Final text: Social Affairs and Healthcare

Pad is here.

extracted on 20-6 from Etherpad

Social Affairs and Healthcare

All inhabitants of the EU have the right to the highest attainable standard of the quality of health care and health education, no matter how health systems have been structured (private, public or mixed).

This includes preventive, curative and palliative health care, as well as mental health care. It also includes the underlying social determinants of health, such as safe food, potable water, basic sanitation and adequate housing, safe and healthy working conditions and a healthy environment.

An adequate level of health care can only be provided if the health care workers are paid a decent wage and enough equipment and medicines are available. Training and employing enough medical professionals is necessary to reduce waiting lists and to keep medical professionals working in the field.

The costs of Health care should either be paid for by public funds or public health insurance or a combination. Health insurance should be mandatory and affordable for all EU citizens regardless of their income level, and coordinated between EU countries.

Availability & Comfort of the Patient

Pirates want an equal access to health care for every inhabitant of the EU, irrespective of the resources available to a state, and support:

  • No discrimination (direct or indirect) in access to health care, irrespective of the resources available to a state.

  • Health goods and services should be accessible to everyone. States must ensure that no persons face barriers in accessing their right to health including the access to information about health and health services.

  • Health goods and services affordable for everybody regardless of their income level.

  • Health laws and policies designed and implemented in a transparent manner and with meaningful participation of persons affected by it. All health systems must include a framework for accountability, which should include access to effective judicial or other appropriate measures for violations of the right to health.

  • Free access to prenatal care for all pregnant women, with focus on both physical and mental well being.

  • Adequate perinatal care

  • Free guidance by public health nurses and doctors, monitoring physical and mental health and development of children in their families.

  • Preventing and fighting poverty. Poverty leads to poor health in children by e.g. poor diet, bad housing, stress, feelings of inferiority.

  • To ensure mobility of nurses within the EU, all countries should conform to the same minimum academic standards in training.

  • Easier cross-border care utilization: Improving opportunities to use health care systems abroad on the account of domestic health insurance companies.

  • Cross-border care should not lead to the implementation of policies that violate privacy, nor against decentralization of data or patients control and consent over the use of their data.

  • EU health card for the world: Negotiation of the validity of the European Health Insurance Card (Blue Card) in the non-EU countries.

Patents and Technology

  • Reducing the number and lifetime of patents for medicines or at least avoiding administrative prolongation of patents. Publicly funded medicines, including e.g COVID related vaccines, should be available under patent-free open-source license.

  • Pirates demand that the Europe strengthens its sovereignty on active ingredient and medicines production.

  • Pirates demand that Europe strengthens its sovereignty in production and development of biomedical equipment.

  • Apps and equipment that measure biomedical data, including menstruation and firness apps, should fully comply to the GDPR and should never be used for Biometric Mass Surveillance.

  • The European Pirate Party demands adequate data protection for the European Health Data Space. We understand that health data is useful for science, but it can be misused by e.g. insurance companies and employers.

  • Health data must be anonymized and encrypted. To this end, it must be clearly defined where they are stored and when and by whom they may be used.

Right to Bodily Autonomy

  • The European Pirate Party considers bodily autonomy to be an important human right, and as such we demand that safe and legal abortion be available to all, no matter the reason for their choice. We also demand free access to contraceptives, including both male and female sterilization. All medical procedures, particularly those related to sexual and reproductive health and rights, must be based on informed consent obtained without coercion. As such, we demand the criminalization of sex corrective procedures done on intersex infants unless it is absolutely medically neccesary.

  • In addition, we demand an informed consent model for gender affirming care, that it is made affordable and also accessible. Neither legal gender recognition nor access to medical or surgical sex reassignment should be made conditional on abusive requirements such as psychiatric diagnosis, normative gender expression, or medical procedures.

  • We will work towards creating a safe and inclusive environment where everyone can freely express their gender identity and sexual orientation, without fear of discrimination or violence.

Free Movement of Workers

EU nationals working in another EU country have to overcome dozens of administrative obstacles to work in and fully integrate into another EU country – especially different social security systems, different nature of the payment into these systems, registration to health care systems etc. Therefore the EU should encourage its Member states to continue in removing administrative barriers to the Free movement of Workers through the harmonisation of social security systems and public healthcare systems, especially the harmonisation of payments into these systems and sharing the information between the member states.

Fighting Discrimination

  • We propose policies that promote equal rights and opportunities for all individuals regardless of gender or sexual orientation. We prioritize mainstreaming gender equality and LGBTI rights. This would involve ending discrimination and violence against women and LGBTI individuals, promoting reproductive health and rights, and ensuring equal pay and employment opportunities. We believe that recognition of same-sex marriage and parenthood should be enshrined.

Just transition

  • As advocates of the digital and green transitions, we acknowledge the interconnectedness of social, digital, and environmental issues, especially in certain regions. We therefore promote adequate EU funding to the most impacted regions, and for the promotion of new required skills. We push for life-long learning via up-skilling and re-skilling for instance. Ensuring that science, technology, engineering and mathematics sectors are appropriately staffed, with a view of integrating underrepresented categories is a priority.

