An employee at French nuclear fuel company Orano has died from meningitis,
French health authorities said Friday, adding that there is seemingly “no link”
with the ongoing outbreak in the U.K.
The Normandy Regional Health Agency said it received a report of a case of
invasive meningococcal disease in La Hague, Normandy, on Thursday, and that the
death was announced on Friday. Authorities are currently identifying at-risk
contacts, who will be offered antibiotics “as soon as possible.”
The employee worked at Orano, the health authority said. “Around 50 potential
contact cases have been identified and contacted by their managers in order to
receive a specific preventive antibiotic treatment,” Orano told POLITICO.
The patient died at Cherbourg hospital. Cherbourg is a key port for ferries to
and from the U.K. The health authority said “no link can be established with the
meningitis epidemic currently underway in the United Kingdom.”
The U.K. is grappling with an ongoing outbreak of meningitis in the southeast
county of Kent, linked to a local nightclub. As of Friday, 29 people have fallen
ill and two people have died, the U.K. Health Security Agency said. Health
Secretary Wes Streeting described the outbreak as “unprecedented.”
Health officials have rolled out preventive antibiotics and vaccination to those
who attended the nightclub between March 5-7, to close contacts of cases and to
local university and school students.
France reported one case to the U.K. last weekend in someone who had also
visited the university then travelled to France. The French health ministry told
POLITICO the patient was “stable,” that close contacts had been alerted and
offered antibiotics, and that no further cases had been reported.
Tag - Patients
Biotechnology is central to modern medicine and Europe’s long-term
competitiveness. From cancer and cardiovascular disease to rare conditions, it
is driving transformative advances for patients across Europe and beyond . 1
Yet innovation in Europe is increasingly shaped by regulatory fragmentation,
procedural complexity and uneven implementation across m ember s tates. As
scientific progress accelerates, policy frameworks must evolve in parallel,
supporting the full lifecycle of innovation from research and clinical
development to manufacturing and patient access.
The proposed EU Biotech Act seeks to address these challenges. By streamlining
regulatory procedures, strengthening coordination and supporting scale-up and
manufacturing, it aims to reinforce Europe’s position in a highly competitive
global biotechnology landscape .2
Its success, however, will depend less on ambition than on delivery. Consistent
implementation, proportionate oversight and continued global openness
will determine whether the a ct translates into faster patient access,
sustained investment and long-term resilience.
Q: Why is biotechnology increasingly seen as a strategic pillar for Europe’s
competitiveness, resilience and long-term growth?
Gilles Marrache, SVP and regional general manager, Europe, Latin America, Middle
East, Africa and Canada, Amgen: Biotechnology sits at the intersection of
health, industrial policy and economic competitiveness. The sector is one of
Europe’s strongest strategic assets and a leading contributor to research and
development growth . 3
At the same time, Europe’s position is under increasing pressure. Over the past
two decades, the EU has lost approximately 25 percent of its global share of
pharmaceutical investment to other regions, such as the United States and
China.
The choices made today will shape Europe’s long-term strength in the sector,
influencing not only competitiveness and growth, but also how quickly patients
can benefit from new treatments.
> Europe stands at a pivotal moment in biotechnology. Our life sciences legacy
> is strong, but maintaining global competitiveness requires evolution .” 4
>
> Gilles Marrache, SVP and regional general manager, Europe, Latin America,
> Middle East, Africa and Canada, Amgen.
Q: What does the EU Biotech Act aim to do and why is it considered an
important step forward for patients and Europe’s innovation ecosystem?
Marrache: The EU Biotech Act represents a timely opportunity to better support
biotechnology products from the laboratory to the market.
By streamlining medicines’ pathways and improving conditions for scale-up and
investment, it can help strengthen Europe’s innovation ecosystem and accelerate
patient access to breakthrough therapies. These measures will help anchor
biotechnology as a strategic priority for Europe’s future — and one that can
deliver earlier patient benefit — so long as we can make it work in practice.
Q: How does the EU Biotech Act address regulatory fragmentation, and where will
effective delivery and coordination be most decisive?
Marrache: Regulatory fragmentation has long challenged biotechnology development
in Europe, particularly for multinational clinical trials and innovative
products. The Biotech Act introduces faster, more coordinated trials, expanded
regulatory sandboxes and new investment and industrial capacity instruments.
The proposed EU Health Biotechnology Support Network and a u nion-level
regulatory status repository would strengthen transparency and
predictability. Together, these measures would support earlier regulatory
dialogue, help de-risk development and promote more consistent implementation
across m ember s tates.
They also create an opportunity to address complexities surrounding combination
products — spanning medicines, devices and diagnostics — where overlapping
requirements and parallel assessments have added delays.5 This builds on related
efforts, such as the COMBINE programme,6 which seeks to streamline the
navigation of the In Vitro Diagnostic Regulation , 7 Clinical Trials Regulation8
and the Medical Device Regulation9 through a single, coordinated assessment
process.
Continued clarity and coordination will be essential to reduce duplication and
accelerate development timelines .10
Q: What conditions will be most critical to support biotech
scale-up, manufacturing and long-term investment in Europe?
Marrache: Europe must strike the right balance between strategic autonomy and
openness to global collaboration. Any new instruments under the Biotech Act
mechanisms should remain open and supportive of all types of biotech
investments, recogni z ing that biotech manufacturing operates through globally
integrated and highly speciali z ed value chains.
Q: How can Europe ensure faster and more predictable pathways from scientific
discovery to patient access, while maintaining high standards of safety and
quality?
Marrache: Faster and more predictable patient access depends on strengthening
end-to-end pathways across the lifecycle. The Biotech Act will help ensure
continuity of scientific and regulatory experti z e, from clinical development
through post-authori z ation. It will also support stronger alignment with
downstream processes, such as health technology assessments, which are
critical to success.
Moreover, reducing unnecessary delays or duplication in approval processes can
set clearer expectations, more predictable development timelines and earlier
planning for scale-up.
Gilles Marrache, SVP and regional general manager, Europe, Latin America,
Middle East, Africa and Canada, Amgen. Via Amgen.
Finally, embedding a limited number of practical tools (procedural, digital or
governance-based) and ensuring they are integrated within existing European
Medicines Agency and EU regulatory structures can help achieve faster
patient access . 11
Q: What role can stronger regulatory coordination, data use and public - private
collaboration play in strengthening Europe’s global position in biotechnology?
