European Quarterly of the European Observatory on Health Systems and Policies EUROHEALTHon Health Systems and Policies RESEARCH • DEBATE • POLICY • NEWS European Health Forum Gastein 2019 • Changing the DNA of health care in the • Co-creating policies to tackle › 2019 A healthy dose of age of Artificial Intelligence obesity | disruption? • Health innovation: from organisation • Empowering communities to disruption to outcomes value reduce health inequalities Transformative • Facts. Figures! Fiction? • The global climate crisis: a public Number 3 | health emergency change for health and • Transforming financial markets for the good of all • Interview with the European societal well-being Commissioner for Health :: Special Issue :: Volume 25 EUROHEALTH Quarterly of the European Observatory on Health Systems and Policies Eurostation (Office 07C020) Place Victor Horta / Victor Hortaplein, 40 / 10 1060 Brussels, Belgium T: +32 2 524 9240 List of Contributors F: +32 2 525 0936 Vytenis Andriukaitis w DG Sante, European Willy Palm w European Observatory on Health Systems Email: [email protected] Commission, Belgium and Policies, Belgium http://www.healthobservatory.eu Clemens Martin Auer w European Health Forum Clare Payne w The University of Melbourne and SENIOR EDITORIAL TEAM Gastein, Austria Tobacco Free Portfolios, Australia Sherry Merkur: +44 20 7955 6194 [email protected] Sherria Ayuandini w University of Amsterdam, Aaron Reeves w Department of Social Policy and David McDaid: +44 20 7955 6381 [email protected] the Netherlands Intervention, University of Oxford, United Kingdom Gemma Williams: + 44 20 7107 5304 [email protected] Ben Barr w Institute of Population Health Sciences, Tanith Rose w Institute of Population Health Sciences, University of Liverpool, United Kingdom University of Liverpool, United Kingdom EDITORIAL ADVISOR Willy Palm: [email protected] Jan-Philipp Beck w EIT Health, Germany Rachel Stancliffe w The Centre for Sustainable Healthcare Chris Brown w World Health Organization European FOUNDING EDITOR Office for Investment for Health and Development, David Stuckler w Department of Social and Political Elias Mossialos: [email protected] Italy Science and Dondena Research Centre, Bocconi University, Italy LSE Health, London School of Economics Jonathan Cylus w European Observatory on Health and Political Science Systems and Policies, United Kingdom Aleksandra Torbica w Department of Social and Political Science, Bocconi University, Italy Houghton Street, London WC2A 2AE, United Kingdom Stefan Eichwalder w Federal Ministry of Labour, Social T: +44 20 7955 6840 Affairs, Health and Consumer Protection, Austria Sarah Thomson w World Health Organization Barcelona F: +44 20 7955 6803 Office, Spain Tamás Evetovits w World Health Organization Barcelona http://www2.lse.ac.uk/LSEHealthAndSocialCare/ Office, Spain Liisa-Maria Voipio-Pulkki w Ministry of Social Affairs aboutUs/LSEHealth/home.aspx and Health, Finland Josep Figueras w European Observatory on Health EDITORIAL ADVISORY BOARD Systems and Policies, Belgium Yuxi Wang w Department of Social and Political Science, Bocconi University, Italy Paul Belcher, Reinhard Busse, Josep Figueras, Scott L. Greer w Department of Health Management Julian Le Grand, Willy Palm, Suszy Lessof, Martin McKee, and Policy, School of Public Health, University of Matthias Wismar w European Observatory on Health Elias Mossialos, Richard B. Saltman, Sarah Thomson Michigan, United States of America Systems and Policies, Belgium DESIGN EDITOR Johanna Hanefeld w London School of Hygiene Lin Yang w World Health Organization, United States Steve Still: [email protected] & Tropical Medicine, United Kingdom of America Noora Heinonen w Ministry of Finance, Finland PRODUCTION MANAGER Dorli Kahr-Gottlieb w European Health Forum Gastein, Jonathan North: [email protected] Austria CONTENTS SUBSCRIPTIONS MANAGER Stephen K. Klasko w Thomas Jefferson University and Caroline White: [email protected] Jefferson Health, United States of America Knut-Inge Klepp w Norwegian Institute of Public Health, Article Submission Guidelines Norway Available at: http://tinyurl.com/eurohealth Pasi Korhonen w Permanent Representation of Finland Eurohealth is a quarterly publication that provides a forum to the EU, Belgium for researchers, experts and policymakers to express Robert Madelin w Fipra International, Belgium; their views on health policy issues and so contribute Royal College of Physicians of London and to a constructive debate in Europe and beyond. University of Oxford, United Kingdom The views expressed in Eurohealth are those of the authors Martin McKee w London School of Hygiene & Tropical alone and not necessarily those of the European Observatory Medicine and European Observatory