BRUSSELS — The United States wants to engage in a meaningful dialogue with
Brussels on reducing European tech regulation, its Ambassador to the EU Andrew
Puzder told POLITICO.
The U.S. administration and its allies have been vocal critics of the EU’s tech
rules, saying they unfairly target American companies and hurt freedom of
speech. The European Commission has repeatedly denied such allegations, saying
it is merely trying to rein in Big Tech and protect the online space from
harmful behavior.
In an interview Monday, Puzder said he hoped that this week’s vote in the
European Parliament to advance last year’s transatlantic trade deal would set
the scene for talks to loosen constraints on business.
“I’ve had talks with individuals within the EU about moving this discussion
forward. I haven’t, as yet, experienced the concrete steps we need to make that
happen,” Puzder said. He was referring to the EU’s tech rulebook — and the
Digital Services Act and the Digital Markets Act in particular — that Washington
sees as barriers to trade.
“Hopefully, we’ll continue to talk. Once this trade agreement is approved, in
the spirit of moving forward with these non-tariff trade barriers, we’ll be able
to break down some of these walls,” he added.
Discussions are still in their very early stages and “there’s nothing formal,”
Puzder clarified. The next steps between Brussels and Washington should be
“diplomatic engagement followed by political engagement,” he added.
RECALIBRATION NEGOTIATION
The envoy’s comments follow a heated series of exchanges between senior American
and European officials over whether the EU’s tech rules should even be part of
the transatlantic trade discussion.
In November 2025, Commerce Secretary Howard Lutnick tied a potential easing of
U.S. steel and aluminum tariffs to a “recalibration” by the EU of the bloc’s
digital regulations.
European Commission Executive Vice President Teresa Ribera responded that tying
tariff relief to European tech rules amounted to “blackmail.”
Ribera, the EU’s top competition official, told POLITICO at the time that the EU
would not accept such attempts to strong-arm it on a topic that it considers to
be a matter of sovereignty. She is currently visiting the U.S. and is due to
meet tech industry bosses in San Francisco this week.
Transatlantic ties took another turn for the worse when the Donald Trump
administration in December barred former Industry Commissioner Thierry Breton
from traveling to the U.S. over his role in creating and implementing the EU’s
tech rules.
Puzder explained that Washington doesn’t think “that Europe shouldn’t have
regulation,” but that it shouldn’t be “regulating in such an extreme manner that
companies feel they can’t innovate — which is why … most of the tech startups in
Europe end up moving to Silicon Valley.”
European Commission Vice President Teresa Ribera attends a press conference in
Brussels on Feb. 25, 2026. | Dursun Aydemir/Anadolu via Getty Images
Responding, the European Commission stressed there is “continued engagement”
between the EU and the U.S.
“Executive Vice President [Henna] Virkkunen has held several meetings with U.S.
Representatives, both in Europe and in the U.S. At technical level, our teams
also engage on a continuous basis with their American counterparts,”
spokesperson Thomas Regnier said in a statement to POLITICO.
Virkunnen’s remit covers technology policy.
Before Trump’s return to the White House, the two sides held held a structured
dialogue under the auspices of the now-defunct EU-U.S. Trade and Technology
Council.
The occasional forum, launched by former U.S. President Joe Biden, sought to
establish a structured dialogue around regulatory cooperation. Yet in the view
of observers it under-delivered, failing for instance to resolve a long-running
steel dispute. The TTC has not met since Trump returned to the White House in
early 2025.
Tag - Regulation
U.S. regulators this week proposed easing capital rules on big U.S. banks in a
package of proposals that departs from globally agreed-upon standards. Now, it’s
sparking calls from European trade groups to loosen the EU’s own version of the
rules.
On Thursday, U.S. bank regulators released a number of potential rule changes
intended to align U.S. policy with a 2017 global agreement known as Basel III.
Its provisions imply a 2.4 percent decrease in capital held by the largest U.S.
banks and bigger cuts for smaller banks.
European regulators, anticipating the U.S. move, had already been discussing
loosening their own requirements, which currently call for raising the capital
that banks must have on hand by around 8 percent by 2033.
But the breadth of the U.S. proposal has prompted trade groups in Europe to push
officials to move faster. Taken together, the moves could weaken the global
regulatory framework instituted on both sides of the Atlantic after the 2008
financial crisis.
“The U.S. proposal appears to mark a clear shift toward easing capital
constraints to support lending and growth, while Europe seems to continue moving
in a different direction,” said Sébastien de Brouwer, deputy CEO of the European
Banking Federation, a trade group. The United States’ pullback is “making it
more urgent than ever to review the EU framework to preserve competitiveness and
financing capacity of European banks,” he said.
Over the past few months, European regulators had started to reevaluate the
competitiveness of the bloc’s banking sector, especially as major European
economies have struggled to keep pace with U.S. growth.
EU heads of government called Thursday night, in a statement agreed upon before
the release of the U.S. proposal, for the European Commission “to propose
targeted amendments to the prudential framework in order to enhance the capacity
of the banking sector to finance the European economy.”
The Commission is also authoring a report on the competitiveness of its banking
sector, due after the summer, which will pave the way for legislative proposals.
This is set to be a wide-ranging report that could relate to bank capital
requirements or other policies.
The European Central Bank has already made recommendations for simplifying the
bloc’s banking rules ahead of the report, including calling for lighter Basel
rules for small banks and for capital buffers to be merged. None of its
recommendations were as sweeping as what the U.S. has proposed, however.
The U.S. proposal departs from the intent of the original Basel accords, a long
process in which global regulators worked to address the root causes of the
global financial crisis, critics say. Regulators in 2017 reached an agreement
around the framework for jurisdictions to mitigate risks.
“This definitely goes against not just the ethos but the intent, spirit and goal
of Basel III,” said Dennis Kelleher, CEO of Better Markets, an advocacy group
that supports stronger financial regulation. “This proposal when finalized will
inevitably ignite another global race to the regulatory bottom”
One of the biggest departures relates to the unwinding of the “output floor,”
which sets a minimum capital threshold for banks’ trading activities. The new
proposal uses a new risk-weighting approach that would do away with the
threshold.
“This will encourage other jurisdictions to do the same, undermining a key
reform and cornerstone of the Basel III agreement,” Federal Reserve board
member Michael Barr said Thursday.
In the 2017 international talks, the U.S. had argued in favor of a restrictive
output floor. Major European banks argued that would hike their capital
requirements above and beyond those of the U.S., given the makeup of European
banks’ trading books, stymieing lending to the real economy.
The threshold was ultimately set at a lower rate than what American negotiators
wanted.
European regulators had recently moved to delay implementation of the
Fundamental Review of the Trading Book, the portion of Basel focused
specifically on so-called market risk, or rules governing how to capitalize
banks’ trading activities.