Marrache: To unlock biotechnology’s full potential, consistent implementation is
essential. Fragmented approaches to secondary data use, divergent m ember
state interpretations and uncertainty for data holders still limit access to
high-quality datasets at scale. The Biotech Act introduces key building blocks
to address this.
These include Biotechnology Data Quality Accelerators to improve
interoperability, trusted testing environments for advanced innovation, and
alignment with the EU AI Act ,12 European Health Data Space13 and wider EU data
initiatives. It also foresees AI-specific provisions and clinical trial guidance
to provide greater operational clarity.
Crucially, these structures must simplify rather than add further layers of
complexity.
Addressing remaining barriers will reduce legal uncertainty for AI deployment,
support innovation and strengthen Europe’s competitiveness.
> These reforms will create a moderni z ed biotech ecosystem, healthier
> societies, sustainable healthcare systems and faster patient access to the
> latest breakthroughs in Europe .” 14
>
> Gilles Marrache, SVP and regional general manager, Europe, Latin America,
> Middle East, Africa and Canada, Amgen.
Q: As technologies evolve and global competition intensifies, how can
policymakers ensure the Biotech Act remains flexible and future-proof?
Marrache: To remain future-proof, the Biotech Act must be designed to evolve
alongside scientific progress, market dynamics and patient needs. Clear
objectives, risk-based requirements, regular review mechanisms and timely
updates to guidance will enhance regulatory agility without creating unnecessary
rigidity or administrative burden.
Continuous stakeholder dialogue combined with horizon scanning will be essential
to sustaining innovation, resilience and timely patient access over the long
term. Preserving regulatory openness and international cooperation will be
critical in avoiding fragmentation and maintaining Europe’s credibility as a
global biotech hub.
Q: Looking ahead, what two or three priorities should policymakers focus on to
ensure the EU Biotech Act delivers meaningful impact in practice?
Marrache: Looking ahead, policymakers should focus on three priorities for the
Biotech Act:
First, implementation must deliver real regulatory efficiency, predictability
and coordination in practice.
Second, Europe must sustain an open and investment-friendly framework that
reflects the global nature of biotechnology.
And third, policymakers should ensure a clear and coherent legal framework
across the lifecycle of innovative medicines, providing certainty for the use
of artificial intelligence — as a key driver of innovation in health
biotechnology.
In practical terms, the EU Biotech Act will be judged not by the number of new
instruments it creates, but by whether it reduces complexity, increases
predictability and shortens the path from scientific discovery to patient
benefit.
An open, innovation-friendly framework that is competitive at the global level
will help sustain investment, strengthen resilient supply chains and deliver
better outcomes for patients across Europe and beyond.
--------------------------------------------------------------------------------
References
1. Amgen Europe, The EU Biotech Act Unlocking Europe’s Potential, May 2025.
Retrieved from
https://www.amgen.eu/media/press-releases/2025/05/The_EU_Biotech_Act_Unlocking_Europes_Potential
2. European Commission, Proposal for a Regulation to establish measures to
strengthen the Union’s biotechnology and biomanufacturing sectors, December
2025. Retrieved from
https://health.ec.europa.eu/publications/proposal-regulation-establish-measures-strengthen-unions-biotechnology-and-biomanufacturing-sectors_en
3. EFPIA, The pharmaceutical sector: A catalyst to foster Europe’s
competitiveness, February 2026. Retrieved from
https://www.efpia.eu/media/zkhfr3kp/10-actions-for-competitiveness-growth-and-security.pdf
4. The Parliament, Investing in healthy societies by boosting biotech
competitiveness, November 2024. Retrieved from
https://www.theparliamentmagazine.eu/partner/article/investing-in-healthy-societies-by-boosting-biotech-competitiveness#_ftn4
5. Amgen Europe, The EU Biotech Act Unlocking Europe’s Potential, May 2025.
Retrieved from
https://www.amgen.eu/docs/BiotechPP_final_digital_version_May_2025.pdf
6. European Commission, combine programme, June 2023. Retrieved from
https://health.ec.europa.eu/medical-devices-topics-interest/combine-programme_en
7. European Commission. Medical Devices – In Vitro Diagnostics, March 2026.
Retrieved from
https://health.ec.europa.eu/medical-devices-vitro-diagnostics_en
8. European Commission, Clinical trials – Regulation EU No 536/2014, January
2022. Retrieved from
https://health.ec.europa.eu/medicinal-products/clinical-trials/clinical-trials-regulation-eu-no-5362014_en
9. European Commission, Simpler and more effective rules for medical devices –
Commission proposal for a targeted revision of the medical devices
regulations, December 2025. Retrieved from
https://health.ec.europa.eu/medical-devices-sector/new-regulations_en#mdr
10. Amgen Europe, The EU Biotech Act Unlocking Europe’s Potential, May 2025.
Retrieved from
https://www.amgen.eu/docs/BiotechPP_final_digital_version_May_2025.pdf
11. AmCham, EU position on the Commission Proposal for an EU Biotech Act
12. European Commission, AI Act | Shaping Europe’s digital future, June 2024.
Retrieved from
https://digital-strategy.ec.europa.eu/en/policies/regulatory-framework-ai
13. European Commission, European Health Data Space, March 2025. Retrieved from
https://health.ec.europa.eu/ehealth-digital-health-and-care/european-health-data-space-regulation-ehds_en
14. The Parliament, Why Europe needs a Biotech Act, October 2025. Retrieved
from
https://www.theparliamentmagazine.eu/partner/article/why-europe-needs-a-biotech-act
--------------------------------------------------------------------------------
Disclaimer
POLITICAL ADVERTISEMENT
* The sponsor is Amgen Inc
* The ultimate controlling entity is Amgen Inc
* The political advertisement is linked to advocacy on the EU Biotech Act.
More information here.
Teresa Graham, © EFPIA
European governments navigate an ever more competitive global landscape,
stagnating productivity and competing demands on budgets. We have successfully
faced and solved many challenges in the past, but this situation is different:
the choices we make today will shape our health care systems and patient care,
and these choices will dictate Europe’s economic performance and global
relevance for decades to come.
