European health care systems with different prac-
tices and degrees of digitization.
47 thinkeuropa.dk/brief/2022-01-the-ecdc-challenges-during-and-after-the-covid-19-pandemic Dionigi 2022
48 European Commission 2021b
49 eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32004R0851&from=EN Official Journal of the European Union 2004
50 thinkeuropa.dk/brief/2022-01-the-ecdc-challenges-during-and-after-the-covid-19-pandemic Dionigi 2022
51 ecdc.europa.eu/sites/default/files/documents/ECDC_report_on_response_Covid-19.pdf European Center for Disease Control 2020
52 ec.europa.eu/info/sites/default/files/proposal-mandate-european-centre-disease-prevention-control_en.pdf
53 The ECDC declined our request for interview “for reasons based upon the need to protect ECDC’s independence and regulatory obligations
placed upon the agency”
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The Commission’s solution is to build a European Health Data Space (EHDS). Announced before the
pandemic, it is a widely welcomed, but also very ambitious plan – or in the words of ECDC director
Andrea Ammon a massive endeavor.
54
Health Commissioner Stella Kyriakides hopes it will serve as
the “backbone of the Union for Health.”
55
Yet for every major crisis that consumes the attention of
the EU, the EHDS risks delay. The challenge is to maintain momentum. As of late 2022, the EHDS
remains a top priority: The EU Legislative Priorities for 2023 and 2024 agreed on December 15 men-
tions it specifically, stating that “to continue building the European Health Union, we will give priority
to the swift adoption and implementation of the European Health Data Space.”
56
For the foreseeable future, though, the ECDC still relies on the abilities and goodwill of member state
agencies to provide data in a relationship of power asymmetry, as outlined in a 2021 report by the
European Ombudsman.
57
Although more than €10 billion is earmarked for digitization of health in
the Recovery and Resilience Facility, the EHDS will compete with other priorities for funds. The same
goes for funds from EU4Health, Digital Europe and the Horizon Europe programs. On top of that,
investments are also needed from state budgets. One of the conclusions from a roundtable forum
hosted by Think Tank EUROPA on this topic in June 2022 is that the different national ambitions and
abilities to fund might create an uneven development of data structures across the EU.
A potential shortfall of funds is the second challenge for the ECDC. This is formally recognized in the
October 2022 text of the proposal to amend regulation (EC) No 851/2004 that originally established
the agency. It says: “In order to be able to fulfil the new tasks entrusted to it as a result of the CO-
VID19 pandemic, the Centre will need sufficient funding and staffing. Project-oriented funds, such
as those allocated under the EU4Health Programme … are not sufficient to respond to the Centre’s
needs in the future.”
58
This reflects a general worry about the future allocation of funds to preparedness planning, which
we will get back to in the next section on HERA after a brief look at the European Medicines Agency
(EMA).
EMA Strengthened
When the pandemic hit, national governments turned to look at their inventories of medical devices
such as masks and ventilators and found them lacking. Demand exploded simultaneously in all coun-
tries, inviting competition for life-critical resources. At the same time, lockdowns disrupted global
supply chains and led to severe supply difficulties, including shortages in the single market.
On February 28, 2020, the Italian government asked for help. But instead of sending masks and
ventilators, France and Germany introduced measures to protect own supplies in disrespect of single
market rules. Only China offered assistance, until intra-EU export bans were revoked on March 15
after pressure from the Commission. Actions by individual member states hindered a strong response
to the pandemic during these first weeks. Yet the EU institutions could also have been better prepa-
red or enabled to help. As regulation (EU) 2022/123 on a reinforced role for EMA notes, the agency
54 youtu.be/A_OWuVMneD4 Ammon 2021
55 agenceurope.eu/en/bulletin/article/12944/11 Agence Europe 2022
56 commission.europa.eu/system/files/2022-12/221213-Joint Declaration 2023-2024.pdf Metsola et al. 2022
57 ombudsman.europa.eu/en/decision/en/137815 European Ombudsman 2021
58 aeur.eu/f/3lm European Council 2022a
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was “severely impeded by the absence of a clearly defined legal framework for managing its respon-
se to pandemics and by the limited mandates and resources of its health agencies.”
59
On January 25, 2022, the EU formally strengthened EMA’s mandate, now charged with “preparing
for, preventing, coordinating and managing the impact of public health emergencies on medicinal
products and on medical devices.”
60
The widened mandate of EMA serves as an important example
of the EU’s strengthened hand on health policy after COVID-19.
The pandemic exposed that EMA lacked a functioning system to monitor and mitigate shortages of
critical medicines, as well as a solid framework for crisis response. As part of its strengthened manda-
te, going forward a new Medicine Shortages Steering Group at EMA creates lists of critical medicines
and collects information on their supply chains, the first of which for COVID-19 was presented on
June 7, 2022. The EMA has also established an Emergency Task Force to coordinate, share expertise
and accelerate authorization of vaccines.
The strengthened mandates of EMA and ECDC are welcome improvements. However, neither solves
what was among the EU’s major problems in 2020, namely: effective coordination between the Com-
mission in Brussels and actors beyond, such as national and regional authorities, industry and other
EU institutions. Enter HERA.
2.2 HERA: Ad Hoc Solutions under the Pandemic Response Made Permanent
The Commission will play a more prominent role in managing future European health crises. As a
result of new legislation introduced since the pandemic, it is now able to declare a public health emer-
gency and coordinate work to facilitate the development and securing supplies of critical products
such as vaccines.
61
“We are preparing the first steps towards a European Health Union,” Health Com-
missioner Stella Kyriakides said when she presented the package backing this vision on November
11, 2020.
62
The Commission needed an internal unit to coordinate health policy and in September 2021 unveiled
the Health Emergency Preparedness and Response Authority (HERA). Due in part to time pressure
and to avoid thorny issues such as where to place an agency, its favored solution was a new Di-
rectorate-General in the Commission. As perhaps the crown jewel of new health initiatives in the
Commission’s response to COVID-19,
HERA is a prime example of how it seeks to build solidarity as
an integral part of the system so that the EU is not as dependent on it during emergencies,
as pointed
out by several interviewed sources.
While HERA is a step in the right direction, HERA will not on its own solve the fundamental problems
of the EU’s pandemic response.
Based on our interviews, the greatest worry is that due preparedness
will be neglected again. HERA currently draws funds from a range of EU programs, primarily EU4He-
alth. While funds have been prioritized during the Covid-19 crisis it is uncertain whether money
will continue to flow in absence of a health emergency.
There are few political wins to be made in
the preparedness phase whereas costs are high.
Compared with the cost of testing and vaccinating
59 eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:32022R0123 Official Journal of the European Union 2022a
60 eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:32022R0123 Official Journal of the European Union 2022a
61 eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:52020PC0727 European Commission 2020d
62 agenceurope.eu/en/bulletin/article/12600/24 Agence Europe 2020d
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citizens domestically, however, the involved funds are very low.
What the EU needs is a structural
answer to the weaknesses exposed, but it is challenging for HERA to ensure a structured response
without reliable long-term funding.
The inherent risk is that other and more urgent demands will
crowd out funds.
HERA is a bundled package of the ad hoc solutions taken during COVID-19. Emergency actions ran-
ging from purchase and storage of equipment to vaccine strategy, a task force for industrial scale-up,
the Vaccelerate program and the “EU FAB” project are now all part of HERA’s domain.
63
On top of that
the more general task of supporting R&D in the European health industry has been added and takes
up a significant portion of the budget for 2022, expected only to grow in the future (see chapter 3).
64
As a first step towards a European Health Union, HERA’s focus is broader than both ECDC’s and
EMA’s. HERA decides its own focus. Its experiences from COVID-19 will likely serve as inspiration in
other areas, particularly on the issue of joint procurement.
The ability of the EU to limit inequalities
in access to COVID-19 vaccines has been hailed as one of the Unions greatest achievements during
the pandemic. This will likely serve as inspiration for future join procurement efforts in the health
space.
There is a continuing political controversy around whether HERA should remain part of the Commis-
sion or become an independent agency. As of October 2022, when the European Parliament voted
on the ECDC’s strengthened mandate, Parliamentarians debated HERA’s identity.
65
Many parliamen-
tarians push for HERA to become an agency, which would hand the European Parliament a say over
its budget.
Should HERA become an agency, it will likely be a procurement agency. In such case it
could work on health threats across the board as it is highly unlikely that it will only be used for
health emergencies.
Vaccine Procurement as a Case
The debate about procurement of COVID vaccines in June 2020 provides a background for HERA’s
mission. Four member states – Germany, Italy, France and Netherlands – were the first to form a
“European alliance for a vaccine” on their own initiative in the spring of 2020, having signed an ag-
reement with AstraZeneca for deliveries. But after the group of four received intense criticism from
neighboring countries, the member states decided to give the Commission a mandate to negotiate
vaccines. With HERA the Commission seeks to remove any future doubt about where the responsibi-
lity should lie. Joint procurement happened to be the ad hoc solution then; HERA is intended to make
sure it is the permanent way.
One rationale behind joint procurement was that uniting would lead to a stronger bargaining position
and thus lower prices. A centralized approach could also ensure that vaccines would be available for
all countries regardless of income. Indeed, without a common strategy, member states would likely
have competed for doses, aggravating existing structural inequalities among member states. Rates
of vaccination would then have differed more starkly across the continent, perhaps risking further
disruptions to travel and the single market – and ultimately more deaths and suffering.
63 thinkeuropa.dk/notat/2021-05-hvad-er-hera-perspektiver-og-udfordringer-for-eus-pandemiberedskab Dionigi 2021
64 ec.europa.eu/commission/presscorner/detail/en/ip_22_928 European Commission 2022e
65 agenceurope.eu/en/bulletin/article/12822/2 Agence Europe 2021
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Putting all eggs in the Commission’s basket exposed its own shortcomings though. In short, negoti-
ators were not aggressive enough and focused too much on price despite the enormous advantage
of inoculating citizens fast. As Luuk van Middelaar concludes in Pandemonium, “in the worldwide
battle for vaccines and personal protective equipment, the European Union experienced how hard
power and the capacity to act trump agreed rules and price incentives”, i.e. how the laws of a wartime
economy rather than a market economy apply in a pandemic.
66
This “overconfidence of rules-politics”
led to a loss of public trust.
67
Figure 2.2:
Total COVID-19 vaccine doses administered per 100 people
68
All doses, including boosters, are counted individually
180
160
140
120
100
80
60
40
20
0
Jan.
2021
UK
Feb.
Mar.
April
May
June
July
Aug.
Sept.
Oct.
Nov.
Dec.
Jan.
2022
EU
USA
Chart: Think Tank EUROPA Source: World in Data
HERA has become an object of scrutiny for the public, a body to blame when the EU doesn’t deliver.
Compared with the US or UK, Europe was indeed slow to vaccinate in the first six months. The EU
cannot be blamed for that alone, and it is difficult to conclude if it was generally due to a lack of
vaccines or problems of distribution. The analogies between EU and US or UK are unfair, too. The EU
does not exert the same powers as sovereign states, least of all on health policy.