on Health Systems on Health Systems and Policies or any of its partners or and Policies, United Kingdom sponsors. Articles are independently commissioned by the Rachel Melsom w Tobacco Free Portfolios and editors or submitted by authors for consideration. Worthing Hospital, United Kingdom Pasi Mustonen w Permanent Representation of Finland The Observatory is a partnership, hosted by WHO/ to the EU, Belgium Europe, which includes other international organizations (the European Commission, the World Bank); national Margot Neveux w World Obesity Federation, and regional governments (Austria, Belgium, Finland, United Kingdom Ireland, Norway, Slovenia, Spain, Sweden, Switzerland, the United Kingdom and the Veneto Region of Italy); other health system organizations (the French National Union of Health Insurance Funds (UNCAM), the Health Foundation); and academia (the London School of Economics and Political Science (LSE) and the London School of Hygiene & Tropical Medicine (LSHTM)).The Observatory has a secretariat in Brussels and it has hubs in London at LSE and LSHTM) and at the Berlin University of Technology.. © WHO on behalf of European Observatory on Health Systems and Policies 2019. No part of this publication Cartoons in this issue are by Comic House/Floris Oudshoorn may be copied, reproduced, stored in a retrieval system or transmitted in any form without prior permission. Eurohealth is available online at: http://www.euro.who.int/en/about-us/partners/observatory/publications/eurohealth and in hard-copy format. If you want to be alerted when a new publication goes online, please sign up to the Observatory e-bulletin: Design and Production: Steve Still http://www.euro.who.int/en/home/projects/observatory/publications/e-bulletins ISSN 1356 – 1030 To subscribe to receive hard copies of Eurohealth, please send your request and contact details to: [email protected] Back issues of Eurohealth are available at: http://www.lse.ac.uk/lsehealthandsocialcare/publications/eurohealth/eurohealth.aspx 1 GUEST EDITORIAL–Clemens YOU(TH) MATTERS–CO-CREATING 2 Martin AuerandDorli Kahr-Gottlieb 30 POLICIESTOTACKLEOBESITY– TRUECHANGEHAPPENSOUTSIDE Margot Neveux, Sherria Ayuandini THECOMFORTZONE and Knut-Inge Klepp Gastein Special Issue Transforming societies ISTHEREANAVATARINTHEHOUSE? EMPOWERINGCOMMUNITIESTO 5 CHANGING THE DNA OF HEALTH 34 REDUCEHEALTH INEQUALITIES CAREINTHEAGEOFARTIFICIAL IN EUROPE–Johanna Hanefeld, INTELLIGENCE–Stephen K. Klasko Aaron Reeves, Lin Yang, Ben Barr, Tanith Rose and Chris Brown Disrupting innovation THE GLOBAL CLIMATE CRISIS: 37 APUBLICHEALTHEMERGENCY– Rachel Stancliffe AREWEREADYFORAI?WHY INNOVATION IN TECHNEEDS 9 CANPEOPLEAFFORDTOPAY FOR TOBEMATCHEDBYINVESTMENT HEALTH CARE? IN PEOPLE–Jan-Philipp Beck 41 NEWEVIDENCEONFINANCIAL PROTECTIONINEUROPE–Sarah HEALTH INNOVATION:FROM Thomson, Jonathan Cylus and 12 ORGANISATIONDISRUPTION Tamás Evetovits TOOUTCOMESVALUE– Robert Madelin Eurohealth Monitor CONTENTS Systems for change EUROPEAN UNION HEALTH 47 POLICY:THEGATEWITHNOFENCE– STEER DON’T ROW?BUTHOW Scott L. Greer 16 TOMOVETHEBOATTOWARDS THEHARBOUR?–Scott L. Greer, IAMTHEEUROPEAN Matthias Wismar, Stefan Eichwalder COMMISSIONER FOR HEALTH, and Josep Figueras 51 NOTFORDISEASE!–FAREWELL INTERVIEW WITH HEALTH FACTS. FIGURES! FICTION?– COMMISSIONER ANDRIUKAITIS– Martin McKee, Yuxi Wang, 19 InterviewbyWilly Palm Aleksandra Torbica and David Stuckler Future formulas THEQUESTFORMOREBALANCED 23 POLICYANDDECISIONMAKING–THE ECONOMY OF WELLBEING–Liisa- Maria Voipio-Pulkki, Noora Heinonen, European Quarterly of the European Observatory on Health Systems and Policies EUROHEALTHon Health Systems and Policies Pasi Korhonen and Pasi Mustonen RESEARCH • DEBATE • POLICY • NEWS European Health Forum Gastein 2019 TRANSFORMINGFINANCIAL 26 MARKETSFORTHEGOODOFALL– Rachel Melsom and Clare Payne • Changing the DNA of health care in the • Co-creating policies to tackle › 2019 A healthy dose of age of Artificial Intelligence obesity | disruption? • Health innovation: from organisation • Empowering communities to disruption to outcomes value reduce health inequalities Transformative • Facts. Figures! Fiction? • The global climate crisis: a public Number 3 | health emergency change for health and • Transforming financial markets for the good of all • Interview with the European societal well-being Commissioner for Health :: Special Issue :: Volume 25 © Gasteinertal Tourismus GmbH Eurohealth — Vol.25 | No.3 | 2019 2 True change happens outside the comfort zone Our European Health Forum Gastein (EHFG) 2019 conference on “A healthy dose of disruption? Transformative change for health and societal well-being” aims to raise questions which may be uncomfortable to ask, yet need to be addressed if we truly want to counter