“Removing the output floor for market risk is a divergence from international
standards, and we will carefully assess the impact on internationally active
banks, in particular, with respect to the ongoing discussions on EU FRTB
implementation and banking competitiveness in Europe,” said Caroline Liesegang,
head of prudential regulation and research at the Association for Financial
Markets in Europe, which represents large banks.
In the past, U.S. regulators had tended to “gold plate” the country’s rules for
big banks, meaning they put in provisions above and beyond what Basel requires
in order to acknowledge the United State’s central role in the global financial
system and push for stricter global standards. In 2023, U.S. regulators failed
to pass a capital proposal that would have raised aggregate capital by 16
percent and would have adhered more strictly to the international framework.
On Thursday, U.S. regulators said the international standards should not be an
unnecessary barrier to the needs of the U.S. financial system.
“We should not seek to punish U.S. consumers and businesses by imposing higher
costs of credit, or forcing credit availability outside of the banking system,
particularly if this is done only to show greater alignment with Basel or any
other international standard,” said Federal Reserve Vice Chair for Supervision
Michelle Bowman, who led the U.S. central bank’s crafting of the proposal.
The dilution of the agreement and its pullback on capital “will make it more
challenging for the U.S. to use Basel, as it so often has, to further its own
agenda,” said Kathryn Judge, professor at Columbia Law School.
In the U.K., which has since left the bloc, the capital rules are expected to
have less of an impact on banks than EU peers. A spokesperson for the Prudential
Regulation Authority, the U.K.’s main banking regulator, said that the
thinking remains the same as in its final rules, which will see the market risk
rules apply from 2028.
The European Commission declined to comment. The Basel Committee said it doesn’t
comment on individual jurisdictions. The Federal Reserve declined to comment.
Bjarke Smith-Meyer and Elliot Gulliver-Needham contributed to this report.
European countries are being advised to lower gas storage filling targets and to
start refilling gas stores early, as the conflict in Middle East drives up
global energy prices.
European Energy Commissioner Dan Jørgensen urged in a letter to national energy
ministers, seen by POLITICO, that countries should be flexible in how they
refill gas stores, to “help reduce the gas demand at times where the supply is
tense and ease the pressure on gas prices in Europe.”
Since the U.S. and Israel launched strikes on Tehran in late February, the
ensuing conflict has caused global energy prices to spike, driven in part by
Israeli strikes on Iran’s vast offshore gas field and Tehran’s effective closure
of the Strait of Hormuz, a critical passage that facilitates a significant share
of the world’s oil and natural gas trade.
In the letter, Jørgensen asked EU countries to lower their gas storage refilling
targets to 80 percent, 10 percentage points below normal targets.
He also suggested that countries could start storage injections early to avoid
an “end-of-summer rush to refill storages,” which would put upward pressure on
prices. He also suggested that governments extend the deadline to meet filling
targets to as late as December, two months later than usual.
He said countries can take these measures under the EU Gas Storage Regulation,
which provides for flexibility in difficult market conditions.
The EU requires member countries to maintain gas reserves at 90 percent of
capacity by the winter — a measure brought in after Russia’s 2022 invasion of
Ukraine. But this year’s colder-than-average winter depleted those reserves to
an average of under 30 percent as of March, the lowest since 2022.
Anxiety has been growing in Brussels over whether the conflict in Iran, coupled
with already low gas reserves, could spark a fight among countries over
dwindling global energy supplies.
Jørgensen said that the EU’s gas supplies remain “relatively protected” since
the bloc only has “limited reliance” on gas imports from the region. But as a
“net importer” of gas globally, “high and volatile global prices may also impact
the EU gas storage injections,” he said.
As developments in Iran and the wider region are “are significantly impacting
global oil and gas markets,” there are indications that it could take longer for
Qatari gas production to return to pre-crisis levels, Jørgensen said.
The commissioner said he would support countries to make use of the allowed
flexibilities, which should be discussed with the European Commission and other
member states before being implemented.
A Commission spokesperson confirmed that the letter was sent to energy
ministers.
Netflix co-CEO Ted Sarandos arrives in Brussels on Tuesday with a clear message
for EU regulators ahead of a looming review of Europe’s streaming rules: Don’t
overcomplicate them.
In an exclusive interview with POLITICO, Sarandos said Netflix can live with
regulation — but warned the EU not to fracture the single market with a
patchwork of national mandates as officials prepare to reopen the Audiovisual
Media Services Directive.
“It doesn’t make it a very healthy business environment if you don’t know if the
rules are going to change midway through production,” Sarandos said. He also
warned regulators are underestimating YouTube as a direct competitor for TV
viewing, too often treating it like a social media platform with “a bunch of cat
videos” than a massive streaming rival.
Sarandos’ effort to win over European regulators comes soon after the collapse
of Netflix’s bid to buy Warner Bros. Discovery — but Sarandos maintained that
the political dynamics around the deal only “complicated the narrative, not the
actual outcomes.”
He added that there was no political interference in the deal, and he shrugged
off President Donald Trump’s demand to remove Susan Rice, a former national
security adviser under President Barack Obama, from the Netflix board.
“It was a social media post,” Sarandos said. “It was not ideal, but he does a
lot of things on social media.”
This conversation has been edited for length and clarity.
What’s bringing you back to Brussels now?
Well, we have ongoing meetings with regulators around Europe all the time. We
have so much business in Europe, obviously, and so this has been on the books
for quite a while.
Can you give me a little bit of a sense of who you’re meeting with, and what is
the focus?
I think one of the things to keep in mind is that we’ve become such an important
part, I’d think, of the European audiovisual economy. We’ve spent, in the last
decade, over $13 billion in creating content in Europe. It makes us one of the
leading producers and exporters of European storytelling.
First of all, we’ve got a lot of skin in the game in Europe, obviously. We work
with over 600 independent European producers. We created about 100,000 cast and
crew jobs in Europe from our productions. So we talk to folks who are interested
in all the elements of that — how to keep it, how to maintain it, how to grow it
and how to protect it.
In terms of regulation in the EU, Netflix is governed by a directive here. The
commission is looking to reopen that this year. There seems to be a sense here
from regulators that the current rules don’t create a level playing field
between the broadcasters, the video on demand, the video sharing, and so they
may look to put more requirements on that. How steeped in the details are you
there? And how would Netflix react to more rules put on Netflix at this moment?
Well, first and foremost, we comply with all the rules that apply to us in terms
of how we’re regulated today. We have seen by operating around the world that
those countries where they lean more into incentives than the strict regulatory
scheme, that the incentives pay off. We’ve got multibillion dollar investments
in Spain and the UK, where they have really leaned into attracting production
through incentives versus regulatory mandates, so we find that that’s a much
more productive environment to work in.
But the core for me is that obviously they’re going to evolve the regulatory
models, but as long as they remain simple, predictable, consistent — the single
market, the benefit of the single-market is this — as long as these rules remain
simple, predictable and consistent, it’s a good operating model. I think the
more that it gets broken up by individual countries and individual mandates, you
lose all the benefits of the single market.