But the fact that the
EU is often compared to states like the US and UK or Canada and Israel is in itself revealing of what
is expected of the EU – and what the EU is beginning to expect of itself. Tellingly, the Commission
presented HERA as a counterpart to the Biomedical Advanced Research and Development Authority
66 van Middelaar 2021: 93
67 van Middelaar 2021: 62
68 ourworldindata.org/grapher/covid-vaccination-doses-per-capita?time=2021-01-01..2022-01-01&country=USA~European+Union~GBR
Our World in Data 2023
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THE EU’s PANDEMIC RESPONSE
(BARDA) in the US.
These demands indicate that many assume the Commission will act as the coor-
dinator-in-chief; and that they might be disappointed when it does not.
The comparisons encapsulate another key aspect of the controversy around HERA. Some think it is
too weak and the EU should move even closer to the US on its path to a federal structure. Others find
HERA too strong and warn against introducing the vision of EU as a health union through the back-
door with COVID-19 used as a strategic lever. These debates will persist in parallel with the ongoing
discussion about whether the EU should move towards a European Health Union.
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3. INDUSTRY:
Enabling a Crisis-Resilient Private Sector
Key points
• A core part of the EU’s initial crisis response to COVID-19 aimed to protect the single market and
the European freedoms it is set to guard. However, protective measures were accompanied by
a wide-ranging bundle of measures aiming to enable and boost European industry in the crisis
response.
• As a horizontal crisis response measure based on learnings from the COVID-19 crisis, the recently
proposed Single Market Emergency Instrument (SMEI) underscores that the European Commissi-
on is willing to increase its competences to intervene in the market during crises.
• The advancement of enabling measures to boost the European industry’s capacity to respond to
crises will likely raise several principled debates relating to (a) the desired balance between public
support and fair competition, (b) ownership and intellectual property rights as well as (c) taxation
and redistribution.
As soon as the COVID-19 pandemic hit Europe, it became evident that it would deal a devastating blow
to the European economy and pose an existential threat to the single market and the four freedoms
it is set to protect. Member states instantly imposed a wide range of restrictions on shipments of
PPEs and medicinal supplies, travel and movement, and several (partially) closed their borders. Over
the course of the pandemic all member states enforced restrictions ranging from school closures
to quarantine requirements and proof of vaccination. Several of the nationally imposed restrictions
weakened the functioning of the single market and the European freedoms that it is set to protect.
In addition, it became increasingly evident that EU-wide coordination of industrial production and
distribution of countermeasures was needed in response to the crisis.
The COVID-19 crisis underscored how health-related measures on their own were insufficient in dea-
ling with the crisis.
Protective measures
needed to be taken to ensure that goods and people continu-
ed to move freely and that the single market could continue to function during the crisis. In addition,
enabling measures
were required to establish a crisis framework for European industry, in order to
facilitate rapid early development and scale-up of new medicines as well as coordinated production
and distribution of PPEs.
Industrial and market-related measures were thus central to the EU’s pan-
demic response from the very start.
In this chapter, we provide a conceptual framework for the industrial and market-related measures
initiated by the EU during the COVID-19 pandemic. The chapter will not focus on national measures,
nor will we in this chapter present a complete list of all measures taken by the EU. Instead, we
illustrate how the measures, which were rapidly implemented during the pandemic to protect the
internal market, have led to the proposed institutionalization of a crisis framework for the single
market: the Single Market Emergency Instrument (SMEI). Finally, we identify a list of unresolved and
forward-looking questions concerning industrial and market-related emergency measures.
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3.1 Protective Measures: Safeguarding the Single Market
The Single Market Enforcement Task Force (SMET) was announced on March 10, 2020, in the context
of the European Industrial Strategy
69
and thus predated the COVID-19 pandemic. However, when
COVID-19 hit, it provided a forum for member states’ authorities and the Commission to prioritize
the actions needed and coordinate their responses. The measures launched by the EU to protect the
continuous working of the single market included:
Measures to facilitate the free flow of individuals:
In early response to restrictions on free movement imposed by member states to minimize the spread
of the COVID-19 virus, the Commission issued a number of guidelines regarding how to exercise the
right to free movement during the pandemic, especially focusing on the movement of cross-border
workers, seasonal workers in critical industries (e.g. harvesting), health professionals, persons on
board of ships and workers in the food sector.
70
In addition, the member states agreed on a common
approach to travelers entering the Union from third countries.
71
In response to member states imposing a range of travel restrictions and quarantine rules, the Com-
mission in March 2021 presented a proposal for a common framework for an EU COVID-certificate,
which was agreed upon by the legislators in May 2021. The digital COVID-certificate, which does not
distinguish between types of travelers (e.g., commuters, seasonal workers, business travelers and
tourists), aimed to restore the free movement for all European citizens travelling inside the Union.
The EU digital COVID-certificate in combination with the successful establishment of a coordinated
approach to the EU’s external border have been cornerstones in quickly reinstating free movement
of individuals during the pandemic.
In addition, a vast set of measures were adopted to protect the European tourism industry. According
to the Commission, the European tourism industry contributes approximately 10 percent of GDP and
the industry faced devastating prospects for the 2020 summer season. In the lead up to the season,
the Commission presented a designated tourism and transport package including but not limited to:
a strategy for the recovery of the European tourism sector, the Re-open EU website, consumer pro-
tection measures to facilitate reimbursement of cancelled travels, and designated financial support
and liquidity support through a relaxation of the State Aid rules.
72
Measures to protect the free flow of goods:
Border restrictions including elaborate health checks severely disturbed the movement of goods in
the early days of the pandemic. In response, the Commission, on March 23, 2020, presented its ‘Gre-
en Lane’ initiative, which aimed to ensure that checks installed at the borders did not keep freight ve-
hicles more than 15 minutes.
73
The European Council on March 26, 2020, called for the Commission
to help ensure that all internal restrictions to the free movement of goods were removed. In addition,
the Commission proposed VAT exemptions and customs duties on COVID-19-related medicinal goods
and PPE
74
as well as flexibility in expediting customs formalities.
The sources interviewed for this
69 ec.europa.eu/info/sites/default/files/communication-enforcement-implementation-single-market-rules_en_0.pdf
70 eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:52020XC0414(01)&from=EN Official Journal of the European Union 2020a
71 The common approach has been updated over the course of the pandemic. The Commission initially published a Communication on non-es-
sential travel to the EU. The most recent update is from February 2022, with effect from March 2022; European Council 2022b
72 single-market-economy.ec.europa.eu/sectors/tourism_en European Commission 2023
73 ec.europa.eu/commission/presscorner/detail/en/ip_20_510 European Commission 2020e
74 European Commission 2021c
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THE EU’s PANDEMIC RESPONSE
report unanimously hailed the EU’s role in ensuring the continuous workings of the single market
during the pandemic.
75
3.2 Enabling Measures: Creating an Enabling Framework for European Industry
The measures taken by the EU in support of European industry were both designed to alleviate the
economic burden faced due to the pandemic, to ensure adequate access to needed products short-
term, as well as to ensure that European industrial stakeholders were well positioned to innovate,
ramp-up production and distribute crisis-related products.
Alleviating the economic burden:
A Temporary Crisis Framework for State Aid was adopted by the Commission on March 19, 2020.
76
The framework included liquidity measures, solvency support, investment support as well as options
for conversion and loan restructuring. The crisis framework was later revised and expanded six times
as the pandemic evolved.
77
In addition, funds were redirected from existing EU programs
78
to provide
different financial measures to SMEs such as loan guarantees.
The adopted framework was inspired by the Temporary State Aid Framework adopted during the
banking crisis
79
and has later served as inspiration for the Temporary State Aid Framework which
was launched in support of the economy in context of Russia’s invasion of Ukraine.
80
The three
frameworks have advanced the Commission’s experience with and knowledge of the efficiency of
different types of solvency support and liquidity measures, and thus also strengthened its ability to
respond with similar measures in upcoming crises.
The continuous use of lenient state aide rule has, however, also raised concern in some member
states regarding fair competition and an internal level playing field.
While recent analyses from
DG GROW of the national uptake and implementation of state aid during COVID-19 do not indicate
significant deteriorating effects,
81
concerns remain in some member states that a prolonged state
aid crisis framework might distort competition. Such concerns were recently corroborated by the
announcement of the German energy relief plan.
82
Ensuring short-term access to goods through joint procurement:
The Commission did not just work to ensure that goods moved freely in the European market, it also
introduced measures aimed to ensure that member states had adequate access to needed goods
short-term. For example, the Commission worked to unify the sourcing and purchase of PPE and CO-
VID-19 relevant medicinal equipment, and temporarily prohibited exports of PPE from the EU.
83
The
75 As shown in a 2021 Think Tank EUROPA paper; Friis et al. 2021
76 ec.europa.eu/commission/presscorner/detail/en/STATEMENT_22_2980 European Commission 2022f
77 op.europa.eu/en/publication-detail/-/publication/ecfdc6fc-6191-11ed-92ed-01aa75ed71a1/language-en/format-PDF/source-search
Cannas et al. 2022
78 E.g. Funds from European Fund for Strategic Investments to reinforce the COSME Loan Guarantees Facility and the InnovFin SME
Guarantees Facility.
79 ec.europa.eu/competition/state_aid/legislation/temp_framework_en.pdf European Commission 2008
80 ec.europa.eu/commission/presscorner/detail/en/statement_22_1949 European Commission 2022f
81 op.europa.eu/en/publication-detail/-/publication/ecfdc6fc-6191-11ed-92ed-01aa75ed71a1/language-en/format-PDF/source-search
Cannas et al. 2022
82 euronews.com/my-europe/2022/09/29/germany-to-spend-200-billion-to-tackle-high-energy-prices Sørensen & Overvad 2022,
Euronews 2022
83 Including the introduction of an accelerated joint procurement procedure and joint EU stockpiling and medicinal equipment and PPE.
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THE EU’s PANDEMIC RESPONSE
Commission issued guidelines to public buyers clarifying the flexibility provided in case of urgency
including the possibility to award public contracts without publication in case of extreme urgency.
84
The COVID-19 pandemic upset normal demand structures for medicinal supplies and PPE and thus
increased the risk of damaging pricing practices arising from the abnormal market situation.
The
increased global demand for COVID-19-related products caused concerns regarding price and access
and thus stimulated the novel use of public procurement at the EU-level.
The Commission activated the Joint Procurement Agreement ( JPA)
85
under which it has since 2020
enabled 12 joint procurement procedures to order essential medical supplies and innovative thera-
peutics for nearly €13 billion.
86
The JPA was adopted in 2014 in the aftermath of the H1N1 influenza,
which had exposed weaknesses in the member states’ ability to access pandemic vaccines and me-
dicinal supplies. The purpose of the JPA is to ensure equitable and cost-effective access to medicinal
supplies during a health crisis.
87
It establishes greater countervailing purchasing powers and econo-
mics of scale.
Thus the JPA helps to rebalance the powers of public buyers and private suppliers in
emergency situations where these have been skewed.
Moreover, the JPA levels the playing field among public buyers as it for example restricts exclusivity
agreements and discrimination. It also ensures risk-sharing among buyers and lowers the admini-
strative burden.