  • As part of no one left behind policy, we do believe that providing funding to vulnerable persons/households for their transition regarding transport, heating, insulation, etc. is necessary.

Social Standards

  • Pirates defend the idea of universal access to education, knowledge, healthcare and adequate social protection. On the latter, we need to protect vulnerable groups from poverty and exclusion, including through policies that guarantee a minimum income and adequate social services.

  • Workers shall be granted appropriate and good working conditions. Teleworking and platform work are becoming more and more prominent but are still facing regulatory gaps. We must ensure that new forms of work are not enhancing employees surveillance nor degrading their working conditions and rights.

  • European countries shall ensure adequacy of wages for the employees working in European Economic Area. While we recognize impossibility to define it uniformly in current Europe, we believe the employees shall be provided with transparent access to information and proper legal protection to be able to negotiate fair wage. No double standard for refugees and other non-citizens working in Europe shall be allowed. Further research and pilot projects for universal basic income are welcomed.

European Pension Fund

  • Our goal is a truly social Europe with comparable social rules and comparable pension conditions for all Europeans.The pension regulations should not install an even fiercer race of the poor against the very poor!

  • Multiple countries face crises of national pension schemes due to demographic changes and migration between European countries. Therefore Pirates propose foundation of common European pension fund. The fund shall not be considered a replacement of national pension schemes but rather additional complement to them to provide necessary minimum income where needed. No one in Europe shall face poverty in the elder-hood. The pensions shall be available fairly to everybody, without needless restrictions based on age or other criteria.

I struggle with phrasing “highest attainable standard”. The attainable standards in Europe are theoretically very high, however its practical implementation face other budgetary considerations - namely how to ensure sufficient income for the EU budget and whether rather not invest into other areas (e.g. digitazation or decarbonization of ecenomy). Therefore I would prefer phrasing like “respectable standards”

Highest attainable means in my book the highest common standard that can be politically negotiated. In contrast to the least common denominator approach that is what some other parties are effectively aiming for. Replacing that phrase because it could be deliberately misunderstood with something that is even much more vague does not make sense IMHO. I agree that this wording could not be used in a law, but this is what we as a party strive for and perfectly allowable in an election program.

It would be great to underline in the section “Right to Bodily Autonomy” that this implies also that individuals are the only and solely responsible for any kind of cure regarding respective bodies, meaning that no mandatory sanitary treatment is acceptable in any case.
Otherwise we are just cherrypicking bodily autonomy.

I think you are right. When I read your comment I was under the impression that it was already covered by another point, but it isn’t. Something accidentally left out because being too obvious perhaps. So it should be edited in.

Actually rereading it, it is more or less in this section. I’ll edit for more clarity,

Would this satisfy your point?:

Right to bodily autonomy

The European Pirate Party considers bodily autonomy to be an important human right, therefor all medical procedures must be based on informed consent obtained without coercion.

  • Bodily autonomy implies that safe and legal abortion be available to all, no matter the reason for their choice. We also demand free access to contraceptives, including both male and female sterilization.

  • That all medical procedures must be based on informed consent obtained without coercion is particularly true for those related to sexual and reproductive health and rights. As such, we demand the criminalization of sex corrective procedures done on intersex infants unless it is absolutely medically neccesary.

  • In addition, we demand an informed consent model for gender affirming care, that it is made affordable and also accessible. Neither legal gender recognition nor access to medical or surgical sex reassignment should be made conditional on abusive requirements such as psychiatric diagnosis, normative gender expression, or medical procedures.

  • We will work towards creating a safe and inclusive environment where everyone can freely express their gender identity and sexual orientation, without fear of discrimination or violence.

Note that because of a remark by Alessandro I edited the part on bodily autonomy for more clarity in the annotated and final pads.

1 Like
  • 1 from me! I was struggling all along with this and other superlative demands. I would phrase it: “appropriate for European standards”.

To avoid the frustration of disabled people (and our inclusion working group), we should always demand bodily autonomy for x+x+x + disabled persons. Please :slight_smile:

highest common standard is even better!

Well, if this is the case, Andrel, then I go with it, of course. it just sounds a bit superlative for modest people. Would the best attainable standard do it?

Demanding everybody is treated at least to the highest common standard seems a tautology to me. :wink:

Right then, ok. We forget the modest pirates and take the expression :star_struck:

Can you do a suggestion. They are implicitly included, but I assume you want them explicitly mentioned somewhere

Maybe to settle this highest standard thing, we could say that it somehow requires arbitrage and that such arbitrage is of political nature and that collective bodies should be included in the definition of the standards and policies ?

On the Social Affairs and Healthcare Chapter, the board submits the following to the 13th Council Meeting
  • The final text as published by veronika in the first message
  • The text from the merge between the final text as published by veronika in the first message and the proposal from Andrel in the 6th message
  • The text from the 2019 CEEP version (see wiki)
  • No text

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