For those of us in the life sciences, these aren’t just macroeconomic trends —
they are the pulse of a system that determines how quickly a breakthrough
reaches a patient. It is a high-stakes environment where policies on health care
and innovation carry urgent human and economic consequences. When a medicine has
the power to treat or potentially cure, neither innovators nor policymakers want
to drag their heels, because no person requiring health care can afford the
luxury of delay.
> The true economic burden of health care isn’t financing health innovation, but
> the cost of failing to do so.
Europe’s challenge is clear: we must better align our industrial strength in
life science with public health goals, ensuring innovation reaches both patients
and economies faster. The question is no longer what Europe wants to be — it is
where Europe chooses to invest to remain a global player.
Health as e conomic i nfrastructure
Under the weight of mounting budget pressures, it is understandable that
governments often view health primarily as a cost to be contained. However, this
perspective is disconnected from modern economic reality.
And let me be clear: the true economic burden of health care isn’t financing
health innovation, but the cost of failing to do so. For years, Europe has
already been paying the price of lost productivity: citizens forced out of the
workforce too early and chronic diseases managed too late. For instance,
cardiovascular diseases alone cost the E uropean U nion economy up to €282
billion annually. This creates a massive yet avoidable strain on national
budgets, especially as pharmaceutical innovation is estimated to be responsible
for up to two-thirds of life expectancy gains in high-income countries . 1
> Every medical breakthrough that enables a citizen to return to work or care
> for their family is a direct investment in Europe’s economic strength.
We must shift our mindset . H ealth is not merely a social good; it is economic
infrastructure. Healthier societies are inherently more productive and
resilient, and every medical breakthrough that enables a citizen to return to
work or care for their family is a direct investment in Europe’s economic
strength. Investing in innovation today is the only way to secure a competitive
workforce and reduce long-term systemic costs.
The c ompetitiveness t est: a s trategic a sset, n ot a l ine i tem
Europe’s life sciences sector is one of the few remaining areas that retains
genuine global competitiveness and strength, contributing more than €300 billion
to annual output and supporting 2 million high-skilled jobs across m ember s
tates . 2 It anchors Europe’s trade resilience, generating a trade surplus 66
percent higher than all other EU sectors combined . 3
But the warning signs are clear: while Europe still accounts for 20 percent of
global pharmaceutical research and development , its share of global investment
is shrinking as capital and talent migrate elsewhere . 4 Europe’s world-class
science is being held back by fragmentation and regulatory inertia.
> We must treat this sector as a pillar of our sovereignty and a strategic
> asset, not merely a cost to be managed.
If we want to lead the next wave of medical breakthroughs, we must move at the
speed of global change. This requires a fundamental shift: simplifying clinical
trial regulations, deploying AI-driven digital tools, incentivizing research
through strong intellectual property frameworks and establishing a
public-private dialogue on innovative pharmaceuticals.
We need a clear action plan, not just more legislation, to translate our
scientific leadership into tangible health outcomes.  We must treat this
sector as a pillar of our sovereignty and a strategic asset, not merely a cost
to be managed.
A c onsequential c hoice
Europe has to choose. Either we can continue to approach life science innovation
as a budgetary threat, only to reali z e too late that we have weakened our
competitiveness and delayed new treatments for patients. Or we can recogni z
e innovation for what it is — an economic multiplier that strengthens our
productivity, resilience and global influence — and ensure that
Europe remains a place where the next generation of medical breakthroughs is
discovered, developed and delivered to patients.
There is no middle ground. Europe must stop focus ing solely on the cost of
innovation and start asking how much innovation it can afford to lose. In the
global race for talent and capital, hesitation is a decision. The rest of the
world is not waiting.
--------------------------------------------------------------------------------
References
1. The value of health: Investing in Europe’s future [EPC 2026]
2. Economic and Societal Footprint of the Pharmaceutical Industry in Europe [VE
/ PwC 2024]
3. International trade of EU and non-EU countries since 2002 by SITC [Eurostat
2026]
4. The 2025 EU Industrial R&D Investment Scoreboard [EC 2025]
--------------------------------------------------------------------------------
Disclaimer
POLITICAL ADVERTISEMENT
* The sponsor is European Federation of Pharmaceutical Industries and
Associations (EFPIA)
* The entity ultimately controlling the sponsor is European Federation of
Pharmaceutical Industries and Associations (EFPIA)
* The political advertisement is linked to EU pharmaceutical regulation and
innovation policy.
More information here.
Dr. Daniel Steiners
This is not an obituary for Germany’s economic standing. It is an invitation to
shift perspective: away from the language of crisis and toward a clearer view of
our opportunities — and toward the confidence that we have more capacity to
shape our future than the mood indicators might suggest.
For years, Germany seemed to be traveling along a self-evident path of success:
growth, prosperity, the title of export champion. But that framework is
beginning to fray. Other countries are catching up. Parts of our industrial base
appear vulnerable to the pressures of transformation. And global dependencies
are turning into strategic vulnerabilities. In short, the German model of
success is under strain.
Yet a glance at Europe’s economic history suggests that moments like these can
also contain enormous potential — if strategic thinking and decisive action come
together. One example, which I find particularly striking, takes us back to
1900. At the time, André and Édouard Michelin were producing tires in a
relatively small market, when the automobile itself was still a niche product.
They could have focused simply on improving their product. Instead, they thought
bigger; not in silos, but in systems.
With the Michelin Guide, they created incentives and orientation for greater
mobility: workshop directories, road maps, and recommendations for hotels and
restaurants made travel more predictable and attractive. What began as a service
booklet for motorists gradually evolved into an entire ecosystem — and
eventually into a globally recognized benchmark for quality.
> In times of change, those who recognize connections and are willing to shape
> them strategically can transform uncertainty into lasting strength.
What makes this example remarkable is that the real innovation did not lie in
the tire itself or merely even a clever marketing idea to boost sales. It lay in
something more fundamental: connected thinking and ecosystem thinking. The
decision to see mobility as a broad space for value creation. It was the courage
to break out of silos, to recognize strategic connections, to deepen value
chains — and to help define the standards of an emerging market.
That is precisely the lesson that remains relevant today, including for
policymakers. In times of change, those who recognize connections and are
willing to shape them strategically can transform uncertainty into lasting
strength.