While the Commission has been scrutinized for its joint procurement efforts, the
sources interviewed for this report all underscored the activation of the JPA as being among the
most groundbreaking and important efforts of the EU during the pandemic as it worked to equalize
market access for members states and have left an institutional mark on the Union (see chapter 2).
Supporting European Industry:
More so than allowing state aid, the Commission launched initiatives aiming to ramp up European
production of PPE and medicinal products, including setting up a designated task force
88
for industri-
al scale-up of COVID-19 vaccines under the leadership of Commissioner Thierry Breton in early 2021.
DG GROW spearheaded an initiative to ensure ongoing coordination (including match-making events
on vaccine production) with selected stakeholders from European industry and published guidance
to assist manufactures in increasing output of PPE (including facial masks, 3D printing, and hand
disinfectants).
89
In addition, DG GROW facilitated that the European Committee for Standardization
(CEN) and the several European standards for medical devices and PPE were freely available.
The experiences from the DG Grow industrial task force were later utilized in the creation of the
strong industrial component of HERA, including the EU-FAB initiative (see chapter 2). The Com-
mission also upgraded the EU Civil Protection Mechanism with the creation of the RescEU initiati-
ve, which is run by the DG for European Civil Protection and Humanitarian Aid Operations (ECHO).
Under RescEU the Commission facilitates European stockpiling of medicinal equipment and PPE in
84 eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:52020XC0401(05)&from=EN Official Journal of the European Union 2020c
85 health.ec.europa.eu/publications/commission-decision-c2014-2258-final_en. JPA is neither an international treaty (see European Parliament;
Council (2015b)) nor a pure EU legal act, but a budgetary implementing measure of Decision 1082/2013/EU
86 European Commission 2014
87 cambridge.org/core/journals/european-journal-of-risk-regulation/article/abs/role-of-the-joint-procurement-agreement-during-the-covid19-
pandemic-assessing-its-usefulness-and-discussing-its-potential-to-support-a-european-health-union/962A64946053159BEF68F-
24CF26E5142 Mcevoy & Ferri 2020
88 The Task Force for Industrial Scale-up of COVID-19 vaccines
89 See for example European Commission a, European Commission b, European Commission c
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THE EU’s PANDEMIC RESPONSE
nine member states.
90
Thus DG GROW launched a set of wide-ranging and innovative initiatives to
ensure availability of needed products,
including monitoring the supply-chains for COVID-19 related
products, monitoring available stocks, mapping manufacturing facilities and capacities, reaching out
to companies not currently active, issuing recommendations on conformity assessments
91
, as well as
monitoring supply and demand for crisis-related products.
The Commission also pursued de-risking efforts to boost investments, accelerate innovation and pro-
duction of needed products.
Commission sources underscored that continuous work is being done
to find models that will help de-risk investments in the area of medicinal devices and treatments.
For example, the Commission launched a new program – the ESCALAR program – which provides
scale-up support to European companies in need of financial support. The approach was invented in
a partnership with the European Investment Fund and was pledged as part of the EU SME Strategy
in March 2020.
92
The ESCALAR program aims to increase VC investment capacity and private equity
funds to high-risk European SMEs (especially in the scale-up phase) by de-risking investments and
thus minimize the European private investment gap.
The continuous work to design investment de-risking models (including in the health sector) un-
derscores both a commitment to support innovative European SMEs, but also the broader political
commitment to facilitate the establishment of novel European industrial heavy-weights.
Focusing more narrowly on vaccines, the Commission presented its COVID-19 Vaccine Strategy
93
in
June 2020. The core aim of the strategy was to ensure that a safe and efficacious vaccine was produ-
ced in Europe and that swift access was provided to all member states.
The Advance Purchase Agre-
ements (APAs) with pharma companies were a central component to ensure the rapid development
of vaccines, hedge bets, and pool investments.
€2.7 billion was allocated through the Emergency
Support Instrument (with the possibility of additional funding from member states and EIB loans) to
cover the producers’ up-front cost for vaccine production.
Akin to a down payment or an insurance
policy the APAs transferred risk from industry to public authorities which, in return, was granted
prioritized access to vaccines in the cases where they became available.
3.3. SMEI: From Ad Hoc Measures to Structured Protection of the Single Market
The Commission has tabled several initiatives, which in different ways will strengthen the response
capabilities of European industry when faced with a future health crisis.
94
We will in this section
focus on the SMEI proposal tabled by the Commission on September 19, 2022.
95
90 Belgium, Denmark, Germany, Greece, Hungary, Romania, Slovenia, Sweden, and The Netherlands. The RescEU initiative has 34 participating
countries: the EU-27 and the UK, plus Iceland, Norway, Serbia, North Macedonia, Montenegro and Turkey.
91 eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32020H0403&from=EN Official Journal of the European Union 2020b
92 European Commission 2020e. In addition, the European Enterprise Network was utilized to ensure innovations partnerships for SMEs on
areas linked to COVID-19.
93 European Commission 2020g
94 The project has facilitated events focused on two such initiatives: the IPCEI on Health and the proposal for a European Health Data Space
(EHDS) (Sørensen 2022; Sørensen & Foss 2022). The IPCEI on health, which was launched March 3
rd
, 2022, aims to strengthen the EU’s
strategic autonomy in the health sector in general, but also includes a component which will focus on innovating with regards to future crisis
response ( FRENCH PRESIDENCY OF THE COUNCIL OF THE EUROPEAN UNION 2022). The EHDS was announced in the European Strategy
for Data (European Commission 2020h), which set out a vision for sectoral European data spaces, including on health data. The EHDS thus
precedes the COVID-19 pandemic, and the ambitions are also more wide-ranging that response to health crises. However, the pandemic has
underscored the need for credible and interoperation data at the Union level.
95 European Commission 2022g
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THE EU’s PANDEMIC RESPONSE
The SMEI is a horizontal crisis response measure meant both to protect the single market and
strengthen the crisis response of European industry.
A dedicated instrument to ensure free move-
ment in times of crisis was announced in the EU Updated Industrial Strategy
96
following a call by
the European Council in October 2020 to draw lessons from the COVID-19 pandemic in relation to
the workings of the single market.
97
Commission sources close to the development of the proposal
note that while single market crisis measures have been floating before the pandemic, the concrete
development on SMEI is a reflection of the desire to instrumentalize and turn the learnings from the
pandemic into a legally binding tool.
While medicinal products, medical devices and countermeasures fall outside the scope of SMEI, the
SMEI proposal clearly mirrors several of the initiatives launched by DG GROW during the pandemic.
98
The proposal is interesting (and has proven controversial) as it encompasses both
protective mea-
sures
to guard against disruptions to the single market as well as
industrial measures aimed to better
enable European industry in its crisis response.
The Commission proposes a system of gradual intervention depending on the severity of the crisis.
99
The instrument introduces a framework for contingency planning in normal times; a vigilance frame-
work when a potentially serious incident occurs, but has not yet escalated; and finally, an emergency
framework when the single market is directly affected in a systemic way by a major incident.
If activated, the emergency mode includes the possibility of activating additional extraordinary mea-
sures. In contingency mode the instrument will facilitate initiatives such as crisis protocols and train-
ing and simulations. When in vigilance mode
100
the proposed measures include monitoring of supply
chains, facilitation of public procurement, and build-up of strategic reserves in member states, which
can under certain circumstance be made binding. If the emergency mode has been activated the
SMEI allows for the Commission to call on member states to restore the free movement, to provide
recommendations to member states on how to ensure the availability and supply of crisis-relevant
products by expanding or repurposing production facilities or accelerating permitting, as well as rec-
ommendations on how to distribute strategic reserves. Last resort measures
101
include information
requests, calls for priority rated orders, and derogations of product legislation.
The proposal for a European Chips Act
102
also contains measures that will allow the Commission to
intervene and make mandatory information requests, prioritize orders and common purchasing or-
der for critical sectors such as health care and defense.
However, while the European Chips Act is a
vertical measure, the SMEI proposal is horizontal and the proposed interventionist measures would
possibly affect a wide range of sectors.
The measures proposed in the SMEI mimic the ambitions set out by the Commission in the early days
of the pandemic. Especially the ambitions to increase the capacity of existing EU manufacturing
facilities by for example converting production lines were evidently part of the Commission’s early
96 European Commission 2021d
97 European Council 2020c
98 Energy products, semiconductors and financial services are also exempted from SMEI. The exemptions have been made in order to avoid
overlaps between the horizontal SMEI and other vertical EU crisis measures such as HERA and the European Chips Act.
99 The following outline of the SMEI is based on the SMEI proposal presented September 19th, 2022.
100 The Vigilance mode can be activated by the Commission, taking into consideration the opinion provided by the advisory group, for a max-
imum duration of six months by means of an implementing act.
101 Can only be activated following dual activation.
102 European Commission 2022h
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THE EU’s PANDEMIC RESPONSE
thinking regarding their pandemic response.
Sources in the Commission underscore that the pan-
demic has both accelerated the work and increased the ambitions of the Commission regarding the
proposed measures.
Internal disagreements in the Commission, especially between DG COMP and DG GROW, regarding
the scope and design on the SMEI were part of the reason that the SMEI proposal was delayed.
Moreover, the proposal has both in its design phase and following publication been met with calls for
clarifications by both MEPs and by most member states.
The main critiques are:
The risk of a permanent crisis:
The six-month expiration clause, inserted as a safeguard mechanism against a permanent crisis mode,
has done little to satisfy critics, as the vague definition of what constitutes a crisis would – critics
say – give the Commission too wide options for continuous reactivation.
Unclear roles:
Several member states underscored the need to clarify the roles of the Commission and member
states respectively, for example regarding the activation of binding measures.
Ensuring workers’ rights:
Some stakeholders have expressed concern that workers’ rights, including the right to strike, might
be impeded in a crisis situation.
Limiting the burdens imposed on European industry:
A widespread concern is that information requirements, even if they target member states, will indi-
rectly impose too heavy administrative burdens on European industry.
There has been limited progress on SMEI during the Czech presidency in the fall of 2022.
The respon-
sibility to find a general approach on the SMEI proposal in the Council will fall under the Swedish
presidency.
3.4 Principled Debates on European Industrial Policy
The unprecedent crisis brought novel challenges to the EU, and the innovative and explorative nature
of the Union’s response has opened a wide range of principled questions regarding what the right
future course is for the Union. Reflecting on the measures taken to safeguard the single market and
European industry, as well as the measures taken to enable industrial crisis preparedness, illuminates
the following issues to be addressed:
State Aid and Level Playing Field:
The introduction of the Temporary Crisis State Aid Framework during the COVID-19 pandemic, as well
as the introduction of a Temporary Crisis Framework following Russia’s invasion of Ukraine, have led
to
concerns that increased and prolonged flexibility in the EU State Aid regime would unbalance the
European playing field.
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THE EU’s PANDEMIC RESPONSE
Balancing protective and enabling measures:
The SMEI proposal has unlocked a principled discussion regarding the desired balance between mea-
sures that
protect
the single market and free movement in times of crisis (e.g. removing export bans
and travel restrictions) and measures that
enable
European industry to respond to crises.