There’s a lot of talk in Brussels right now about simplification, getting rid of
a lot of red tape. Do you think the rules that you’re governed by would benefit
from a similar kind of effort to simplify, of pulling back on a lot of these
patchwork of rules, even at the EU?
Look, I think it doesn’t make it a very healthy business environment if you
don’t know if the rules are going to change midway through production, so for
me, having some stability is really important, and I understand that we’re in a
dynamic market and a dynamic business, and they should reflect the current
operating models that we’re in too. We want to work closely with the regulators
to make sure that what they’re doing and what we’re doing kind of reflect each
other, which is trying to protect the healthy work environment for folks in
Europe.
When you meet with regulators here, is there a message you’re going to be
delivering to them or what do you want them to walk away with in terms of the
bottom line for you in terms of your business at this moment in the EU?
I think some things are well understood and other things I think are less so. I
think our commitment to European production is unique in the world. Both in our
original production but also in our investment in second right’s windows that we
pre-invest in films that compel production. Tens of millions of dollars’ worth
of film production is compelled by our licensing agreements as well beyond our
original production. And the fact that we work with local European producers on
these projects — I think there’s a misconception that we don’t.
And the larger one is the economic impact that that brings to Europe and to the
world with our original program strategy that supports so many, not just the
productions themselves but even tourism in European countries. Think about
President [Emmanuel] Macron pointing out that 38 percent of people who went to
France last year cited “Emily in Paris” as one of the top reasons they went.
We’ve seen that in other countries. We saw it in Madrid with the “Casa de
Papel.” And so it’s one of those things where it really raises all boats across
the economies of these countries.
Regulators often focus on the competition between streaming services, but as you
know very well, younger audiences are spending more time on platforms like
YouTube. Do you think policymakers are underestimating that shift? Would you
like to see that taken into account more in the regulatory landscape?
One of the things that we saw in recent months with the Warner Brothers
transaction is a real deep misunderstanding about what YouTube is and isn’t.
YouTube is a straightforward direct competitor for television, either a local
broadcaster or a streamer like Netflix. The connected television market is a
zero-sum screen. So whichever one you choose, that’s what you’re watching
tonight. And you monetize through subscription or advertising or both, but at
the end of the day, it’s that choosing to engage in how you give them and how,
and how that programming is monetized is a very competitive landscape and it
includes YouTube.
I think what happens is people think of YouTube as a bunch of cat videos and
maybe some way to, to promote your stuff by putting it on there for free. But it
turns out it is a zero-sum game. You’re going to be choosing at the expense of
an RTL or Netflix. I think in this case it’s one of these things where
recognizing and understanding that YouTube is in the same exact game that we
are.
Do you feel like you’re on different planes though, in the eyes of regulators at
this moment?
I don’t think that they see them as a direct competitor in that way. I think
they think of that as an extension of social media. And the truth is when we
talk about them as a competitor, we’re only talking about them on the screen.
I’m not talking about their mobile usage or any of that. You know, about 55
percent of all YouTube engagement now is on the television through their app. So
to me, that’s the thing to keep an eye on. As you get into this, it’s a pretty
straightforward, competitive model and we think probably should have a level
playing field relative to everybody else.
Who do you view as Netflix’s main competitors today?
Look, our competitive space is really the television screen. When people pick up
the remote and pick what to watch, everyone is in that mix. We identified
YouTube — this isn’t new for us — we identified YouTube as a competitor in the
space 10 years ago, even before they moved to the television. And I think, for
the most part, TikTok forced their hand to move to the television because they
were kind of getting chased off the phone more or less by TikTok.
I think that’s the other one that regulators should pay a lot of attention to is
what’s happening with the rise of TikTok engagement as well. It’s not directly
competitive for us, but it is for attention and time and to your point, maybe
the next generation’s consumer behavior.
Last question on regulation: With the EU looking at the rules again, there’s a
tendency always to look to tinker more and more and do more. Is there a point at
what regulation starts affecting your willingness to invest in European
production?
Well, like I said, those core principles of predictability and simplicity have
really got to come into play, because I think what happens is, just like any
business, you have to be able to plan. So, if you make a production under one
set of regs and release it under another, it’s not a very stable business
environment.
The topic that dominated a lot of your attention in recent months was obviously
the merger talks with Warner Brothers Discovery. I know you’ve said it didn’t
work for financial reasons. I want to ask you a little bit about the political
dynamics. How much did the political environment, including the Susan Rice
incident, how much did that complicate the calculus in your mind?
I think it complicated the narrative, not the actual outcomes. I think for us it
was always a business transaction, was always a well-regulated process in the
U.S. The Department of Justice was handling it, everything was moving through.
We were very confident we did not have a regulatory issue. Why would that be?
It’s because it was very much a vertical transaction. I can’t name a transaction
that was similar to this that has ever been blocked in history. We did not have
duplicated assets. We did have a market concentration issue in the marketplace
that we operate in. And I think that’s the feedback I was getting back from the
DOJ and from regulators in general, which was, they understood that, but I do
think that Paramount did a very nice job of creating a very loud narrative of a
regulatory challenge that didn’t exist.
But looking back to those early days of the merger discussions, did you have an
appreciation for what might follow in terms of that complicated narrative?
Yeah. Look, I think it opens up the door to have a lot of conversations that you
wouldn’t have had otherwise, but that’s okay. A lot great things came out of it,
the process itself.
I would say in total, we had a price for where we thought this was good for our
business. We made our best and final offer back in December and it was our best
and final offer. So that’s all. But what came out a bit that’s positive is,
we’ve had really healthy conversations with folks who we hardly ever talked to,
theater operators, as a good example. I had a great meeting in February with the
International Union of Cinemas, and the heads from all the different countries
about what challenges they have, how we could be more helpful, or how they could
be helpful to us too. I think we’ll come out of this with a much more creative
relationship with exhibitions around the world. And by way of example, doing
things that we haven’t done before. I don’t recommend testifying before the
Senate again, but it was an interesting experience for sure.
Probably a good learning experience. Hopefully not in the future for anything
that you don’t want to be there for, but yes.
Yeah, exactly. We’ve always said from the beginning, the Warner transaction was
a nice-to-have at the right price, not a must-have-at-any-price. The business is
healthy, growing organically. We’re growing on the path that we laid out several
years ago and we didn’t really need this to grow the business. These assets are
out there through our growth period and they’re going to be out there and for
our next cycle growth as well and we’ve got to compete with that just like we
knew we had to at the beginning. This was I think something that would fortify
and maybe accelerate some of our existing models, but it doesn’t change our
outcome.
Are there regrets or things you might have wished you’d done differently?
I mean honestly we took a very disciplined approach. I think we intentionally
did not get distracted by the narrative noise, because we knew, we recognized
what it was right away, which is just narrative noise. This deal was very good
for the industry. Very good for both companies, Warner Brothers and Netflix.