Germany’s industrial health economy is still too often viewed in public debate
in narrowly sectoral terms — primarily through the lens of health care provision
and costs. Strategically, however, it has long been an industrial ecosystem that
spans research, development, manufacturing, digital innovation, exports and
highly skilled employment. Just as Michelin helped shape the ecosystem of
mobility, Germany can think of health as a comprehensive domain of value
creation.
The industrial health economy: cost driver or engine of growth?
Yes, medicines cost money. In 2024, Germany’s statutory health insurance system
spent around €55 billion on pharmaceuticals. But much of that increase reflects
medical progress and the need for appropriate care in an aging society with
changing disease patterns.
Innovative therapies benefit both patients and the health system. They can
improve quality and length of life while shifting treatment from hospitals into
outpatient care or even into patients’ homes. They raise efficiency in the
system, reduce downstream costs and support workforce participation.
> In short, the industrial health economy is not merely part of our health care
> system. It is a key industry, underpinning economic strength, prosperity and
> the financing of our social security systems.
Despite public perception, pharmaceutical spending has remained remarkably
stable for years, accounting for roughly 12 percent of total expenditures in the
statutory health insurance system. That figure also includes generics —
medicines that enter the ‘world heritage of pharmacy’ after patent protection
expires and remain available at low cost. Truly innovative, patent-protected
medicines account for only about seven percent of total spending.
Against these costs stands an economic sector in which Germany continues to hold
a leading international position. With around 1.1 million employees and value
creation exceeding €190 billion, the industrial health economy is among the
largest sectors of the German economy. Its high-tech products, bearing the Made
in Germany label, are in demand worldwide and contribute significantly to
Germany’s export surplus.
In short, the industrial health economy is not merely part of our health care
system. It is a key industry, underpinning economic strength, prosperity and the
financing of our social security systems. Its overall balance is positive.
The central question, therefore, is this: how can we unlock its untapped
potential? And what would it mean for Germany if we fail to recognize these
opportunities while economic and innovative capacity increasingly shifts
elsewhere?
Global dynamics leave little room for hesitation
Governments around the world have long recognized the strategic importance of
the industrial health economy — for health care, for economic growth and for
national security.
China is demonstrating remarkable speed in scaling and implementing
biotechnology. The United States, meanwhile, illustrates how determined
industrial policy can look in practice. Regulatory authorities are being
modernized, approval procedures accelerated and bureaucratic barriers
systematically reduced. At the same time, domestic production is being
strategically strengthened. Speed and market size act as magnets for capital —
especially in a sector where research is extraordinarily capital-intensive and
requires long-term planning security.
When innovation-friendly conditions and economic recognition of innovation meet
a large, well-funded market, global shifts follow. Today roughly 50 percent of
the global pharmaceutical market is located in the United States, about 23
percent in Europe — and only 4 to 5 percent in Germany. This distribution is no
coincidence; it reflects differences in economic and regulatory environments.
At the same time, political pressure is growing on countries that benefit from
the American innovation engine without offering an equally attractive home
market or recognizing the value of innovation in comparable ways. Discussions
around a Most Favored Nation approach or other trade policy instruments are
moving in precisely that direction — and they affect Europe and Germany
directly.
For Germany, the implications are clear.
Those who want to attract investment must strengthen their competitiveness.
Those who want to ensure reliable health care must appropriately reward new
therapies.
Otherwise, these global dynamics will inevitably affect both the economy and
health care at home. Already today, roughly one in four medicines introduced in
the United States between 2014 and 2023 is not available in Europe. The gap is
even larger for gene and cell therapies.
The primacy of industrial policy: from consensus to action — now
Germany does not lack potential or substance. We still have a strong industrial
base, a tradition of invention, outstanding universities and research
institutions, and a private sector willing to invest. Political initiatives such
as the coalition agreement, the High-Tech Agenda and plans for a future strategy
in pharmaceuticals and medical technology provide important impulses, which I
strongly welcome.
> A fair market environment without artificial price caps or rigid guardrails is
> the strongest magnet for private capital, long-term investment and a resilient
> health system.
But programs must now translate into a coherent action plan for growth.
We need innovation-friendly and stable framework conditions that consider health
care, economic strength and national security together — as a strategic
ecosystem, not as separate silos.
The value of medical innovation must also be recognized in Germany. A fair
market environment without artificial price caps or rigid guardrails is the
strongest magnet for private capital, long-term investment and a resilient
health system.
Faster approval procedures, consistent digitalization and a determined reduction
of bureaucracy are essential if speed is once again to become a competitive
advantage and a driver of innovation.
Germany can reinvent itself, of that I am convinced. With courage, strategic
determination and an ambitious push for innovation.
The choice now lies with us: to set the right course and unlock the potential
that is already there.
The humanitarian crisis in Gaza is “still catastrophic” and has seen only a
“marginal” improvement since the ceasefire, with worse to come due to the Middle
East war, senior World Health Organization officials told reporters Thursday.
There are $6 million worth of medicines that can’t reach Gaza due to supply
disruptions in the Middle East, Hanan Balkhy, WHO director for the Eastern
Mediterranean region, said. The chaos “will take away, for sure, from the
support needed for the people in Gaza,” she said.
Israel closed border crossings in and out of Gaza after striking Iran last
weekend, claiming the enclave had adequate humanitarian supplies and there would
be “no impact on the humanitarian situation.” Israel said Tuesday it would
reopen the crossing to allow for the “gradual entry of humanitarian aid,”
reported Le Monde with AFP.
Balkhy, however, said the volume of aid entering Gaza “was and is not enough,”
while WHO Director-General Tedros Adhanom Ghebreyesus said the improvement since
the ceasefire was “actually marginal.”
“We need 600 trucks to cross into Gaza every single day but currently it’s not
more than between 100 and 150,” Tedros said, adding the border closures had
interrupted “good progress” on the number of medical evacuations.
“I would like to use this opportunity actually to ask Israel to allow us to take
patients [from Gaza] to east Jerusalem and [the] West Bank,” Tedros said. Some
of the trucks entering Gaza were “commercial” and didn’t really help people who
couldn’t afford the supplies, he said.
POLITICO contacted Israel’s Coordinator of Government Activities in the
Territories for comment, but did not receive an immediate response.