The SMEI
proposal has thus reinvigorated a principled discussion regarding what mandate public authorities
have to intervene in the market in times of crisis and by what means.
De-risking and Ownership:
During the COVID-19 pandemic, in an effort to rapidly ramp-up production of medical supplies and
PPE, the Commission launched several initiatives aimed at transferring some of the risk associated
with innovation and scale-up from producers to public authorities (e.g. ESCALAR and APAs, see
above). De-risking efforts aimed to boost private investments in European industry are not limited
to the Unions pandemic response.
103
We expect that the continued work being done to design and
implement de-risking programs will ignite a debate concerning the desired balance between public
subsidies and de-risking measures and the issue of ownership and open access.
During the COVID-19
pandemic, such issues were raised in relation to the issue of IPR and pricing. However, we do not
expect such discussions to be limited to the COVID-19 pandemic and the measures taken in response.
Political interference and profits:
The COVID-19 pandemic significantly disrupted supply and demand patterns on medical supplies and
PPE as Europe scrambled to ensure adequate supplies of needed products. That political interference
can cause rapid changes to supply and demand patterns and lead to price disturbances was once
again underlined during the Ukraine crisis where political decisions to ensure independence from
Russian energy caused European energy prices to spike. The price hikes on energy have unlocked a
European debate on windfall profits, which was not evident during the pandemic.
However, as the
Union is faced with future crises and as it ramps-up its crisis response, the discussions regarding
crisis measures, price disturbances and extraordinary profits will likely reoccur, and a debate on the
Union’s approach to extraordinary profits made during crises is needed.
104
103 See also the EIC Accelerator Program: European Innovation Council 2023
104 The ambition to launch a market observatory for fertilizers in 2023 to share data on production, use, prices and trade, as laid out in the
communication on availability and affordability of fertilizers, indicates that the Commission is exploring measure to combat price distur-
bances during crisis. See: agriculture.ec.europa.eu/system/files/2022-11/communication-ensuring-availability-affordability-fertilisers_en_1.
pdf
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THE EU’s PANDEMIC RESPONSE
4. DEMOCRACY:
How to Reinstate Democratic
Processes and Deliberation
Key points
• The European Council has taken on a central role in the EU’s crisis management. However, with its
significant engagement in crisis the European Council risks overstepping its treaty-based role and
the legislative procedure of the European Union as well as challenging European parliamentary
oversight.
• There was an increased use of article 122 during the COVID-19 pandemic, a practice which was
continued during the war in Ukraine. Article 122 allows for EU-wide measures without the inclusi-
on of the European Parliament. Its continued use – especially as a basis for initiatives with long-la-
sting effects on the Union such as the NGEU – thus poses a challenge to the European Parliaments
role in the EU’s institutional architecture.
• The COVID-19 pandemic made evident that systematic disinformation could endanger lives and
thus raised the political salience of how to regulate disinformation. The EU will be challenged
to find an approach to disinformation (both foreign and domestic) that carefully balances the
increasing desire to find a European approach to harmful content with continuous respect for
fundamental values and national differences.
As made evident in the preceding chapters, the COVID-19 pandemic has had unprecedented effects
on the functioning of the EU, both with regards to its institutional setup, the financial underpinning
of the Union as well as the regulation of the single market and European industry.
105
However, the
far-reaching changes brought by the COVID-19 pandemic also merit a reflection on the consequences
for the democratic functioning of the Union.
Reflections on the societal, political and economic impact of the COVID-19 pandemic will inherently
be preliminary and tentative. Indeed, this also goes for any consideration given to the impact of the
pandemic on our democratic institutions, processes and culture. The following reflections on how
the crisis response has impacted the democratic functioning of the Union, and the questions and
unresolved challenges it has posed, are thus merely an attempt to contribute to a rapidly developing
field of research.
106
This chapter will highlight examples of how the COVID-19 pandemic has led to institutional and pro-
cedural changes at the EU level, as well as engage with the initiatives launched by the EU to combat
disinformation.
The chapter will, however, not provide a full overview of the multi-faceted democratic
impacts that the COVID-19 pandemic has had.
4.1 The Hour of the Executive
During the COVID-19 pandemic, we saw a gravitational pull towards the executives both at the nati-
onal and the European level. As in previous crises, the COVID-19 pandemic quickly became a Chefsa-
105 In addition, the COVID-19 pandemic has had far reaching social and economic consequences, as well as political and societal consequences
at the national level, which are not dealt with in this report.
106 For an overview of recent literature see: Martinse & Goetz 2022
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THE EU’s PANDEMIC RESPONSE
che, meaning that the heads of state and government in the European Council took on a central role
in coordinating the European response to the crisis.
107
The European Council took on the role as the
EU crisis manager, both by negotiating the fiscal resources and by providing the political authority
needed to hash out political compromises among member states.
108
The centrality of the European Council in the management of the COVID-19 pandemic was empha-
sized both through an
intensified meeting activity
in the early months of the pandemic as well as a
high level of detail in the tasking made by the European Council
for the Commission and the Council
of the European Union during the pandemic.
During the pandemic the European Council significantly stepped up its meeting activity. According to
the EU Treaty, the European Council must convene at least four times per year and provide the Union
with the necessary impetus for its development.
109
While the heads of state and government in the
European Council must direct the general political directions of the Union and their priorities, it is
explicitly beyond their mandate to legislate. European Council conclusions are political commitments
and are thus not legally binding. To become legally binding they must be transferred into legal acts
and adopted by the EU’s two legislative bodies, the Council of the European Union and the European
Parliament.
Figure 4.1:
European Council Meetings 2014-2022
No. of meetings in each period
14
12
10
8
6
4
2
0
2014
2015
2016
2017
2018
2019
2020
2021
2022
Ordinary meetings
Special meetings
Informal meetings
Video conferences
Source: Think Tank Europa based on data from the European Council.
Note: Other Meetings such as ’Porto Social Summit’ are excluded
107 Van Middelaar 2021
108 Wessels 2016
109 TEU Article 15
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THE EU’s PANDEMIC RESPONSE
In the period March 2020 to June 2021, the European Council held 19 gatherings. This is well beyond
the minimum of four meetings per year stipulated by the TEU Article 15(3).
Figure 4.2:
European Council meetings 16 March 2020 to 30 June 2021
110
Month
Formal meeting of
the European Council
(in person)
Video conference
Output
March 2020
March 10
March 17
March 26
Conclusions by the president
of the European Council
Conclusions by the president
of the European Council
Joint Statement
Conclusions by the president
of the European Council
April 2020
May 2020
June 2020
July 2020
August 2020
September 2020
October 2020
October, 1-2
October, 15-16
July 17-21
April 23
June 19
Remarks by the president
of the European Council
European Council Conclusions
August 19
Conclusions by the president
of the European Council
European Council Conclusions
European Council Conclusions
October, 29
Joint Statement
Remarks by the president
of the European Council
European Council Conclusions
January, 21
February, 25-26
March, 25
Oral conclusions by the president
of the European Council
Statement of the members
of European Council
Statement of the members
of European Council
November 2020
December 2020
January 2021
February 2021
March 2021
April 2021
May 2021
May, 7-8
May, 24-25
June 2021
Total
June, 24-25
7 meetings (15 days)
December, 10-11
November, 19
Porto Social Commitment,
Porto Declaration
European Council Conclusions
European Council Conclusions
12 videoconferences
At the first meeting since the outbreak of the pandemic, March 10, 2020, the European leaders
framed the issues at stake, namely to 1) limit the spread of the virus, 2) procure medical equipment,
110 Culley et al. 2021
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3) step up vaccine research, and 4) tackle the socioeconomic consequences of the pandemic.
111
Th-
roughout the pandemic the European leaders tasked the Commission, the Council Presidency and
the President of the Eurogroup with finding solutions to specified problems. The tasking was often
directional such as for example developing a model for vaccination procurement, developing an ‘exit
model’ to wind down COVID-19 restrictions across the continent, and coordinating the repatriation of
over 90,000 European citizens stranded in third countries.
When European Council conclusions give direct instructions for other EU institutions to initiate or
implement concrete polices, it underscores how the European Council can have direct impact on
EU politics despite having no legislative competence.
112
During the COVID-19 pandemic, the tasking
issued by the European Council was often multilayered, extending directly to EU agencies such as
European Medicines Agency and the European Center for Disease Control and the coordinating ef-
forts demanded were at times unprecedented and at the limits of its legal authority.
113
The detailed nature of the tasking of the European Council during the COVID-19 pandemic was par-
ticularly evident in the process leading to the establishment of the European recovery fund – the
Next Generation EU (NGEU).
The NGEU was negotiated over the summer of 2020, with decisive
parts of the negotiations taking place during the July summit, as explained in chapter 1. The July
summit was the second-longest EU summit, only moments short of the Nice summit in December
2000.
114
The negotiations, while prolonged, ended up crossing former ‘red lines’ and the outcome
was a historic debt-financed and loan- and grants-based recovery plan.
Which, according to Dutch
Prime Minister Mark Rutte, marked a crossing of the infamous Rubicon, and which has moved the
Union closer to a fiscal union.
115
In addition to an increased meeting activity, the direction given by the European Council in the July
conclusions were unusually detailed, providing thorough directions as to how the future budget
and recovery funds ought to be used.
116
Moreover, the European Council was heavily involved in the
legislative process for implementing the European recovery fund. The European leaders played a
central role in helping overcome the political deadlock faced when Hungary and Poland threatened
to veto the EU Own Decision Agreement due to a dispute over a conditionality clause. In addition,
the European leaders took on a leading role in designing a compromise where the Commission was
asked to delay their guidelines on the application of the regulation until the European Court of Justice
had delivered its opinion on whether the conditionality clause was compliant with the EU treaties.
The detailed governance of the process by the European Council was met with fierce critique by the
European Parliament,
which reminded the European Council that it is beyond its mandate to exercise
legislative functions as well as to interpret European law, and that conclusions from the European
Council carry no legal weight.
117
The process leading to the endorsement of the European recovery funds underscored both the deci-
sive contributions of the European leaders in fabricating national compromises and pushing Euro-
pean integration ahead, but also how the European Council ventures beyond its treaty-based role in
doing so.
It thus stresses the importance of understanding the role of the European Council in EU’s
111 Culley et al. 2021
112 Schramm & Wessels 2022: 4
113 Culley et al. 2021
114 Germany’s Presidency of the Council of the European Union 2020.
115 Rios et al. 2020
116 Schramm & Wessels 2022
117 Wessels et al. 2016: 66-67
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THE EU’s PANDEMIC RESPONSE
institutional architecture through its real-world activities, especially in times of crisis, and not only
its (rather limited) formal competences.
Understanding the role of the European Council during the COVID-19 pandemic is further interesting
as it underscores that a strong supranational current, as we have seen with a strongly engaged, bold
and direction-setting Commission, is compatible with a strong intergovernmental current, as we have
seen with a heavily engaged European Council.
Indeed, the intergovernmental logic underpinning
the EU’s crisis management was heavily supported and reinforced by a fast-acting Commission. In
the COVID-19 crisis, the EU was to a large extent governed by a dual-executive consisting of the
Commission and the European Council.