Our intent was obviously to keep those businesses operating largely as they are
now. All the synergies that we had in the deal were mostly technologies and
managerial, so we would have kept a big growth engine going in Hollywood and
around the world. The alternative, which we’ve always said, is a lot of cutting.
I think regulators in Europe and regulators in the U.S. should keep an eye on
horizontal mergers. They should keep a close eye on [leveraged buyouts]. They
typically are not good for the economy anywhere they happen.
What were you preparing for in terms of the EU regulatory scrutiny with Warner
Brothers? What was your read on how that might have looked?
I think we’re a known entity in Europe. Keep in mind, like in Q4 of last year,
we reported $3.5 billion or $3.8 billion in European revenues. So 18 percent
year-on-year growth. The EU is now our largest territory. We’re a known entity
there. The reason we didn’t take out press releases, we had meetings in Europe
as we know everybody. We talked to the regulators, both at the EU and at the
country level.
And I do think that in many of the countries that we operate in, we’re a net
contributor to the local economy, which I think is really important. We’ve got
12 offices across Europe with 2,500 people. So we’re members of the local
ecosystem, we’re not outsiders.
With President Trump, he demanded that Netflix remove Susan Rice from the board
or pay the consequences. Did that cross a line for you in terms of political
interference?
It was a social media post, and we didn’t, no, it did not. It was not ideal, but
he does a lot of things on social media.
So you didn’t interpret it as anything bigger than that. I mean, he does that
one day, he could obviously weigh in on content the next day. How does somebody
like you manage situations like that?
I think it’s really important to be able to separate noise from signal, and I
think a lot of what happens in a world where we have a lot of noise.
There was so much attention to you going to the White House that day. And we
didn’t learn until several days later that you didn’t actually have the meetings
that were predicted. Before you arrived in Washington that day, had you already
made the decision not to proceed?
Not before arriving in Washington, but we knew the framework for if this, then
that. So, yeah, I would say that it was interesting, but again, we don’t make a
big parade about our meetings with government and with the regulators.
I had a meeting on the books with the DOJ scheduled several weeks before,
meeting with Susie Wiles, the president’s chief of staff, scheduled several
months before, unrelated to the Warner Brothers deal. And that was just the
calendar that lined up that way. We didn’t know when Warner Brothers would make
the statement about the deal.
It’s all very dramatic, like it belongs on Netflix as a movie.
There was paparazzi outside of the White House waiting for me when I came out.
I’ve never experienced that before.
Yeah, it’s a remarkable story.
I would tell you, and I’m being honest with you, there was no political
interference in this deal. The president is interested in entertainment and
interested in deals, so he was curious about the mechanics of things and how
things were going to go or whatever, but he made it very clear that this was
under the DOJ.
So it’s just like we all spun it up from the media? How do you explain it all?
First of all, Netflix is clickbait. So people write about Netflix and it gets
read. And that’s a pretty juicy story.
And [Trump] said, and by the way, like I said, he makes statements sometimes
that lead to the beliefs of things that do and sometimes that don’t materialize
at all. But I found my conversations with him were 100 percent about the
industry, protecting the industry. And I think it’s very healthy that the
president of the United States speaks to business leaders about industries that
are important to the economy.
To what degree did the narrative or the fact that David Ellison had a
relationship or seemed to have a relationship with people in Washington who were
in power, that that might have swayed or changed the dynamic at the end with
where Warner Brothers went though?
I can’t speak to what their thinking is on it. I feel like for me, it’s very
important to know the folks in charge, but I wouldn’t count on it if you’re
doing something that is not in the best interest of the country or the economy.
You talked with Trump in the past about entertainment jobs. Were there specific
policies you’ve advocated to him or anything that he brought up on that point?
He has brought up tariffs for the movie and television industry many times. And
I’ve hopefully talked to him the way out of them. I just said basically the same
thing I said earlier. I think that incentive works much better. We’re seeing it
in the U.S. things like the states compete with each other for production
incentives and those states with good, healthy incentive programs attract a lot
of production, and you’ve seen a lot of them move from California to Georgia to
New Jersey, kind of looking for that what’s the best place to operate in, where
you could put more on the screen. And I do think that having the incentives
versus tariffs is much better.
Netflix is now buying Ben Affleck’s AI company. What areas do you see AI having
the most potential to change Netflix’s workflow?
My focus is that AI should be a creator tool. But with the same way production
tools have evolved over time, AI is just a rapid, important evolution of these
tools. It is one of those. And the idea that the creators could use it to do
things that they could never do before to do it. Potentially, they could do
faster and cheaper. But the most impact will be if they can make it better. I
don’t think faster and cheaper matters if it’s not better.
This is the most competitive time in the history of media. So you’ve gotta be
better every time out of the gate. And faster and cheaper consumers are not
looking for faster and cheaper, they’re looking for better. I do think that AI,
particularly InterPositive, the company we bought from Ben, will help creators
make things better. Using their own dailies, using their own production
materials to make the film that they’re making better. Still requires writers
and actors and lighting techs and all the things that you’d use to make a movie,
but be able to make the movie more effective, more efficient. Being able to do
pick up shots and things like this that you couldn’t do before. It’s really
remarkable. It’s a really remarkable company.
As AI improves, do you see the role of human voice actors shrinking at Netflix?
What’s interesting about that is if you look at the evolution of tools for
dubbing and subtitling, the one for dubbing, we do a lot of A-B tests that
people, if you watch something and you don’t like it, you just turn it off. The
one thing that we find to be the most important part of dubbing is the
performance. So good voice actors really matter. Yeah, it’s a lot cheaper to use
AI, but without the performance, which is very human, it actually runs down the
quality of the production.
Will it evolve over time? Possibly, but it won’t evolve without the cooperation
and the training of the actual voice actors themselves too. I think what will
happen is you’ll be able to do things like pick up lines that you do months and
months after the production. You’ll be able to recreate some of those lines in
the film without having to call everybody back and redo everything which will
help make a better film.
You’re in the sort of early stages of a push into video podcast. What have you
learned so far about what works and what doesn’t?
It’s really early. The main thing is we’ve got a broad cross-section of
podcasts. It’s nowhere near as complete as other podcast outlets yet. But the
things that we leaned into are the things that are working. We kind of figured
they would. You’ve got true crime, sports, comedy, all those things that we do
well in the doc space already. And I really am excited about things where people
can develop and deepen the relationship with the show itself or the
[intellectual property] itself. Our Bridgerton podcast is really popular, and
people really want to go deeper and we want to be able to provide that for them.
I think a video podcast is just the evolution of talk shows. We have tried to
and failed at many talk shows over the years, and for the most part it’s because
the old days of TV, when 40 million people used to tune in to the Tonight Show
every night, [are over].
What’s happened now is that it’s much smaller audiences that tune into multiple
shows in the form of a podcast every day. And then they come up to be way bigger
than the 40 million that Johnny Carson used to get. They’re all individual, and
it’s a deeper relationship than it is a broad one. So instead of trying to make
one show for the world, you might have to make hundreds or thousands of shows
for the whole world.