Today, cancer remains one of Europe’s leading causes of death and disability,
accounting for 23 percent of all deaths in 2022 and 17 percent of
disability-adjusted life years in 2021. Four Europeans are diagnosed with cancer
every minute, a number that is expected to rise over the next several decades
due to population aging.
As the EU Beating Cancer Plan reaches the end of its initial phase, Europe now
stands at a critical moment. The question is not whether progress has been made,
but whether Europe will build on that momentum or allow it to stall, with
consequences not only for health outcomes, but also for economic growth and
scientific leadership.
Gilles Marrache
At this juncture, cancer care must be understood not as a cost to be contained,
but also as a strategic investment that delivers measurable returns in survival,
productivity and Europe’s global competitiveness.
> Continued investment in oncology is therefore not only a moral imperative but
> also a proven economic and social multiplier.
Cancer innovation delivers proven returns
Investment in cancer innovation has already delivered extraordinary value for
European patients and societies. Since 1989, advances in oncology have helped
prevent an estimated 5.4 million deaths. More recently, since 2012, innovative
cancer medicines have generated approximately 1.1 million quality-adjusted life
years, all while accounting for just 6.6 percent of total health budgets.
These gains are not abstract. They represent longer lives, improved quality of
life, and the ability for people to remain active contributors to their
families, workplaces and communities. Continued investment in oncology is
therefore not only a moral imperative but also a proven economic and social
multiplier.
Delayed access is holding Europe back
Despite these returns, Europe continues to struggle with timely access to
innovative cancer medicines and diagnostics. According to EFPIA’s 2025 W.A.I.T.
data, only 46 percent of centrally approved innovative medicines are available
to patients on average across Europe, with a mean delay of 578 days between EU
approval and patient access.
In oncology, these waits have grown since 2023, which undermines patient
outcomes and weakens Europe’s competitiveness in health innovation.
Europe’s innovation edge is at risk
Without decisive action, Europe risks falling further behind other regions.
High-income European countries currently invest roughly half as much per capita
in innovative medicines as the United States. This gap is driven largely by
differences in how new therapies are valued, assessed and reimbursed.
The impact of this underinvestment is already visible. Over the past two
decades, Europe has lost around a quarter of its global share of
biopharmaceutical research and development. Along with that loss comes fewer
high-quality jobs, reduced private investment and weakened strategic autonomy in
a sector that is increasingly central to economic and health security.
> evidence suggests that every euro invested in health can generate up to four
> euros in economic value, unlocking an estimated €10 trillion in GDP and saving
> up to 60 million lives.
Smart health investment drives growth and resilience
By increasing targeted investment in innovative medicines, including in
oncology, Europe can improve health outcomes for citizens, support workforce
participation and stimulate sustainable economic growth. Globally, evidence
suggests that every euro invested in health can generate up to four euros in
economic value, unlocking an estimated €10 trillion in GDP and saving up to 60
million lives.
What European policymakers should do next
To support oncology patients and safeguard innovation, regional and national
governments must act across policy, funding and access:
— Value what matters: modernize health technology assessment frameworks to
better capture the full societal and economic benefits of innovation, while
reducing duplicative and inefficient evidence requirements. This is particularly
important as oncology products begin going through the new EU Joint Clinical
Assessment.
— Accelerate access: introduce time-bound, predictable pricing and reimbursement
pathways; address regional and formulary-level delays; and invest in diagnostic
and biomarker testing capacity to ensure patients receive the right treatment at
the right time.
— Back prevention and screening: fully finance the EU Beating Cancer Plan’s
screening ambitions and scale proven pilot programmes that detect cancer earlier
and improve outcomes.
— Invest in innovation: increase public spending on innovative medicines in line
with their true societal impact, while eliminating clawbacks and other
cost-containment measures that disproportionately undermine the value of these
therapies.
A defining choice for Europe
Europe stands at a crossroads. It can choose to invest now in cancer innovation,
which would help to close survival gaps, strengthen competitiveness and deliver
long-term value for citizens. Or it can allow delays, underinvestment and
fragmented policies to widen those gaps further.
Aligning policy, funding and access around innovation would not only improve
cancer outcomes but make health one of Europe’s most powerful and sustainable
investments for the future.
--------------------------------------------------------------------------------
POLITICAL ADVERTISEMENT
* The sponsor is European Federation of Pharmaceutical Industries and
Associations (EFPIA)
* The political advertisement is linked to advocacy on securing a
technology-neutral EU road-transport decarbonisation framework through
recognition of renewable fuels, strengthened grid and infrastructure
enablers, and avoiding mandates that limit operators’ choice and
competitiveness.
* The ultimate controlling entity is European Federation of Pharmaceutical
Industries and Associations (EFPIA)
More information here.
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.
Europe stands at a crossroads. Cancer cases continue to rise, health systems are
under visible strain and critical gaps in care remain unaddressed. Yet, just as
the need for action grows more urgent, political attention to health — and to
cancer — is fading. Now is the moment for Europe to build on hard-won work and
ensure patients across the continent benefit from the care they deserve.
As negotiations open on the EU’s next long-term budget (2028-34), priorities are
shifting toward fiscal restraint, competitiveness and security. Health — once
firmly on the political radar — is slipping down the agenda. This shift comes at
a critical moment: Europe’s Beating Cancer Plan, a €4 billion flagship effort to
turn the tide against cancer, is set to end in 2027 with no clear commitment to
renew its mandate.
With cancer incidence rising and systems struggling, letting Europe’s cancer
framework fade would be a costly mistake. Across Europe, patients, clinicians
and advocates are sounding the alarm.
> With cancer incidence rising and systems struggling, letting Europe’s cancer
> framework fade would be a costly mistake.
“With 2.7 million cancer diagnoses and 1.3 million deaths each year, Europe must
reach higher for cancer care, not step back,” says Dr. Isabel Rubio, president
of the European Cancer Organisation. “Europe’s Beating Cancer Plan has set a new
course, but sustained funding is now essential to protect progress and close the
gaps patients still face.”
Protecting the status quo is not enough. If the EU is serious about
patient-centered cancer care, it must make a firm commitment to cancer and
confront long-overlooked gaps, namely one with profound impact but minimal
political attention: cancer-related malnutrition.
The invisible crisis undermining cancer care
Nutrition remains one of the most glaring blind spots in European cancer care.