The centrality of the European Council in times of crisis also changes the European dynamics regar-
ding parliamentary scrutiny. The European Parliament has limited options of scrutinizing decisions
taken by the European Council as the President of the European Council is not accountable to the
European Parliament.
This means that parliamentary scrutiny of the European Council is largely a
matter to be exercised through national parliaments.
118
4.2 Governing by Emergency Law
On top of an intensified meeting activity in the European Council and an increased level of detail in
its tasking, we have also during the pandemic witnessed an extensive use of article 122, the EU’s
crisis paragraph.
Article 122
119
1. Without prejudice to any other procedures provided for in the Treaties, the Council, on a proposal
from the Commission, may decide, in a spirit of solidarity between Member States, upon the me-
asures appropriate to the economic situation, in particular if severe difficulties arise in the supply
of certain products, notably in the area of energy.
2. Where a Member State is in difficulties or is seriously threatened with severe difficulties caused
by natural disasters or exceptional occurrences beyond its control, the Council, on a proposal from
the Commission, may grant, under certain conditions, Union financial assistance to the Member
State concerned. The President of the Council shall inform the European Parliament of the decisi-
on taken.
Historically, article 122 has rarely been activated. In the decade leading up to the pandemic (2010-
2020) article 122 was used as a basis for four legal acts, two of which related to setting up and
revising the European Financial Stability Mechanism. Since the beginning of the COVID-19 pandemic
(2020-onwards), the Council has adopted six regulations on the basis of article 122. The adopted
regulations relate to activating EU’s emergency support as well as establishing economic relief pro-
grams during the pandemic as well as measures to manage the energy crisis in the wake of Russia’s
invasion of Ukraine. In addition to the six adopted measures, one measure related to the energy crisis
are awaiting adoption, bringing the total up to seven (as per ultimo December 2022).
120
118 von Ondarza 2020
119 eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=CELEX%3A12008E122%3AEN%3AHTML
120 Lauritzen 2022
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THE EU’s PANDEMIC RESPONSE
When using article 122 the Council decides on the basis of a proposal from the Commission. The
European Parliament is thus not involved in the process, but only informed of the decision taken.
Article 122 is a crisis measure and its use during the pandemic and the Ukraine war is somewhat
justified by the need to ensure rapid decision-making in times of crisis. However, the use of article
122 significantly impedes the power of the European Parliament.
Recent analyses indicate that the European Parliament during the pandemic proved capable in their
use of urgent procedures in legislation. According to a 2020 overview made by Nicolai von Ondarza,
“Nineteen legislative procedures were completed by [the European Parliament] within 23.3 days on
average between March and July 2020, with an average MEP approval rate of 90.8 per cent.”
121
Whi-
le thorough consideration needs to be given on how to avoid that the European Parliament ends up
being merely a confirmatory institution, experiences from the pandemic indicate that the European
Parliament is capable of accelerating the legislative processes during a crisis.
The increased use of article 122 counters the general trend to allow the European Parliament a lar-
ger say in EU decision making.
With the Lisbon Treaty, the role of the European Parliament in the
EU’s legislative procedure significantly expanded as the co-decision procedure was made the ordina-
ry legislative procedure, establishing regulatory equality between the European Parliament and the
Council of the European Union in most areas. The introduction of the co-decision procedure as the
ordinary legislative procedure has significantly strengthened the role of the European Parliament in
decision-making. In 2008 the European Parliament had a say in approx. 39.7 percent of passed dire-
ctives and regulations, in 2019 the European Parliament was fully involved in approx. 78.8 percent
of passed directives and regulations.
122
During COVID-19, article 122 was used as legal basis for essential parts of the European recovery
funds, which has established a novel approach to loan-based public investments as well as introdu-
ced novel and significant redistributive logics. With the introduction of NGEU, former ‘red lines’ on
joint debt (on a massive scale) and grant-based redistribution were crossed. Obviously, this does not
provide a
carte blanche
for future public investments financed by joint debt, but it does move the
goalposts and will likely make the Union more open to future joint loan schemes. The recent agree-
ment to finance emergency support to Ukraine through join debt underscores that this avenue has
gained traction. While formally temporary measures such as the NGEU (if implemented successfully)
will likely have a lasting imprint on the future workings of the Union, as described in chapter 1.
From
a democratic point of view, it is undesirable that decisions with fundamental and long-lasting effects
on the Union is taken without the involvement of the European Parliament.
Discussions on emergency clauses are also pertinent to regulation beyond that which has article 122
as its basis.
The recently tabled SMEI proposal (see chapter 3) envisions that the Emergency Mode
should be activated by a Council Implementing Act (proposed Article 14.3), and thus not allotting a
role to the European Parliament in this process.
However, as the SMEI proposal will be adopted via
the co-decision procedure the European Parliament will have the chance to contest their envisioned
role in activating future crisis responses.
121 von Ondarza 2020
122 von Ondarza Nicolai 2020
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THE EU’s PANDEMIC RESPONSE
4.3 Countering Disinformation
The COVID-19 pandemic made evident that systematic disinformation could endanger lives and thus
raised the political salience of how to regulate disinformation.
To combat COVID-19 disinformation,
the EU quickly established a dialogue with the major online platforms. On 3 March, 2020, European
Commission Vice President Vera Jourova held a meeting with social media platforms urging them
to remove disinformation, such as adds for unproven medicinal products.
123
Disinformation and the
threats that it could pose during a health crisis were also highlighted in the joint statement made by
the European Council on March 26, 2020, in which the European leaders called on the Commission
and the EU High Representative to be fully involved in the fight against pandemic disinformation and
report their efforts back to the European Council.
124
Initiatives to combat disinformation campaigns have been ongoing for years. Disinformation was
already highlighted as a threat in the 2019-2024 Strategic Agenda,
125
and the threat of cyber-attacks
and election interference was high on the agenda before the COVID-19 pandemic.
126
Efforts to combat
disinformation and cyber threats are thus not new, but
the pandemic altered the scope from being
primarily focused on malign interventions of third countries to being more widely understood as
also encompassing communication among European citizens.
EU launched far-reaching actions to counter disinformation during the pandemic, including efforts to
monitor online platforms, publish relevant information to citizens and public authorities, as well as
boosting fact-checks and academic research.
127
In March 2020, the Commission launched a specific
website aiming to address misinformation related to COVID-19 and promoting authorized content.
128
In June 2020, the EU High Representative launched a communication on how to tackle COVID-19
disinformation, setting out a list of actions.
129
On 15 December 2020, the Council called on the Commission and the High Representative to further
enhance the response at EU level to disinformation campaigns in the light on the pandemic.
130
Whi-
le honoring the work already undertaken, including the Commission’s European Democracy Action
Plan, the Council underscored the need to develop a new conceptual and analytical framework for
disinformation as well as the need to develop and implement further transparency and accountability
requirements for online platforms.
131
In response to widespread disinformation, the Commission initiated a COVID-19 monitoring and re-
porting program where online platforms committed (on a voluntary basis) to report on a number of
issues pertaining to the pandemic.
132
Commission sources engaged in the collaboration with online
platforms underscore that the reporting delivered by the online platforms during the pandemic did
not allow the Commission to sufficiently assess the platform’s compliance and that reporting stan-
123
124
125
126
127
ec.europa.eu/commission/presscorner/detail/en/speech_20_1000 European Commission 2020i
European Council 2020d
European Council 2020e
European Council 2020f
The European Digital Media Observatory (EDMO), which launched its second phase during 2020, supports the creation of a cross-border
community of independent fact-checkers and academic researchers, working to detect, analyze and expose potential disinformation
threats, including related to COVID-19.
128 ec.europa.eu/info/live-work-travel-eu/coronavirus-response/fighting-disinformation_en The content was broad in scope - in addition to
promote authorized health information the site also sought to counter narratives about lacking European solidarity.
129 ec.europa.eu/info/sites/default/files/communication-tackling-covid-19-disinformation-getting-facts-right_en.pdf
130 European Council 2020f
131 data.consilium.europa.eu/doc/document/ST-14064-2020-INIT/en/pdf - European Council 2020e
132 digital-strategy.ec.europa.eu/en/policies/covid-19-disinformation-monitoring European Commission 2022i
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THE EU’s PANDEMIC RESPONSE
dards were not adequately harmonized.
The collaboration with platforms during the pandemic thus
underscored the need to develop harmonized reporting standards, definitions and indicators of di-
sinformation, as well as a system of independent assessment of the commitment by the platforms.
The work to strengthen the EU’s oversight with online platforms and their efforts to combat disinfor-
mation is ongoing. The pandemic has both worked to accelerate and bolden the EU’s work.
Several
sources interviewed for this report underscored how the pandemic accelerated the agreement on
the Digital Service Act and made possible the inclusion of detailed language on disinformation, in-
cluding disinformation related to public health.
133
The Commission will in 2023 put forward its Defense of European Democracy Package, which will
develop the EU approach to disinformation as laid out in the European Democracy Action Plan.
134
The Defense of European Democracy Package will (among other things) present further initiatives
to step up the fight against disinformation and to further the accountability of online platforms.
The forthcoming Defense of Democracy Package, and the recent unprecedented move to sanction
Russian state-controlled broadcasters and channels to curb Kremlin-based disinformation during
the Ukraine crisis
135
, underscore that the efforts to establish a distinct EU approach to tackle disin-
formation are still evolving.
4.4 Recommendations for Safeguarding European Democracy
The EU’s ‘crisis decade’ has evolved from the euro crisis to the refugee crisis, Brexit, and now looks
to be continuing with the COVID-19 pandemic, Russia’s invasion of Ukraine and the related energy
crisis. Changes to democratic processes and institutional balances in times of crisis might be justified
to allow for rapid and resolute decision making.
However, as one crisis follows the next it is pivotal
that crisis management is balanced with democratic considerations.
Reevaluate the role of the European Council:
The European Council is an institutional anomaly. While established at an informal summit in the
1970s, it was only formally recognized as an EU institution in the Lisbon Treaty, which defined its
mandate as providing strategic impetus, however underscoring that the European Council has no
legislative powers.
The increased engagement of the European Council is both challenging the EU
treaty base and the democratic legislative procedure of the European Union, and it ought to spur
further reflections on the desired role of the European leaders in the EU’s institutional architecture.
Revise EU emergency law:
The increased use of EU’s emergency clause – article 122 – during both COVID-19 and the Ukra-
ine-crisis imposes the question of how to ensure that the call for rapid and resolute decision making
is better legitimized by the European Parliament and balanced with respect for deliberation, trans-
parency and parliamentary scrutiny.
Short-term this discussion will likely be prevalent in the Euro-
pean Parliament’s negotiations of the SMEI proposal
136
. In the longer term the Parliament will likely
seek to include a revision of article 122 as part of a general amendment of the EU Treaty.
133 eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32022R2065&from=EN Official Journal of the European Union 2022b
134 eur-lex.europa.eu/legal-content/DA/TXT/PDF/?uri=CELEX:52020DC0790&from=DA European Commission 2022j
135 European Commission 2022k
136 The SMEI is not based on article on 122 (it is based on articles 144, 21 and 45 TFEU). However the proposal contains provisions regarding
of the activation of the Emergency Mode which in the tabled proposal does not allow the European Parliament a role in this decision.