Anton, a 44-year-old Russian soldier who heads a workshop responsible for
repairing and supplying drones, was at his kitchen table when he learned last
month that Elon Musk’s SpaceX had cut off access to Starlink terminals used by
Russian forces. He scrambled for alternatives, but none offered unlimited
internet, data plans were restrictive, and coverage did not extend to the areas
of Ukraine where his unit operated.
It’s not only American tech executives who are narrowing communications options
for Russians. Days later, Russian authorities began slowing down access
nationwide to the messaging app Telegram, the service that frontline troops use
to coordinate directly with one another and bypass slower chains of command.
“All military work goes through Telegram — all communication,” Anton, whose name
has been changed because he fears government reprisal, told POLITICO in voice
messages sent via the app. “That would be like shooting the entire Russian army
in the head.”
Telegram would be joining a home screen’s worth of apps that have become useless
to Russians. Kremlin policymakers have already blocked or limited access to
WhatsApp, along with parent company Meta’s Facebook and Instagram, Microsoft’s
LinkedIn, Google’s YouTube, Apple’s FaceTime, Snapchat and X, which like SpaceX
is owned by Musk. Encrypted messaging apps Signal and Discord, as well as
Japanese-owned Viber, have been inaccessible since 2024. Last month, President
Vladimir Putin signed a law requiring telecom operators to block cellular and
fixed internet access at the request of the Federal Security Service. Shortly
after it took effect on March 3, Moscow residents reported widespread problems
with mobile internet, calls and text messages across all major operators for
several days, with outages affecting mobile service and Wi-Fi even inside the
State Duma.
Those decisions have left Russians increasingly cut off from both the outside
world and one another, complicating battlefield coordination and disrupting
online communities that organize volunteer aid, fundraising and discussion of
the war effort. Deepening digital isolation could turn Russia into something
akin to “a large, nuclear-armed North Korea and a junior partner to China,”
according to Alexander Gabuev, the Berlin-based director of the Carnegie Russia
Eurasia Center.
In April, the Kremlin is expected to escalate its campaign against Telegram —
already one of Russia’s most popular messaging platforms, but now in the absence
of other social-media options, a central hub for news, business and
entertainment. It may block the platform altogether. That is likely to fuel an
escalating struggle between state censorship and the tools people use to evade
it, with Russia’s place in the world hanging in the balance.
“It’s turned into a war,” said Mikhail Klimarev, executive director of the
internet Protection Society, a digital rights group that monitors Russia’s
censorship infrastructure. “A guerrilla war. They hunt down the VPNs they can
see, they block them — and the ‘partisans’ run, build new bunkers, and come
back.”
THE APP THAT RUNS THE WAR
On Feb. 4, SpaceX tightened the authentication system that Starlink terminals
use to connect to its satellite network, introducing stricter verification for
registered devices. The change effectively blocked many terminals operated by
Russian units relying on unauthorized connections, cutting Starlink traffic
inside Ukraine by roughly 75 percent, according to internet traffic analysis
by Doug Madory, an analyst at the U.S. network monitoring firm Kentik.
The move threw Russian operations into disarray, allowing Ukraine to make
battlefield gains. Russia has turned to a workaround widely used before
satellite internet was an option: laying fiber-optic lines, from rear areas
toward frontline battlefield positions.
Until then, Starlink terminals had allowed drone operators to stream live video
through platforms such as Discord, which is officially blocked in Russia but
still sometimes used by the Russian military via VPNs, to commanders at multiple
levels. A battalion commander could watch an assault unfold in real time and
issue corrections — “enemy ahead” or “turn left” — via radio or Telegram. What
once required layers of approval could now happen in minutes.
Satellite-connected messaging apps became the fastest way to transmit
coordinates, imagery and targeting data.
But on Feb. 10, Roskomnadzor, the Russian communications regulator, began
slowing down Telegram for users across Russia, citing alleged violations of
Russian law. Russian news outlet RBC reported, citing two sources, that
authorities plan to shut down Telegram in early April — though not on the front
line.
In mid-February, Digital Development Minister Maksut Shadayev said the
government did not yet intend to restrict Telegram at the front but hoped
servicemen would gradually transition to other platforms. Kremlin spokesperson
Dmitry Peskov said this week the company could avoid a full ban by complying
with Russian legislation and maintaining what he described as “flexible contact”
with authorities.
Roskomnadzor has accused Telegram of failing to protect personal data, combat
fraud and prevent its use by terrorists and criminals. Similar accusations have
been directed at other foreign tech platforms. In 2022, a Russian court
designated Meta an “extremist organization” after the company said it would
temporarily allow posts calling for violence against Russian soldiers in the
context of the Ukraine war — a decision authorities used to justify blocking
Facebook and Instagram in Russia and increasing pressure on the company’s other
services, including WhatsApp.
Telegram founder Pavel Durov, a Russian-born entrepreneur now based in the
United Arab Emirates, says the throttiling is being used as a pretext to push
Russians toward a government-controlled messaging app designed for surveillance
and political censorship.
That app is MAX, which was launched in March 2025 and has been compared to
China’s WeChat in its ambition to anchor a domestic digital ecosystem.
Authorities are increasingly steering Russians toward MAX through employers,
neighborhood chats and the government services portal Gosuslugi — where citizens
retrieve documents, pay fines and book appointments — as well as through banks
and retailers. The app’s developer, VK, reports rapid user growth, though those
figures are difficult to independently verify.
“They didn’t just leave people to fend for themselves — you could say they led
them by the hand through that adaptation by offering alternatives,” said Levada
Center pollster Denis Volkov, who has studied Russian attitudes toward
technology use. The strategy, he said, has been to provide a Russian or
state-backed alternative for the majority, while stopping short of fully
criminalizing workarounds for more technologically savvy users who do not want
to switch.
Elena, a 38-year-old Yekaterinburg resident whose surname has been withheld
because she fears government reprisal, said her daughter’s primary school moved
official communication from WhatsApp to MAX without consulting parents. She
keeps MAX installed on a separate tablet that remains mostly in a drawer — a
version of what some Russians call a “MAXophone,” gadgets solely for that app,
without any other data being left on those phones for the (very real) fear the
government could access it.
“It works badly. Messages are delayed. Notifications don’t come,” she said. “I
don’t trust it … And this whole situation just makes people angry.”
THE VPN ARMS RACE
Unlike China’s centralized “Great Firewall,” which filters traffic at the
country’s digital borders, Russia’s system operates internally. Internet
providers are required to route traffic through state-installed deep packet
inspection equipment capable of controlling and analyzing data flows in real
time.
“It’s not one wall,” Klimarev said. “It’s thousands of fences. You climb one,
then there’s another.”
The architecture allows authorities to slow services without formally banning
them — a tactic used against YouTube before its web address was removed from
government-run domain-name servers last month. Russian law explicitly provides
government authority for blocking websites on grounds such as extremism,
terrorism, illegal content or violations of data regulations, but it does not
clearly define throttling — slowing traffic rather than blocking it outright —
as a formal enforcement mechanism. “The slowdown isn’t described anywhere in
legislation,” Klimarev said. “It’s pressure without procedure.”