Cancer-related malnutrition affects up to seven out of ten patients, driven by
the disease and its treatments.1 Increased nutritional needs — combined with
symptoms such as nausea, fatigue and loss of appetite — mean that many patients
cannot meet requirements through normal diet alone. The result is avoidable
weight loss that weakens resilience, delays treatment and undermines outcomes.2
A new pan-European study by Cancer Patient Europe, spanning 12 countries,
underscores the scale of this silent crisis: despite widespread nutritional
challenges, support remains inconsistent and insufficient. Only 20 percent of
patients reported receiving a nutritional assessment during treatment, and just
14 percent said their nutritional status was monitored over time — a clear
mismatch between needs and the care provided.
> If the EU is serious about patient-centered cancer care, it must make a firm
> commitment to cancer and confront long-overlooked gaps, namely one with
> profound impact but minimal political attention: cancer-related malnutrition.
International authorities have repeatedly raised concerns about these gaps. The
WHO Regional Office for Europe has warned that without proper training,
healthcare providers lack the tools to screen, diagnose and address
cancer-related malnutrition — highlighting a systemic weakness that continues to
be overlooked.
Patients themselves understand these shortcomings and seek more information and
support. Most recognize nutrition as essential to their wellbeing, yet only 26
percent say they received guidance from their care team. As Antonella Cardone,
CEO of Cancer Patient Europe, stresses: “Too many patients are left to face
nutritional challenges alone, even when these difficulties directly affect their
ability to cope with treatment.” She continues: “Malnutrition is not peripheral
to their care. It is central. Addressing malnutrition can contribute to better
treatment outcomes and recovery.”
Without systematic action, malnutrition will continue to erode patients’
resilience — a preventable barrier that demands attention.
A viable yet under-used solution
Yet, the tools to address malnutrition already exist. In cancer care, systematic
nutritional support has been shown to improve treatment tolerance and support
recovery. Medical nutrition — taken orally or through tube feeding — is a
science-based intervention designed for patients who cannot meet their
nutritional needs through diet alone. Research shows it can reduce
complications, limit treatment interruptions and help patients regain strength
throughout their cancer journey.
“Precision oncology is not only about targeting tumors, but about treating the
whole patient. When nutritional needs are overlooked, the effectiveness of
cancer therapies is compromised from the very start of the clinical journey,”
says Alessandro Laviano, head of the Clinical Nutrition Unit at Sapienza
University Hospital Sant’Andrea in Rome.
The case is equally compelling for health systems. Malnourished patients face
more infections, more complications and longer hospital stays — driving an
estimated €17 billion in avoidable costs across Europe each year. In other
words, tackling malnutrition is not only clinically essential; it is fiscally
smart, precisely the kind of reform that strengthens systems under pressure.
> Malnourished patients face more infections, more complications and longer
> hospital stays — driving an estimated €17 billion in avoidable costs across
> Europe each year.
Ultimately, the challenge is not the absence of tools, but their inconsistent
use. Nutritional care has proven benefits for patients and for health systems
alike, yet it remains unevenly integrated in cancer care across Europe. To
change this, the EU needs a clear policy framework that makes nutritional care a
standard part of cancer care. This means ensuring routine malnutrition
screening, equipping healthcare professionals with the practical skills to act
and guaranteeing equal access to medical nutrition for eligible patients.
Keep cancer high on the agenda and close the nutritional gap
Europe has both the opportunity and the responsibility to keep cancer high on
the political agenda. A more equitable and effective approach to cancer care is
within reach, but only if EU leaders resist scaling back ambition in the next
budget cycle. Europe’s Beating Cancer Plan, a major political and financial
commitment, has strengthened prevention, screening, workforce training and
patient rights. Yet the mission is far from complete. Cancer continues to affect
millions of families and places a significant and rising burden on European
health systems.
Protecting progress means addressing persistent gaps in care. As the EU pushes
for earlier detection, integrated pathways and stronger resilience, nutritional
care must be part of that effort, not left on the margins.
With such a patient-first approach — screening early, equipping clinicians and
ensuring equitable access to medical nutrition — Europe can improve outcomes and
further strengthen health systems. Now is the moment to build on hard-won
progress and accelerate results for patients across the region.
--------------------------------------------------------------------------------
References
1. Ryan AM, et al. 2019.
https://www.danone.com/newsroom/stories/malnutrition-in-cancer.html
2. Ipsos European Oncology Patient Survey, data on file, 2023.
--------------------------------------------------------------------------------
Disclaimer
POLITICAL ADVERTISEMENT
* The sponsor is Danone
* The political advertisement is linked to advocacy on EU health and budgetary
policy. It calls for sustained EU funding and political commitment to renew
and strengthen Europe’s Beating Cancer Plan in the upcoming 2028–34
budget cycle, and urges integration of medical nutrition into EU cancer
policy frameworks. The article explicitly addresses EU leaders and
institutions, advocating policy and funding decisions to close gaps in cancer
care across Member States.
More information here.
Europe’s ambition to become climate neutral by 2050 cannot succeed in healthcare
unless we fix a basic problem: we do not measure sustainability in the same way
across the single market.
Currently, measuring Product Carbon Footprints (PCF) and Life Cycle Assessments
(LCA) throughout the European Union consists of a patchwork of national
methodologies and/or competing frameworks. This fragmentation is not just a
technical inconvenience, it actively undermines fair procurement, increases
costs, and risks unequal patient access across Europe.[1] Without a single,
harmonized methodology or framework, this EU sustainability and competitiveness
goal will remain challenging to achieve.
Though the lack of harmonizsation may seem technical, its consequences are
tangible. PCF and LCA outputs can differ widely depending on the standards and
methodologies defined and endorsed by policymakers, the way they are applied by
industry, or how existing international standards are interpreted and
implemented across member states.[2] The result is that national authorities are
effectively speaking different languages. A treatment considered more
environmentally responsible in one country may be evaluated entirely differently
just across the border. And without harmonized sustainability assessments for
medicines, there is a risk that sustainability is given disproportionate weight
compared with safety and quality, undermining high-quality medicine development.
In short, fragmentation slows progress, weakens trust and, importantly, –
prevents comparability. [1]
> In short, fragmentation slows progress, weakens trust and, importantly, –
> prevents comparability.
