Bruch M
Bull Soc Sci Med Grand Duche Luxemb. 1997;134(2):5-10.
The European Union has a formal interest in public health under the Article 129 of the Maastricht Treaty. Hitherto, the main contribution of the European Union action in public health has been limited to research, health information and education concerning, in particular major diseases and drug dependence. Unfortunately the European architects did not clearly conceive a plan for the establishment of a common health policy despite the fact that the European health policies are fragmented and are often the indirect results of economic policies. Indeed, the domain of public health is essentially governed by the principle of national sovereignty, onto which the principle of subsidiarity has been grafted. Whereas Article 129 of the Maastricht Treaty applies especially to preventive health policies, the concomitant affirmation of the principle of subsidiarity in this field tends to suspend any establishment of a European health policy. In the same way, the lack of compulsory provisions relating to Community actions, expressed as recommendations, raises the question whether the European Union is willing to move to a European health policy.
根据《马斯特里赫特条约》第129条,欧盟在公共卫生方面有正式的利益关切。迄今为止,欧盟在公共卫生领域的行动主要贡献仅限于研究、健康信息以及特别是关于重大疾病和药物依赖方面的教育。不幸的是,尽管欧洲的卫生政策分散且往往是经济政策的间接结果,但欧洲的设计者们并未明确构想建立一项共同卫生政策的计划。事实上,公共卫生领域本质上受国家主权原则支配,辅助性原则已嫁接到该原则之上。虽然《马斯特里赫特条约》第129条特别适用于预防性卫生政策,但在这一领域对辅助性原则的同时确认往往使欧洲卫生政策的任何建立都暂停下来。同样,以建议形式表述的与共同体行动相关的强制性规定的缺乏,引发了欧盟是否愿意转向欧洲卫生政策的问题。