In September, Russia banned advertising for virtual private network services
that citizens use to bypass government-imposed restrictions on certain apps or
sites. By Klimarev’s estimate, roughly half of Russian internet users now know
what a VPN is, and millions pay for one. Polling last year by the Levada Center,
Russia’s only major independent pollster, suggests regular use is lower, finding
about one-quarter of Russians said they have used VPN services.
Russian courts can treat the use of anonymization tools as an aggravating factor
in certain crimes — steps that signal growing pressure on circumvention
technologies without formally outlawing them. In February, the Federal
Antimonopoly Service opened what appears to be the first case against a media
outlet for promoting a VPN after the regional publication Serditaya Chuvashiya
advertised such a service on its Telegram channel.
Surveys in recent years have shown that many Russians, particularly older
citizens, support tighter internet regulation, often citing fraud, extremism and
online safety. That sentiment gives authorities political space to tighten
controls even when the restrictions are unpopular among more technologically
savvy users.
Even so, the slowdown of Telegram drew criticism from unlikely quarters,
including Sergei Mironov, a longtime Kremlin ally and leader of the Just Russia
party. In a statement posted on his Telegram channel on Feb. 11, he blasted the
regulators behind the move as “idiots,” accusing them of undermining soldiers at
the front. He said troops rely on the app to communicate with relatives and
organize fundraising for the war effort, warning that restricting it could cost
lives. While praising the state-backed messaging app MAX, he argued that
Russians should be free to choose which platforms they use.
Pro-war Telegram channels frame the government’s blocking techniques as sabotage
of the war effort. Ivan Philippov, who tracks Russia’s influential military
bloggers, said the reaction inside that ecosystem to news about Telegram has
been visceral “rage.”
Unlike Starlink, whose cutoff could be blamed on a foreign company, restrictions
on Telegram are viewed as self-inflicted. Bloggers accuse regulators of
undermining the war effort. Telegram is used not only for battlefield
coordination but also for volunteer fundraising networks that provide basic
logistics the state does not reliably cover — from transport vehicles and fuel
to body armor, trench materials and even evacuation equipment. Telegram serves
as the primary hub for donations and reporting back to supporters.
“If you break Telegram inside Russia, you break fundraising,” Philippov said.
“And without fundraising, a lot of units simply don’t function.”
Few in that community trust MAX, citing technical flaws and privacy concerns.
Because MAX operates under Russian data-retention laws and is integrated with
state services, many assume their communications would be accessible to
authorities.
Philippov said the app’s prominent defenders are largely figures tied to state
media or the presidential administration. “Among independent military bloggers,
I haven’t seen a single person who supports it,” he said.
Small groups of activists attempted to organize rallies in at least 11 Russian
cities, including Moscow, Irkutsk and Novosibirsk, in defense of Telegram.
Authorities rejected or obstructed most of the proposed demonstrations — in some
cases citing pandemic-era restrictions, weather conditions or vague security
concerns — and in several cases revoked previously issued permits. In
Novosibirsk, police detained around 15 people ahead of a planned rally. Although
a small number of protests were formally approved, no large-scale demonstrations
ultimately took place.
THE POWER TO PULL THE PLUG
The new law signed last month allows Russia’s Federal Security Service to order
telecom operators to block cellular and fixed internet access. Peskov, the
Kremlin spokesman, said subsequent shutdowns of service in Moscow were linked to
security measures aimed at protecting critical infrastructure and countering
drone threats, adding that such limitations would remain in place “for as long
as necessary.”
In practice, the disruptions rarely amount to a total communications blackout.
Most target mobile internet rather than all services, while voice calls and SMS
often continue to function. Some domestic websites and apps — including
government portals or banking services — may remain accessible through
“whitelists,” meaning authorities allow certain services to keep operating even
while broader internet access is restricted. The restrictions are typically
localized and temporary, affecting specific regions or parts of cities rather
than the entire country.
Internet disruptions have increasingly become a tool of control beyond
individual platforms. Research by the independent outlet Meduza and the
monitoring project Na Svyazi has documented dozens of regional internet
shutdowns and mobile network restrictions across Russia, with disruptions
occurring regularly since May 2025.
The communications shutdown, and uncertainty around where it will go next, is
affecting life for citizens of all kinds, from the elderly struggling to contact
family members abroad to tech-savvy users who juggle SIM cards and secondary
phones to stay connected. Demand has risen for dated communication devices —
including walkie-talkies, pagers and landline phones — along with paper maps as
mobile networks become less reliable, according to retailers interviewed by RBC.
“It feels like we’re isolating ourselves,” said Dmitry, 35, who splits his time
between Moscow and Dubai and whose surname has been withheld to protect his
identity under fear of governmental reprisal. “Like building a sovereign grave.”
Those who track Russian public opinion say the pattern is consistent: irritation
followed by adaptation. When Instagram and YouTube were blocked or slowed in
recent years, their audiences shrank rapidly as users migrated to alternative
services rather than mobilizing against the restrictions.
For now, Russia’s digital tightening resembles managed escalation rather than
total isolation. Officials deny plans for a full shutdown, and even critics say
a complete severing would cripple banking, logistics and foreign trade.
“It’s possible,” Klimarev said. “But if they do that, the internet won’t be the
main problem anymore.”
LONDON — Keir Starmer wants the public to know he’s going to move fast and fix
things.
Speaking to an audience of young people last month, the U.K. prime minister said
that unlike the previous Conservative government, which took eight years to pass
the country’s Online Safety Act, Labour will legislate fast enough to keep
up with the breakneck speed of technological change and its associated harms.
“We’ve taken the powers to make sure we can act within months, not years,” he
said.
His words came after the government decried Elon Musk’s X for
allowing deepfaked nude images to flood its platform. “The action we took on
Grok sent a clear message that no platform gets a free pass,” Starmer said.
Labour showcased its bold new approach last week,
tabling two legislative amendments that seek to grant ministers sweeping powers
to change the U.K.’s online safety regime without needing to pass primary
legislation through Parliament — meaning MPs and peers would have next to no
opportunity for scrutiny.
While Labour argues this is necessary to deal with the onslaught of online harms
brought about by technology — particularly AI — digital rights activists and
civil liberties campaigners fear executive overreach, and say Labour is
confusing fast action for good policy, especially as it mulls the possibility of
a social media ban for under-16s.
GOVERNMENT HANDS ITSELF NEW POWERS
The first amendment, to the Crime and Policing Bill, would empower any senior
government minister to amend the Online Safety Act near unilaterally for the
purposes of “minimizing or mitigating the risks of harm to individuals”
presented by illegal AI-generated content.
The second amendment, to the Children’s Wellbeing and Schools Bill, looks to go
even further, giving ministers the ability to alter any piece of primary
legislation to restrict children’s access to “certain internet services.”