In practice, the absence of a harmonized standard allows 27 different
interpretations of ‘sustainability’ to coexist, which is incompatible with a
functioning single market.
Fortunately, PAS 2090:2025 offers what the EU has been missing: a single,
science-based methodology that allows regulators, procurers, and industry to
finally speak the same language. Developed with stakeholders across the
healthcare and life sciences sector, PAS 2090:2025 specifies the appropriate
methodology for medicines under ISO standards, aligning the playing field for
everyone involved. Published by the British Standards Institution in November
2025, it reflects broad technical consensus and strong credibility. PAS
2090:2025 provides the first practical methodology for measuring the
environmental performance of pharmaceuticals, establishing a common framework to
support comparable environmental reporting, reduce regulatory duplication and
provide policymakers with a credible basis to demonstrate progress toward
climate neutrality. It also gives industry the predictability needed to invest
in sustainable innovation, while ensuring that patients receive consistent
assessments of a treatment’s environmental profile, regardless of where it is
evaluated.
Importantly, this approach reflects principles already embedded in EU
policymaking. The European Health Data Space, for example, demonstrates how
interoperability and standardized frameworks are essential in making
cross-border data meaningful and actionable.[3] Meanwhile, the European
Commission has been equally clear: harmonized technical standards and coherent
sustainability rules are critical to the effective functioning of the Single
Market and ensuring the free movement of goods.[4]
This is a shared concern across stakeholder groups. Both the Federation of
European Academies of Medicine and European Academies’ Science Advisory Council,
representing Europe’s leading academies of medicine and science, have similarly
highlighted the fact that common standards are essential for transparent
procurement and fair competition across therapeutic categories.[5]And the
innovative pharmaceutical industry, via the European Federation of
Pharmaceutical Industries and Associations, has outlined both the challenges
caused by the absence of harmonized standards and called for policymakers,
regulators and healthcare stakeholders to endorse PAS 2090:2025 as the one,
internationally accepted standard for measuring PCA and LCA in the
pharmaceutical industry.[6]Europe’s leading academies of medicine and science,
the European Commission, and the innovative pharmaceutical sector all point to
the same conclusion: without harmonized standards, sustainability policy cannot
work.
> At Chiesi, we support PAS 2090:2025 not because it is convenient, but because
> it makes our environmental performance directly comparable and therefore
> accountable.[2]
That is why our teams have laid out ambitious, yet reachable, targets regarding
the reduction of Scope 1, 2 and 3 greenhouse gas emissions. We also know that in
order to reach these targets, we need to measure our actions and emissions.
Measuring what matters is the foundation to making a meaningful difference.[3]
> Measuring what matters is the foundation to making a meaningful
> difference.[3]
Our support for PAS 2090:2025 reflects a commitment to transparency,
science-based decision-making and long-term sustainability; we use it ourselves
because we believe it is the way forward — making it simple to compare products
fairly, design transparent tenders, and procure with clarity. Further, industry
members will be able to innovate with confidence, knowing that the life-changing
efforts will be assessed with science and clear understandings. That said, no
single actor can deliver alignment alone. Real progress depends on collaboration
between regulators, policymakers, scientific bodies, and industry around a
shared approach to measuring and comparing environmental impact.
Chiesi stands ready to work with policymakers and partners across the healthcare
ecosystem in favor of the adoption of PAS 2090:2025, understanding that
achieving true regulatory harmonization is essential for ensuring patient
access, maintaining high safety and quality standards, and fostering a globally
competitive pharmaceutical industry in Europe.
At the end of the day, the EU does not need another pilot program, framework, or
national workaround. It needs a decision. It needs action. Europe must agree on
how sustainability in healthcare is measured consistently and credibly across
the single market. Measuring what matters, in the same way across Europe, is the
only path to a climate-neutral, competitive, and fair European health system.
Endorsing PAS 2090:2025 as the reference methodology would turn that principle
into practice.
Andrea Bonetti
Andrea Bonetti is head of the EU office at Chiesi Farmaceutici, where he
oversees the company’s public affairs strategy at European level across
healthcare, sustainability and planetary health. Since opening Chiesi’s Brussels
office in 2020, he has strengthened the company’s engagement with EU
institutions, contributed to key policy discussions and supported initiatives to
advance awareness on climate and environmental priorities in line with Chiesi’s
values. He collaborates closely with cross-functional teams on the development
and implementation of Chiesi’s sustainability strategy and represents the
company within European and international trade associations. With more than 15
years of experience in health and environmental policy, he supports Chiesi’s
external positioning and contributes to sector-wide work on environmental and
sustainability frameworks.
Disclaimer:
POLITICAL ADVERTISEMENT
* The sponsor is Chiesi Farmaceutici
* The political advertisement is linked to advocacy on EU sustainability and
Single Market policy.
More information here.
--------------------------------------------------------------------------------
[1] European Commission. (2023). Annual Single Market Report 2023.
https://single-market-economy.ec.europa.eu/system/files/2023-01/ASMR%202023.pdf
[2] Healthcare Without Harm. (2022). Report: Procuring for greener pharma.
https://europe.noharm.org/media/4639/download?inline=1
[3] European Union. (2025). Regulation (EU) 2025/327 of the European Parliament
and of the Council of 11 February 2025 on the European Health Data Space and
amending Directive 2011/24/EU and Regulation (EU) 2024/2847.
https://eur-lex.europa.eu/eli/reg/2025/327
[4] European Commission. (2026). Public procurement.
https://single-market-economy.ec.europa.eu/single-market/public-procurement_en
[5] European Academies’ Science Advisory Council (EASAC) & Federation of
European Academies of Medicine (FEAM). (2021). Decarbonisation of the health
sector: A commentary by EASAC and FEAM.
https://easac.eu/fileadmin/PDF_s/reports_statements/Health_Decarb/EASAC_Decarbonisation_of_Health_Sector_Web_9_July_2021.pdf.pdf
[6]European Federation of Pharmaceutical Industries and Associations (EFPIA).
