The second Trump administration: A policy analysis of challenges and opportunities for European health policymakers

IF 3.4 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health Policy Pub Date : 2025-05-18 DOI:10.1016/j.healthpol.2025.105350

Scott L. Greer , Holly Jarman , Rachel Kulikoff , Dimitra Panteli , Ewout van Ginneken , Matthias Wismar

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Abstract

Background

The second Trump administration has already made major changes in US policies that affect health and health systems worldwide.

Methods

We use the Health System Performance Assessment categories developed by the European Observatory on Health Systems and Policies to identify areas in which US actions affect the health systems and policies of European states and the EU, and presidential Executive Orders supplemented by campaign statements to understand US actions.

Results

We identify relevant US policies in the areas of finance, resource generation (regulation, vaccines, artificial intelligence, supply chain resilience, workforce, research, education) and governance (geopolitical turbulence, climate change, US departure from the World Health Organization, and foreign aid). We then identify opportunities for states or the EU to strengthen their health systems, potential threats to their health systems that might arise from US actions, and serious confirmed threats.

Conclusion

The second Trump administration is creating heavy demands on European governments in many areas, which might undermine their fiscal capacity and willingness to fund health systems or new ventures, but diminished US investment in areas such as multilateralism, pandemic response, research, education, and aid (especially in areas such as gender and reproductive health) all create opportunities for European policymakers to strengthen their health systems, health-related economic sectors, and influence in global health governance.

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第二届特朗普政府：欧洲卫生政策制定者面临的挑战和机遇的政策分析

特朗普第二届政府已经对影响全球卫生和卫生系统的美国政策做出了重大改变。方法我们使用欧洲卫生系统和政策观察站制定的卫生系统绩效评估类别来确定美国的行动影响欧洲国家和欧盟卫生系统和政策的领域，并使用总统行政命令和竞选声明来了解美国的行动。结果：我们确定了美国在金融、资源产生（监管、疫苗、人工智能、供应链弹性、劳动力、研究、教育）和治理（地缘政治动荡、气候变化、美国退出世界卫生组织和外援）领域的相关政策。然后，我们确定各国或欧盟加强其卫生系统的机会，美国行动可能对其卫生系统产生的潜在威胁，以及严重的确认威胁。第二届特朗普政府在许多领域对欧洲政府提出了苛刻的要求，这可能会削弱它们的财政能力和为卫生系统或新企业提供资金的意愿，但美国在多边主义、流行病应对、研究、教育和援助（特别是在性别和生殖健康等领域）等领域的投资减少，都为欧洲决策者创造了加强卫生系统、与健康相关的经济部门的机会。以及对全球卫生治理的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.