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THE EU’s PANDEMIC RESPONSE
Developing a European approach to disinformation:
Managing information has been central to both the COVID-19 and the Ukraine war.
The EU will be
challenged to find an approach to disinformation (both foreign and domestic) that carefully balances
the increasing desire to find a European approach to harmful content with continuous respect for
fundamental values and national differences.
Moreover, the EU will carefully need to consider its
role vis-à-vis member states’ actions to curb disinformation.
This report has highlighted what we believe to be lasting financial, institutional, industrial and de-
mocratic impacts of the COVID-19 pandemic on the EU as well as the forward-looking issues.
In her 2022 State of the European Union address and as a postlude to the Conference of the Future
of Europe, Commission President Ursula von der Leyen gave her backing for a European conventi-
on.
137
Von der Leyen did not explain what kind of treaty changes would be needed, but as the above
chapters have highlighted, several issues relating to the democratic functioning of the Union in times
of crisis are in need of further debate. In addition to a possible convention,
the 2024 European ele-
ction provides a unique platform for the European Parliament to fill the deliberative void caused by
recurrent crisis management.
Indeed, it rests on the European Parliament to facilitate public debate
on key fiscal, institutional and regulatory decisions taken during and in the aftermath of COVID-19.
137 Fox & Vasques 2022
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REFERENCES
Agence Europe, 2020a. “Twenty times more money for new EU4Health programme,” 28 May 2020 [online]. Available at:
https://agenceurope.eu/en/bulletin/article/12494/5 [Accessed on 10 January 2023]
Agence Europe, 2020b. “EU leaders have been wrestling for days over level of ambition of post-Covid-19 recovery plan,” 20
July 2020 [online]. Available at: https://agenceurope.eu/en/bulletin/article/12531/1 [Accessed on 10 January 2023]
Agence Europe, 2020c. “Council of the EU ready to negotiate on EU4Health programme,” 22 October 2020 [online]. Avai-
lable at: https://agenceurope.eu/en/bulletin/article/12586/2 [Accessed on 10 January 2023]
Agence Europe, 2020d. “European Commission proposes to modernise its instruments for health crisis response,” 13 Novem-
ber 2020 [online]. Available at: https://agenceurope.eu/en/bulletin/article/12600/24 [Accessed on 10 January 2023]
Agence Europe, 2021. “MEPs concerned that EU4Health programme to be deprived of some of initial budget in favour of
HERA,” 29 October 2021 [online]. Available at: https://agenceurope.eu/en/bulletin/article/12822/2 [Accessed on 10 January
2023]
Agence Europe, 2022. “European Commission reveals its proposal for a two-pillar European Health Data Space Regulation,” 4
May 2022 [online]. Available at: https://agenceurope.eu/en/bulletin/article/12944/11 [Accessed on 10 January 2023]
Ammon, 2021. CEPS Ideas Lab SPOTLIGHT SESSION Day 1: Towards a European Health Union [video online] Available at:
https://www.youtube.com/watch?v=A_OWuVMneD4 [Accessed on 10 January 2023]
Bassot, Étienne, 2020. “The von der Leyen Commission’s priorities for 2019-2024,”. European Parliamentary Research
Service [online]. Available at: https://www.europarl.europa.eu/RegData/etudes/BRIE/2020/646148/EPRS_BRI(2020)646148_
EN.pdf [Accessed on 10 January 2023]
Bonfanti, Giovani, Garicano, Luis, 2022. “Do financial markets consider European common debt a safe asset?,” [online].
Available at: https://www.bruegel.org/blog-post/do-financial-markets-consider-european-common-debt-safe-asset [Accessed
on 10 January 2023]
Cannas, Giuseppina, Ferraro, Sara, Mathieu Collin, Antoine, et al., Competition state aid brief. Issue 3/2022 – October 2022,
Directorate-General for Competition European Commission, 2022, https://data.europa.eu/doi/10.2763/631679
Chazan, Guy, 2022. “Germany can take part in EU’s €800bn Covid recovery fund, court rules,” December 6 2022. Financial
Times [online]. Available at: https://www.ft.com/content/361769c1-b9a3-4410-958f-36ba4cf2cc87 [Accessed on 10 January
2023]
Conference on the Future of Europe, 2022. “REPORT ON THE FINAL OUTCOME,” [online]. Available at: https://futureu.euro-
pa.eu/en/pages/reporting?locale=en [Accessed on 10 January 2023]
Culley, Paul, Oldenburg, Derk & Vanhoonacker, Sophie, 2021. “THE EUROPEAN COUNCIL AND COUNCIL OF THE EU - WHAT
LESSONS FROM COVID-19 DECISION-MAKING?,” CEPS Policy Insights [online]. Available at: https://www.ceps.eu/wp-con-
tent/uploads/2022/06/CEPS-PI2022-21_European-Council-and-Council-of-the-EU.pdf [Accessed on 10 January 2023]
de la Porte, Caroline, Jensen, Mads Dagnis Jensen, 2021. The next generation EU: An analysis of the dimensions of conflict
behind the deal. Soc Policy Adm. 2021; 55: 388– 402. https://doi.org/10.1111/spol.12709
Die Bundesregierung, 2020. “Pressekonferenz von Bundeskanzlerin Merkel und Präsident Macron am 21. Juli 2020,” [on-
line]. Available at: https://www.bundesregierung.de/breg-de/suche/pressekonferenz-von-bundeskanzlerin-merkel-und-praesi-
dent-macron-am-21-juli-2020-1770170 [Accessed on 10 January 2023]
Dionigi, Maja Kluger, 2021. “Hvad er HERA? Perspektiver og udfordringer for EU’s pandemiberedskab, Tænketanken EURO-
PA [online]. Available at: https://thinkeuropa.dk/notat/2021-05-hvad-er-hera-perspektiver-og-udfordringer-for-eus-pandemi-
beredskab [Accessed on 10 January 2023]
Dionigi, Maja Kluger, 2022. “The ECDC: Challenges during and after the Covid-19 pandemic,” Tænketanken EUROPA [online].
Available at: https://thinkeuropa.dk/brief/2022-01-the-ecdc-challenges-during-and-after-the-covid-19-pandemic [Accessed on
10 January 2023]
Economist, the, 2022. “The pandemic’s true death toll,” [online]. Available at: https://www.economist.com/graphic-detail/coro-
navirus-excess-deaths-estimates [Accessed on 11 January 2023]
EPI, Alm.del - 2022-23 (2. samling) - Bilag 17: Tænketanken EUROPA's publikation: "The EU's pandemic response: How the Union’s response to COVID-19 set new precedents for fiscal and industrial policy, strengthened health institutions and weakened European democracy."
38
THE EU’s PANDEMIC RESPONSE
EUROACTIVE, 2012. “Merkel on eurobonds: ‘Not in my lifetime’,” [online]. Available at: https://www.euractiv.com/section/
euro-finance/news/merkel-on-eurobonds-not-in-my-lifetime/ [Accessed on 10 January 2023]
Euronews, 2022. “Germany to spend €200 billion to tackle high energy prices,” 29 September 2022 [online]. Available at:
https://www.euronews.com/my-europe/2022/09/29/germany-to-spend-200-billion-to-tackle-high-energy-prices [Accessed
on 10 January 2023]
European Center for Disease Control, 2019. “Strategic and performance analysis of ECDC response to the COVID-19 pande-
mic,” [online]. Available at: https://www.ecdc.europa.eu/sites/default/files/documents/ECDC_report_on_response_Covid-19.pdf
[Accessed on 10 January 2023]
European Central Bank, 2022. “Pandemic emergency purchase programme (PEPP),” [online]. Available at: https://www.ecb.
europa.eu/mopo/implement/pepp/html/index.en.html [Accessed on 10 January 2023]
European Commission, a. “Internal Market, Industry, Entrepreneurship and SMEs - Borderline products,” [online]. Available
at: https://single-market-economy.ec.europa.eu/sectors/cosmetics/cosmetic-products-specific-topics/borderline-products_en
[Accessed on 10 January 2023]
European Commission, b. “Internal Market, Industry, Entrepreneurship and SMEs - Personal protective equipment (PPE),”
[online]. Available at: https://single-market-economy.ec.europa.eu/sectors/mechanical-engineering/personal-protective-equip-
ment-ppe_en [Accessed on 10 January 2023]
European Commission, c. “Internal Market, Industry, Entrepreneurship and SMEs – Machinery,” [online]. Available at: https://
single-market-economy.ec.europa.eu/sectors/mechanical-engineering/machinery_en [Accessed on 10 January 2023]
European Commission, 2008. “Temporary framework for State aid measures to support access to finance in the current
financial and economic crisis,” [online]. Available at: https://ec.europa.eu/competition/state_aid/legislation/temp_framework_
en.pdf [Accessed on 10 January 2023]
European Commission, 2014. “COMMISSION DECISION of 10.4.2014 on approval of the Joint Procurement Agreement to
procure medical countermeasures pursuant to Decision 1082/2013/EU,” 10 April 2014 [online]. Available at: https://health.
ec.europa.eu/publications/commission-decision-c2014-2258-final_en [Accessed on 10 January 2023]
European Commission, 2019, “Speech by President-elect von der Leyen in the European Parliament Plenary on the occasion
of the presentation of her College of Commissioners and their programme,” 27 November 2019 [online]. Available at: https://
ec.europa.eu/commission/presscorner/detail/en/SPEECH_19_6408 [Accessed on 10 January 2023]
European Commission, 2020a. “State aid: Commission adopts Temporary Framework to enable Member States to further
support the economy in the COVID-19 outbreak,” 19 March 2020 [online]. Available at: https://ec.europa.eu/commission/pres-
scorner/detail/en/IP_20_496 [Accessed on 10 January 2023]
European Commission, 2020b. “COMMUNICATION FROM THE COMMISSION TO THE EUROPEAN PARLIAMENT, THE
COUNCIL, THE EUROPEAN ECONOMIC AND SOCIAL COMMITTEE AND THE COMMITTEE OF THE REGIONS - Building a Euro-
pean Health Union: Reinforcing the EU’s resilience for cross-border health threats,” 11 November 2020 [online]. Available at:
https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A52020DC0724 [Accessed on 10 January 2023]
European Commission, 2020c. “Recovery plan for Europe,” [online]. Available at: https://commission.europa.eu/stra-
tegy-and-policy/recovery-plan-europe_en [Accessed on 10 January 2023]
European Commission, 2020d. “REGULATION OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL on serious
cross-border threats to health and repealing Decision No 1082/2013/EU,” 11 November 2020 [online]. Available at: https://
eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:52020PC0727 [Accessed on 10 January 2023]
European Commission, 2020e. “Coronavirus: Commission presents practical guidance to ensure continuous flow of goods
across EU via green lanes,” 23 March 2020 [online]. Available at: https://ec.europa.eu/commission/presscorner/detail/en/
ip_20_510 [Accessed on 10 January 2023]
European Commission, 2020f. “Unleashing the full potential of European SMEs,” 10 March 2020 [online]. Available at:
https://ec.europa.eu/commission/presscorner/detail/en/fs_20_426 [Accessed on 10 January 2023]
European Commission, 2020g. “COMMUNICATION FROM THE COMMISSION TO THE EUROPEAN PARLIAMENT, THE EURO-
PEAN COUNCIL, THE COUNCIL AND THE EUROPEAN INVESTMENT BANK EU Strategy for COVID-19 vaccines,” 17 June 2020
[online]. Available at: https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:52020DC0245&from=EN [Accessed
on 10 January 2023]
EPI, Alm.del - 2022-23 (2. samling) - Bilag 17: Tænketanken EUROPA's publikation: "The EU's pandemic response: How the Union’s response to COVID-19 set new precedents for fiscal and industrial policy, strengthened health institutions and weakened European democracy."