The Department for Science, Innovation and Technology (DSIT) has said it wants
to act “at pace” in response to the findings of its consultation, the “key
focus” of which is whether to ban social media for under-16s, a policy idea
which has picked up momentum in multiple countries since Australia introduced a
ban at the end of last year.
Amendments like those tabled this week are commonly referred to as Henry VIII
clauses, which allow ministers to largely bypass Parliament. They are
not entirely new: successive governments since the 1980s have increasingly
relied on statutory instruments for lawmaking, according to the Institute for
Government.
But such clauses bring problems that could last long after Starmer’s
premiership. The government may have good intentions when it comes to online
safety, but the measures proposed are “storing up trouble for years to come at a
very worrying moment where anti-democratic parties [around the world] are
gaining traction,” Anna Cardaso, policy and campaigns officer at civil liberties
organisation Liberty told POLITICO.
“When you create a law, you have to think about what a future government could
do with those powers. A future government might not be motivated purely by
reducing harms to children, or might have a very different view of what counts
as harm,” agreed James Baker, advocacy manager at digital rights
organisation Open Rights Group.
Baker pointed to steps taken by the Trump administration in the U.S. to target
websites hosting LGBTQ+ content and reproductive health advice.
There are also questions to be asked about proportionality under the Human
Rights Act, he argued, not least because the evidence base on how children are
affected by social media is muddy at best — a DSIT-commissioned study published
in January found little high-quality evidence of a correlation between time
spent on social media and poorer reported mental health, for example.
Although the government hopes its use of Henry VIII powers will speed things
up, the move is vulnerable to challenge in the courts — not only from human
rights campaigners concerned about the impact on privacy and freedom of
expression, but also from tech companies navigating any new regulations.
“The inevitable consequence of such broad regulatory discretion is an explosion
in litigation,” Oliver Carroll, legal director at law firm Bird & Bird, said.
‘FIRE-FIGHTING’
The government has backed away from plans to introduce primary legislation
dedicated to artificial intelligence, with ministers instead looking to regulate
AI at the point of use on a sector-by-sector basis.
Primary legislation on AI would have allowed parliamentarians and other
stakeholders to “debate and hammer out the fundamental principles and a
framework of regulation,” Liberty’s Anna Carsado said. “But instead, they’ve
dodged the hard thing, and they’re just firefighting emergency by emergency by
statutory instrument.”
The Children’s Wellbeing and Schools Bill amendment gets its first outing in the
House of Commons today, where it stands a good chance of surviving thanks to
Labour’s 158-seat majority. Both amendments will also have to pass the House of
Lords, where they could meet more resistance.
DSIT did not respond when contacted by POLITICO for comment.
BRUSSELS — The right to use Swiss franc banknotes and coins will be enshrined in
Switzerland’s constitution after voters on Sunday backed a measure designed to
safeguard the use of cash in society.
Preliminary official estimates revealed 69 percent of voters backed the legal
amendment, which the government proposed as a counter to a similar initiative by
a group called the Swiss Freedom Movement.
The Swiss Freedom Movement triggered the national referendum after its
initiative to protect cash collected more than 100,000 signatures, triggering a
national referendum. Its initiative secured only 46 percent of the final vote
after the government said some of the group’s proposed amendments went too far.
The vote means Switzerland will join the likes of Hungary, Slovakia and
Slovenia, which have already written the right to cold, hard cash in their
constitutions. Austrian politicians are also debating whether to follow suit, as
people’s payment habits become increasingly digital — especially since the
pandemic.
The trend has fanned Big Brother conspiracy theories that governments aim to
control populations by withdrawing cash altogether. The European Central Bank’s
plans to issue a virtual extension of the euro have fanned those fears,
prompting the EU’s executive arm to propose a bill that will cement physical
cash in societies across the bloc.
Switzerland, too, has seen a drop in cash payments over the past decade. More
than seven out of 10 payments at the till were in cash in 2017. In 2024, cash
only featured in 30 percent of in-shop transactions, according to data from the
Swiss National Bank.
The Swiss Freedom Movement has previously pursued campaigns to sack unpopular
government ministers, ban electronic voting, and protect citizens from
professional or social retribution if they refuse to be vaccinated against
Covid-19 — none of which made it to the ballot box.
The Bank of Russia is suing the European Union for keeping its state assets
frozen “for an indefinite period” to serve as collateral against a €90 billion
loan to Ukraine.
The lawsuit will test rare emergency powers that the European Commission used
last year to keep Russian state assets across the bloc, worth some €210 billion,
on ice through a qualified majority. The legal loophole nullified vetoes that
Kremlin-friendly countries in the EU, such as Hungary, would otherwise have had.
EU leaders agreed in mid-December to raise common debt without Hungary, Slovakia
and Czechia to finance Kyiv’s defense against Russian forces. Ukraine will only
have to pay back the loan once Moscow ends the conflict and pays war
reparations. If the Kremlin refuses, EU leaders reserve the right to tap the
cash value of the frozen assets to pay itself back.
In a statement Tuesday, the Bank of Russia blasted the EU’s “unlawful actions
against the Bank of Russia’s sovereign assets,” saying the regulation violates
“the basic and inalienable rights to access justice” and the “principle of
sovereign immunity of states and their central banks.”
The central bank also argued the Council of the EU committed “serious
violations” of its own procedures by adopting the measure by qualified majority
rather than unanimity.
The Commission plans to issue a statement in response to the lawsuit, which the
central bank filed at the EU’s General Court in Luxembourg.
Russia’s central bank filed a separate lawsuit in Moscow last year against
Brussels-based financial depository Euroclear, where the bulk of its assets lie
immobilized under EU sanctions after Moscow invaded Ukraine in 2022.
BRUSSELS — The European Commission will adopt the Industrial Accelerator Act
(IAA) on Wednesday, finally backing the landmark measure that would define a
European preference in green public procurement after several delays.
Haggling over the planned regulation went right down to the wire, with a meeting
of cabinet chiefs that began on Monday spilling into Tuesday, the day before
Ursula von der Leyen’s College of Commissioners will now sign off on an agreed
text. According to one Commission official, another 44 changes were made to the
draft at the meeting that ran into overtime.
Paula Pinho, the Commission’s chief spokesperson, confirmed at Tuesday’s regular
midday briefing that “commissioners are expected to adopt a proposal for an
Industrial Accelerator Act.”
The landmark measure would define a “Made in EU” preference in green public
procurement — while pushing back a decision for six months on whether friendly
third countries can be included in its scope. This means that, even after
Wednesday’s announcement, countries like the U.K. or Switzerland will still need
to lobby to get inside the tent.
The IAA would also set restrictions on inward investment for dominant players in
strategic green industries. These would mainly have China in mind, and cover
batteries and energy storage, electric vehicles and components, solar
photovoltaic, and the extraction, processing and recycling of critical raw
materials, according to a draft obtained by POLITICO last week.