(2025). Advancing environmental sustainability assessment of pharmaceuticals
through standardisation and harmonisation of product carbon footprint
assessment.
https://www.efpia.eu/news-events/the-efpia-view/efpia-news/advancing-environmental-sustainability-assessment-of-pharmaceuticals-through-standardisation-and-harmonisation-of-product-carbon-footprint-assessment/
--------------------------------------------------------------------------------
Europe stands at a crossroads. Cancer cases continue to rise, health systems are
under visible strain and critical gaps in care remain unaddressed. Yet, just as
the need for action grows more urgent, political attention to health — and to
cancer — is fading. Now is the moment for Europe to build on hard-won work and
ensure patients across the continent benefit from the care they deserve.
As negotiations open on the EU’s next long-term budget (2028-34), priorities are
shifting toward fiscal restraint, competitiveness and security. Health — once
firmly on the political radar — is slipping down the agenda. This shift comes at
a critical moment: Europe’s Beating Cancer Plan, a €4 billion flagship effort to
turn the tide against cancer, is set to end in 2027 with no clear commitment to
renew its mandate.
With cancer incidence rising and systems struggling, letting Europe’s cancer
framework fade would be a costly mistake. Across Europe, patients, clinicians
and advocates are sounding the alarm.
> With cancer incidence rising and systems struggling, letting Europe’s cancer
> framework fade would be a costly mistake.
“With 2.7 million cancer diagnoses and 1.3 million deaths each year, Europe must
reach higher for cancer care, not step back,” says Dr. Isabel Rubio, president
of the European Cancer Organisation. “Europe’s Beating Cancer Plan has set a new
course, but sustained funding is now essential to protect progress and close the
gaps patients still face.”
Protecting the status quo is not enough. If the EU is serious about
patient-centered cancer care, it must make a firm commitment to cancer and
confront long-overlooked gaps, namely one with profound impact but minimal
political attention: cancer-related malnutrition.
The invisible crisis undermining cancer care
Nutrition remains one of the most glaring blind spots in European cancer care.
Cancer-related malnutrition affects up to seven out of 10 patients, driven by
the disease and its treatments.1 Increased nutritional needs — combined with
symptoms such as nausea, fatigue and loss of appetite — mean that many patients
cannot meet requirements through normal diet alone. The result is avoidable
weight loss that weakens resilience, delays treatment and undermines outcomes.2
A new pan-European study by Cancer Patient Europe, spanning 12 countries,
underscores the scale of this silent crisis: despite widespread nutritional
challenges, support remains inconsistent and insufficient. Only 20 percent of
patients reported receiving a nutritional assessment during treatment, and just
14 percent said their nutritional status was monitored over time — a clear
mismatch between needs and the care provided.
> If the EU is serious about patient-centered cancer care, it must make a firm
> commitment to cancer and confront long-overlooked gaps, namely one with
> profound impact but minimal political attention: cancer-related malnutrition.
International authorities have repeatedly raised concerns about these gaps. The
WHO Regional Office for Europe has warned that without proper training,
healthcare providers lack the tools to screen, diagnose and address
cancer-related malnutrition — highlighting a systemic weakness that continues to
be overlooked.
Patients themselves understand these shortcomings and seek more information and
support. Most recognize nutrition as essential to their wellbeing, yet only 26
percent say they received guidance from their care team. As Antonella Cardone,
CEO of Cancer Patient Europe, stresses: “Too many patients are left to face
nutritional challenges alone, even when these difficulties directly affect their
ability to cope with treatment.” She continues: “Malnutrition is not peripheral
to their care. It is central. Addressing malnutrition can contribute to better
treatment outcomes and recovery.”
Without systematic action, malnutrition will continue to erode patients’
resilience — a preventable barrier that demands attention.
A viable yet under-used solution
Yet, the tools to address malnutrition already exist. In cancer care, systematic
nutritional support has been shown to improve treatment tolerance and support
recovery. Medical nutrition — taken orally or through tube feeding — is a
science-based intervention designed for patients who cannot meet their
nutritional needs through diet alone. Research shows it can reduce
complications, limit treatment interruptions and help patients regain strength
throughout their cancer journey.
“Precision oncology is not only about targeting tumors, but about treating the
whole patient. When nutritional needs are overlooked, the effectiveness of
cancer therapies is compromised from the very start of the clinical journey,”
says Alessandro Laviano, head of the Clinical Nutrition Unit at Sapienza
University Hospital Sant’Andrea in Rome.
The case is equally compelling for health systems. Malnourished patients face
more infections, more complications and longer hospital stays — driving an
estimated €17 billion in avoidable costs across Europe each year. In other
words, tackling malnutrition is not only clinically essential; it is fiscally
smart, precisely the kind of reform that strengthens systems under pressure.
> Malnourished patients face more infections, more complications and longer
> hospital stays — driving an estimated €17 billion in avoidable costs across
> Europe each year.
Ultimately, the challenge is not the absence of tools, but their inconsistent
use. Nutritional care has proven benefits for patients and for health systems
alike, yet it remains unevenly integrated in cancer care across Europe. To
change this, the EU needs a clear policy framework that makes nutritional care a
standard part of cancer care. This means ensuring routine malnutrition
screening, equipping healthcare professionals with the practical skills to act
and guaranteeing equal access to medical nutrition for eligible patients.
Keep cancer high on the agenda and close the nutritional gap
Europe has both the opportunity and the responsibility to keep cancer high on
the political agenda. A more equitable and effective approach to cancer care is
within reach, but only if EU leaders resist scaling back ambition in the next
budget cycle. Europe’s Beating Cancer Plan, a major political and financial
commitment, has strengthened prevention, screening, workforce training and
patient rights. Yet the mission is far from complete. Cancer continues to affect
millions of families and places a significant and rising burden on European
health systems.
Protecting progress means addressing persistent gaps in care. As the EU pushes
for earlier detection, integrated pathways and stronger resilience, nutritional
care must be part of that effort, not left on the margins.
With such a patient-first approach — screening early, equipping clinicians and
ensuring equitable access to medical nutrition — Europe can improve outcomes and
further strengthen health systems. Now is the moment to build on hard-won
progress and accelerate results for patients across the region.
--------------------------------------------------------------------------------
References
1. Ryan AM, et al. 2019.
https://www.danone.com/newsroom/stories/malnutrition-in-cancer.html
2. Ipsos European Oncology Patient Survey, data on file, 2023.
--------------------------------------------------------------------------------
Disclaimer
POLITICAL ADVERTISEMENT
* The sponsor is Danone
* The ultimate controlling entity is Danone
More information here.