39
THE EU’s PANDEMIC RESPONSE
European Commission, 2020h. “COMMUNICATION FROM THE COMMISSION TO THE EUROPEAN PARLIAMENT, THE COUN-
CIL, THE EUROPEAN ECONOMIC AND SOCIAL COMMITTEE AND THE COMMITTEE OF THE REGIONS A European strategy
for data,” 19 February 2020 [online]. Available at: https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:52020D-
C0066&from=EN [Accessed on 10 January 2023]
European Commission, 2020i. “Speech of Vice President Věra Jourová on countering disinformation amid COVID-19
“From pandemic to infodemic”,” 4 June 2020 [online]. Available at: https://ec.europa.eu/commission/presscorner/detail/en/
speech_20_1000 [Accessed on 10 January 2023]
European Commission, 2021a. “The Commission proposes the next generation of EU own resources,” 22 December 2021
[online]. Available at: https://ec.europa.eu/commission/presscorner/detail/en/ip_21_7025 [Accessed on 10 January 2023]
European Commission, 2021b. “Emerging stronger from the pandemic: acting on the early lessons learnt,” 15 June 2021
[online]. Available at: https://ec.europa.eu/commission/presscorner/detail/en/ip_21_2989 [Accessed on 10 January 2023]
European Commission, 2021c. “Coronavirus Response: Commission proposes to exempt vital goods and services distributed
by the EU from VAT in times of crisis,” 12 April 2021 [online]. Available at: https://ec.europa.eu/commission/presscorner/de-
tail/en/ip_21_1642 [Accessed on 10 January 2023]
European Commission, 2021d. “Updating the 2020 Industrial Strategy: towards a stronger Single Market for Europe’s
recovery,” 5 May 2021 [online]. Available at: https://ec.europa.eu/commission/presscorner/detail/en/IP_21_1884 [Accessed on
10 January 2023]
European Commission, 2022a. “The European instrument for temporary Support to mitigate Unemployment Risks in an
Emergency (SURE),” [online]. Available at: https://economy-finance.ec.europa.eu/eu-financial-assistance/sure_en [Accessed on
10 January 2023]
European Commission, 2022b. “EU4Health programme 2021-2027 – a vision for a healthier European Union,” [online]. Avai-
lable at: https://health.ec.europa.eu/funding/eu4health-programme-2021-2027-vision-healthier-european-union_en [Accessed
on 10 January 2023]
European Commission, 2022c. “Commission work programme 2023,” [online]. Available at: https://commission.europa.eu/
strategy-documents/commission-work-programme/commission-work-programme-2023_en [Accessed on 10 January 2023]
European Commission, 2022d. “European Health Union: first State of Health Preparedness Report shows EU’s strong
progress,” 30 November 2022 [online]. Available at: https://ec.europa.eu/commission/presscorner/detail/en/ip_22_7154
[Accessed on 10 January 2023]
European Commission, 2022e. “European Health Union: HERA launches first work plan with €1.3 billion for preparedness
and response to health emergencies in 2022,” 10 February 2022 [online]. Available at: https://ec.europa.eu/commission/pres-
scorner/detail/en/ip_22_928 [Accessed on 10 January 2023]
European Commission, 2022f. “State aid: Commission will phase out State aid COVID Temporary Framework,” 12 May 2022
[online]. Available at: https://ec.europa.eu/commission/presscorner/detail/en/STATEMENT_22_2980 [Accessed on 10 January
2023]
European Commission, 2022g. “Proposal for a REGULATION OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL
establishing a Single Market emergency instrument and repealing Council Regulation No (EC) 2679/98,” 19 September 2022
[online]. Available at: https://single-market-economy.ec.europa.eu/system/files/2022-09/COM_2022_459_1_EN_ACT_part1_
v12.pdf [Accessed on 10 January 2023]
European Commission, 2022h. “Proposal for a REGULATION OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL esta-
blishing a framework of measures for strengthen,” 8 February 2022 [online]. Available at: https://eur-lex.europa.eu/resource.
html?uri=cellar:ca05000a-89d4-11ec-8c40-01aa75ed71a1.0001.02/DOC_1&format=PDF [Accessed on 10 January 2023]
European Commission, 2022i. “COVID-19 disinformation monitoring programme,” [online]. Available at: https://digital-stra-
tegy.ec.europa.eu/en/policies/covid-19-disinformation-monitoring [Accessed on 10 January 2023]
European Commission, 2022j. “MEDDELELSE FRA KOMMISSIONEN TIL EUROPA-PARLAMENTET, RÅDET, DET EUROPÆI-
SKE ØKONOMISKE OG SOCIALE UDVALG OG REGIONSUDVALGET om handlingsplanen for europæisk demokrati,” 3 Decem-
ber 2022 [online]. Available at: https://eur-lex.europa.eu/legal-content/DA/TXT/PDF/?uri=CELEX:52020DC0790&from=DA
[Accessed on 10 January 2023]
EPI, Alm.del - 2022-23 (2. samling) - Bilag 17: Tænketanken EUROPA's publikation: "The EU's pandemic response: How the Union’s response to COVID-19 set new precedents for fiscal and industrial policy, strengthened health institutions and weakened European democracy."
40
THE EU’s PANDEMIC RESPONSE
European Commission, 2022k. “Ukraine: Sanctions on Kremlin-backed outlets Russia Today and Sputnik,” 2 March 2022
[online]. Available at: https://ec.europa.eu/commission/presscorner/detail/en/ip_22_1490 [Accessed on 10 January 2023]
European Commission, 2023. “Internal Market, Industry, Entrepreneurship and SMEs – Tourism,” [online]. Available at:
https://single-market-economy.ec.europa.eu/sectors/tourism_en [Accessed on 10 January 2023]
European Council, 2020a. “Statement of EU ministers of finance on the Stability and Growth Pact in light of the COVID-19
crisis,” 23 March 2020 [online]. Available at: https://www.consilium.europa.eu/en/press/press-releases/2020/03/23/sta-
tement-of-eu-ministers-of-finance-on-the-stability-and-growth-pact-in-light-of-the-covid-19-crisis/ [Accessed on 10 January
2023]
European Council, 2020b. “Special meeting of the European Council (17, 18, 19, 20 and 21 July 2020) – Conclusions,” 21 July
2020 [online]. Available at: https://www.consilium.europa.eu/media/45109/210720-euco-final-conclusions-en.pdf [Accessed
on 10 January 2023]
European Council, 2020c. “Special meeting of the European Council (1 and 2 October 2020) – Conclusions,” 2 October 2020
[online]. Available at: https://www.consilium.europa.eu/media/45910/021020-euco-final-conclusions.pdf [Accessed on 10
January 2023]
European Council, 2020d. “Joint statement of the Members of the European Council,” 26 March 2020 [online]. Available at:
https://www.consilium.europa.eu/media/43076/26-vc-euco-statement-en.pdf [Accessed on 10 January 2023]
European Council, 2020e. “Council conclusions on strengthening resilience and countering hybrid threats, including disinfor-
mation in the context of the COVID-19 pandemic,” 15 December 2020 [online]. Available at: https://data.consilium.europa.eu/
doc/document/ST-14064-2020-INIT/en/pdf [Accessed on 10 January 2023]
European Council, 2020f. “Council calls for strengthening resilience and countering hybrid threats, including disinformation
in the context of the COVID-19 pandemic,” 15 December 2020 [online]. Available at: https://www.consilium.europa.eu/en/
press/press-releases/2020/12/15/council-calls-for-strengthening-resilience-and-countering-hybrid-threats-including-disinfor-
mation-in-the-context-of-the-covid-19-pandemic/ [Accessed on 10 January 2023]
European Council, 2021. “Employment, Social Policy, Health and Consumer Affairs Council, 6-7 December 2021,” 6 December
2021 [online]. Available at: https://www.consilium.europa.eu/en/meetings/epsco/2021/12/06-07/ [Accessed on 10 January
2023]
European Council, 2022a. “Proposal for a REGULATION OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL amending
Regulation (EC) No 851/2004 establishing a European Centre for disease prevention and control - Outcome of the European
Parliament’s first reading,” 6 October 2022 [online]. Available at: https://aeur.eu/f/3lm [Accessed on 10 January 2023]
European Council, 2022b. “COVID-19: Council updates recommendation on non-essential travel from third countries,” 22
February 2022 [online]. Available at: https://www.consilium.europa.eu/en/press/press-releases/2022/02/22/covid-19-coun-
cil-updates-recommendation-on-non-essential-travel-from-third-countries/ [Accessed on 10 January 2023]
European Health Emergency preparedness and Response Authority, 2022. “State of health preparedness Report,” [online].
Available at: https://health.ec.europa.eu/system/files/2022-11/hera_shp-report-2022_en_0.pdf [Accessed on 10 January
2023]
European Innovation Council, 2023. “EIC Accelerator,” [online]. Available at: https://eic.ec.europa.eu/eic-funding-opportuniti-
es/eic-accelerator-0_en [Accessed on 10 January 2023]
European Ombudsman, 2021. “Decision in strategic inquiry OI/3/2020/TE on how the ECDC gathered and communicated
information during the COVID-19 crisis,” 5 February 2021 [online]. Available at: https://www.ombudsman.europa.eu/en/decisi-
on/en/137815 [Accessed on 10 January 2023]
Ferreira, Elisa, 2020. “The role of Cohesion policy in the fight against COVID-19 with Elisa Ferreira,” 21 April 2020 [online].
Available at: https://www.bruegel.org/event/role-cohesion-policy-fight-against-covid-19-elisa-ferreira [Accessed on 10 January
2023]
Fox, Benjamin & Vasques, Eleonora, 2022. “Von der Leyen: Treaty change needed to show EU is ‘serious’ on reform,” EURO-
ACTIV [online]. Available at: https://www.euractiv.com/section/future-eu/news/von-der-leyen-treaty-change-needed-to-show-
eu-is-serious-on-reform/ [Accessed on 10 January 2023]
EPI, Alm.del - 2022-23 (2. samling) - Bilag 17: Tænketanken EUROPA's publikation: "The EU's pandemic response: How the Union’s response to COVID-19 set new precedents for fiscal and industrial policy, strengthened health institutions and weakened European democracy."