An earlier version of the proposal, which is being overseen by Industry
Commissioner Stéphane Séjourné, was panned last month by as many as nine
departments of the EU executive. By the end of last week that was down to three,
including the Commission’s powerful trade department, according to one person
familiar with the discussion. They were granted anonymity to discuss the
closed-door talks.
Germany also led a rearguard action by 10 EU countries — which styled themselves
as the Friends of Industry — who support less industry regulation and more open
trade, with Economy Minister Katherina Reiche saying it would create “a
regulatory wasteland that nobody can understand anymore.”
With so many changes being made at the last minute, including dropping entire
industries like tech from the purview of the legislation, critics say the bill
is nowhere near ready for prime time and is at risk of being heavily revised
when it goes for review by the Council of the EU, which represents the bloc’s 27
member countries, and European lawmakers.
Additional reporting by Gerardo Fortuna.
As European health systems grapple with how to deliver increasingly advanced
therapies, rare disease patients in Sweden still face everyday challenges — from
securing a diagnosis to accessing appropriate care. Although rights are strong
on paper, families often find themselves stitching together services across a
decentralized system.
Ågrenska is a national competence center in Sweden working to bridge those gaps.
It supports people with rare diagnoses and their families in navigating health
and social services. “But there’s a limit to what one organization can do,” says
Zozan Sewger Kvist, Ågrenska’s CEO. POLITICO Studio spoke with her about where
the Swedish system falls short and what must change across Europe to ensure
patients are not left behind.
POLITICO Studio: From Ågrenska’s experience working with families of rare
disease patients across Sweden, where does the system most often break down?
Zozan Sewger Kvist: For 25 years the families have been telling us the same
thing: the system doesn’t connect.
Zozan Sewger Kvist, CEO, Ågrenska
The breakdown is most evident in health care, especially when transitioning from
pediatric to adult care. But it also happens when patients are transitioning
between schools, social services and medical teams. No one is looking at their
care from a holistic point of view. Families become their own project managers.
They are the ones booking appointments, chasing referrals, explaining the
diagnosis again and again. It’s a heavy burden.
That’s largely why our organization exists. We provide families with the
knowledge, networks and tools to navigate the system and understand their
rights. But there’s a limit to what one organization can do. In a perfect world,
these functions would already be embedded within public care.
> Without clear national coordination, it becomes much harder to monitor whether
> families are actually receiving the support they are entitled to.
PS: Access to rare disease care varies widely within many European countries and
Sweden is no exception. In practical terms, what do those regional disparities
look like?
ZSK: Swedish families have the same rights across the country, but regional
priorities differ. That leads to unequal access in practice. For example, areas
with university hospitals tend to have stronger specialist networks and
rehabilitation services. In more rural parts of the country, especially in the
north, it is harder to attract expertise, and families feel that gap directly.
In practical terms, that can mean something as basic as access to
rehabilitation. In some regions, children receive coordinated physiotherapy,
speech therapy and follow-up. In others, families struggle to access
rehabilitation at all. And that’s a big issue because a lot of Sweden’s health
care runs through rehabilitation — without it, referrals to other services and
treatments can stall.
PS: Would a comprehensive national rare disease strategy meaningfully change
outcomes across regions?
ZSK: The problem is compliance, not regulation. Sweden has strong rules but
regions have almost full freedom to organize care, which makes consistency
difficult. As it stands, without clear national coordination, it becomes much
harder to monitor whether families are actually receiving the support they are
entitled to.
A national rare disease strategy would not solve everything but it would set
expectations such as what the minimum level of care should look like, what
coordination should include and how outcomes are followed up.
A draft national strategy was developed in 2024, and there was real momentum.
Patient organizations, health care experts and the government were all involved.
Everyone was optimistic the framework would provide guidance and accountability.
After some delays, work on the national strategy has resumed, so hopefully we
will see it implemented soon.
> Families often feel they need to take on a coordinating role themselves. They
> describe an endless search — calling clinics, repeating their story, trying to
> connect the dots.
PS: Families often describe a long and fragmented path to diagnosis. Where does
that journey tend to go wrong, and what would shorten it most?
ZSK: Coordinated multidisciplinary teams would make the biggest difference —
teams that can look at the whole condition, not just one symptom at a time.
The challenge is that rare diseases often affect multiple organ systems. Several
specialists may be involved, but they do not always work together, and it may
not be clear who is taking responsibility for the whole case. When no one holds
that overview, delays multiply.
Sweden also lacks a fully integrated national health record system, so
specialists may be looking at different pieces of the same case without seeing
the full picture. Families often feel they need to take on a coordinating role
themselves. They describe an endless search — calling clinics, repeating their
story, trying to connect the dots.
PS: Sweden participates in the European Reference Networks, yet you’ve suggested
they’re underused. What’s missing in how Sweden leverages that expertise?
ZSK: The ERNs are a strong, established framework for connecting specialists
across borders. Swedish experts participate, but we are not using that structure
to its full potential. Participation often appears project-based rather than
long-term. Neighboring countries such as Norway, Denmark and Finland are more
proactive in leveraging these collaborations.
I would like to see Sweden invest more in turning these networks into durable
partnerships that support clinical practice — not just research initiatives.
> Rare disease care needs sustained political and financial follow-through.
> Without that, families will continue to carry burdens that the system should
> be managing.
PS: Sweden often falls behind other EU countries in terms of access to orphan
medicines (drugs that treat rare diseases). What needs to change in Sweden’s
approach to ensure patients aren’t left behind?
ZSK: Families are very aware of how access compares across Europe. They follow
these discussions closely, and when a treatment is available in one country but
not another, it is difficult for them to understand why.
In Sweden, reimbursement decisions often come down to cost-effectiveness
calculations. That makes access an ethical as well as an economic question. But
for a family, it is hard to accept that a few additional years of life or
stability are weighed against a financial threshold.
Some families choose to cross borders for treatment. But that can be quite a
complex, expensive process, depending on the kind of treatment.
I think greater transparency and clearer communication about the criteria and
long-term impact — not only the immediate cost — would make difficult outcomes
easier to understand.
PS: You’ve worked with families for decades. Have things materially improved —
and what worries you most if reforms stall?
ZSK: Unfortunately, I cannot say that things have materially improved. When I
look back at the challenges families described 15 or 20 years ago, many of them
are still the same.
There have been some positive developments. Digital access means families are
more informed and can connect more easily with others in similar situations.
That has strengthened their voice.
But structurally, many of the underlying gaps remain. Rare disease care needs
sustained political and financial follow-through. Without that, families will
continue to carry burdens that the system should be managing.
Disclaimer
POLITICAL ADVERTISEMENT
* The sponsor is Alexion Pharmaceuticals
* The entity ultimately controlling the sponsor: AstraZeneca plc
* The political advertisement is linked to policy advocacy around rare disease
governance, funding, and equitable access to diagnosis and treatment across
Europe
More information here.