41
THE EU’s PANDEMIC RESPONSE
FRENCH PRESIDENCY OF THE COUNCIL OF THE EUROPEAN UNION, 2022. “Launch of an IPCEI on Health Announced Du-
ring the Ministerial Conference ‘Towards an Independent, Competitive and Innovative European Healthcare Sector’,” 3 March
2022 [online]. Available at: https://presidence-francaise.consilium.europa.eu/en/news/press-conference-launch-of-an-ip-
cei-on-health-announced-during-the-ministerial-conference-towards-an-independent-competitive-and-innovative-europ-
ean-healthcare-sector/ [Accessed on 10 January 2023]
Friis, Lykke, Sørensen, Catharina & Tybjærg Schacke-Barfoed, Iben, 2021. ”Den europæiske improvisator,” [Online]. Available
at: https://thinkeuropa.dk/notat/2021-06-den-europaeiske-improvisator [Accessed 11 January 2023]
Georgiou, Christakis, 2021. “Europe’s « Hamiltonian Moment »? On the Uses and Explanatory Usefulness of Historical Com-
parison,” European Consortium for Political Research, [online]. Available at: https://ecpr.eu/Events/Event/PaperDetails/56620
[Accessed 11 January 2023]
Germany’s Presidency of the Council of the European Union, 2020. “Four days, four nights: A look back on the special me-
eting of the European Council in July 2020,” 24 July 2020 [online]. Available at: https://www.eu2020.de/eu2020-en/news/
article/-/2370576 [Accessed on 10 January 2023]
Greer, Scott L., Fahy, Nick, Rozenblum, Sarah et al., 2019. “Everything you need to know about European Union health poli-
cies but were afraid to ask,” European Observatory on Health Systems and Policies, Second, revised edition
Lauritzen, Thomas 2022. “EU kortslutter magten og spytter nødretslove ud som aldrig før,” Altinget [online]. Available at: ht-
tps://www.altinget.dk/eu/artikel/eu-kortslutter-magten-og-spytter-noedretslove-ud-som-aldrig-foer [Accessed on 10 January
2023]
Martinsen, Dorte Sindbjerg & Goetz, Klaus H. (2022) COVID-19 and European Multi-Level Democracy. JCMS: Journal of Com-
mon Market Studies, 60: 137– 149. https://doi.org/10.1111/jcms.13417
Matthijs, Matthias & McNamara, Kathleen, 2015. The Euro Crisis’ Theory Effect: Northern Saints, Southern Sinners, and the
Demise of the Eurobond. Journal of European Integration, 37:2, 229-245, DOI: 10.1080/07036337.2014.990137
Mcevoy, Emma, & Ferri, Diella, 2020. The Role of the Joint Procurement Agreement during the COVID-19 Pandemic: Asses-
sing Its Usefulness and Discussing Its Potential to Support a European Health Union. European Journal of Risk Regulation,
11(4), 851-863. doi:10.1017/err.2020.91
Metsola, Roberta, Fiala, Petr & von der Leyen, Ursula, 2022. “EU Legislative Priorities for 2023 and 2024 - Joint Declaration
of the European Parliament, the Council of the European Union and the European Commission,” [online]. Available at: https://
commission.europa.eu/system/files/2022-12/221213-Joint%20Declaration%202023-2024.pdf [Accessed on 10 January 2023]
Official Journal of the European Union, 2004. “REGULATION (EC) No 851/2004 OF THE EUROPEAN PARLIAMENT AND OF
THE COUNCIL of 21 April 2004 establishing a European centre for disease prevention and control,” 30 April 2004 [online].
Available at: https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32004R0851&from=EN [Accessed on 10
January 2023]
Official Journal of the European Union, 2020a. “Guidelines for border management measures to protect health and ensure
the availability of goods and essential services,” 16 March 2020 [online]. Available at: https://eur-lex.europa.eu/legal-content/
EN/TXT/PDF/?uri=CELEX:52020XC0316(03)&from=EN;%20https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=-
CELEX:52020XC0330(03)&from=EN;%20https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:52020X-
C0508(01)&from=EN;%20https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:52020XC0414(01)&from=EN
[Accessed on 10 January 2023]
Official Journal of the European Union, 2020b. “COMMISSION RECOMMENDATION (EU) 2020/403 of 13 March 2020 on
conformity assessment and market surveillance procedures within the context of the COVID-19 Threat,” 16 March 2020
[online]. Available at: https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32020H0403&from=EN [Accessed on
10 January 2023]
Official Journal of the European Union, 2020c. “COMMUNICATION FROM THE COMMISSION Guidance from the European
Commission on using the public procurement framework in the emergency situation related to the COVID-19 crisis,” 1 April
2020 [online]. Available at: https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:52020XC0401(05)&from=EN
[Accessed on 10 January 2023]
Official Journal of the European Union, 2020d. “COMMUNICATION FROM THE COMMISSION TO THE EUROPEAN PARLIA-
MENT, THE COUNCIL, THE EUROPEAN ECONOMIC AND SOCIAL COMMITTEE AND THE COMMITTEE OF THE REGIONS Buil-
ding a European Health Union: Reinforcing the EU’s resilience for cross-border health threats,” 11 November 2020 [online].
Available at https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A52020DC0724 [Accessed on 10 January 2023]
EPI, Alm.del - 2022-23 (2. samling) - Bilag 17: Tænketanken EUROPA's publikation: "The EU's pandemic response: How the Union’s response to COVID-19 set new precedents for fiscal and industrial policy, strengthened health institutions and weakened European democracy."
42
THE EU’s PANDEMIC RESPONSE
Official Journal of the European Union, 2021. “REGULATION (EU) 2021/522 OF THE EUROPEAN PARLIAMENT AND OF THE
COUNCIL of 24 March 2021 establishing a Programme for the Union’s action in the field of health (‘EU4Health Programme’)
for the period 2021-2027, and repealing Regulation (EU) No 282/2014,” 26 March 2021 [online]. Available at: https://eur-lex.
europa.eu/legal-content/EN/TXT/?uri=uriserv%3AOJ.L_.2021.107.01.0001.01.ENG [Accessed on 10 January 2023]
Official Journal of the European Union, 2022a. “REGULATION (EU) 2022/123 OF THE EUROPEAN PARLIAMENT AND OF
THE COUNCIL of 25 January 2022 on a reinforced role for the European Medicines Agency in crisis preparedness and
management for medicinal products and medical devices,” 31 January 2022 [online]. Available at: https://eur-lex.europa.eu/
legal-content/EN/TXT/?uri=CELEX%3A32022R0123 [Accessed on 10 January 2023]
Official Journal of the European Union, 2022b. “REGULATION (EU) 2022/2065 OF THE EUROPEAN PARLIAMENT AND
OF THE COUNCIL of 19 October 2022 on a Single Market For Digital Services and amending Directive 2000/31/EC (Digital
Services Act),” 27 October 2022 [online]. Available at: https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CE-
LEX:32022R2065&from=EN [Accessed on 10 January 2023]
Our World in data, 2023. “Total COVID-19 vaccine doses administered per 100 people,” [online]. Available at: https://ourwor-
ldindata.org/grapher/covid-vaccination-doses-per-capita?time=2021-01-01..2022-01-01&country=USA~European+Union~GBR
[Accessed on 10 January 2023]
Policy Department for Citizens’ Rights and Constitutional Affairs, 2022. “Improving urgency procedures and crisis prepared-
ness within the European Parliament and EU institutions” European Parliamant [online]. Available at: https://www.europarl.
europa.eu/RegData/etudes/STUD/2022/730838/IPOL_STU(2022)730838_EN.pdf [Accessed 10 January 2023]
Rios, Beatriz, Schulz, Florence, Fortuna, Gerardo & Valero, Jorge, 2020. “Leaders clash over stimulus against pandemic,
pass hot potato to Eurogroup,” EUROACTIVE, 27 March 2020 [online]. Available at: https://www.euractiv.com/section/
economy-jobs/news/leaders-clash-over-stimulus-against-pandemic-pass-the-hot-potato-to-the-eurogroup/ [Accessed on 10
January 2023]
Schramm Lucas & Wessels Wolfgang, 2022. The European Council as a crisis manager and fusion driver: assessing the EU’s
fiscal response to the COVID-19 pandemic, Journal of European Integration, doi: 10.1080/07036337.2022.2111418
Sørensen, Ditte Maria Brasso, 2022. “Konklusioner: Roundtable om European Health Data Space,” Tænketanken EUROPA
[online]. Available at: https://thinkeuropa.dk/node/3330/pdf-export [Accessed on 10 January 2023]
Sørensen, Ditte Maria Brasso & Foss, Rasmus, 2022. “EU’s nye industripolitik truer konkurrenceevnen i den danske mediko-
industri,” Tænketanken EUROPA [online]. Available at: https://thinkeuropa.dk/debatindlaeg/2022-05-eus-nye-industripo-litik-
truer-konkur-ren-ce-evnen-i-den-danske-mediko-in-du [Accessed on 10 January 2023]
Sørensen, Ditte Maria Brasso & Overvad, Anders, 2022. “Tænketanken Europa: Lemper EU statsstøttereglerne, kan det
skade danske interesser,” Altinget [online]. Available at: https://www.altinget.dk/eu/artikel/taenketank-lemper-eu-statsstoet-
tereglerne-kan-det-skade-danske-interesser [Accessed on 10 January 2023]
The Economist, 2021. “Europe’s radical economic response to covid-19,” 31 March 2021 [online]. Available at: https://www.
economist.com/briefing/2021/03/31/europes-radical-economic-response-to-covid-19 [Accessed on 10 January 2023]
Tesche, Tobias, 2022. Pandemic Politics: The European Union in Times of the Coronavirus Emergency. JCMS: Journal of
Common Market Studies, 60: 480– 496. https://doi.org/10.1111/jcms.13303.
van Middelaar, Luuk, 2021. Pandemonium – saving Europe. Agenda Publishing Ltd.
von der Leyen, Ursula, 2022. “2022 State of the Union Address by President von der Leyen,” European Commission, 14
September 2022 [online]. Available at: https://ec.europa.eu/commission/presscorner/detail/ov/speech_22_5493 [Accessed on
10 January 2023]
Von Ondarza, Nikolai 2020. The European Parliament’s Involvement in the EU Response to the Corona Pandemic. Stiftung
Wissenschaft und Politik (SWP), Berlin. doi:10.18449/2020C45
Voorhoof, Dirk, 2022. “EU silences Russian state media: a step in the wrong direction,” Global Freedom of Expression,
Columbia University. [online]. Available at: https://globalfreedomofexpression.columbia.edu/publications/eu-silences-russian-
state-media-a-step-in-the-wrong-direction/ [Accessed 10 January 2023]
Wessels, Wolfgang, 2016. The European Council as a Crisis Manager: The EU’s Fiscal Response to the COVID-19 Pandemic.
The European Council. London: Bloomsbury, p. 43-58. Bind 19 af Studies on the European Union Series
EPI, Alm.del - 2022-23 (2. samling) - Bilag 17: Tænketanken EUROPA's publikation: "The EU's pandemic response: How the Union’s response to COVID-19 set new precedents for fiscal and industrial policy, strengthened health institutions and weakened European democracy."
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The EU’s Pandemic Response has been financed by
the Novo Nordisk Foundation
(NNF20SA0065656)