Tag - Health costs

5 things to know about the new Dutch government’s plans
After months of tight-lipped talks, the Netherlands’ new minority government unveiled a blueprint for the country’s future on Friday, promising to move beyond political squabbling and return to the long-standing Dutch tradition of consensus politics. The 67-page coalition agreement laid out a series of ambitious goals to be spearheaded by Rob Jetten and his liberal D66 party alongside his coalition partners — the center-right Christian Democratic Appeal (CDA) and the liberal People’s Party for Freedom and Democracy (VVD). “Today we’re embarking on a new course,” Jetten, told journalists in The Hague on Friday, promising “real breakthroughs.” Jetten, at age 38, is set to become the youngest Dutch prime minister. Those hoping for a dramatic shift after years of right-wing politics, however, could be disappointed. “Ultimately, we see relatively little of D66’s progressive agenda reflected in the agreement,” said Sarah de Lange, a professor of Dutch politics at Leiden University, pointing to the program’s emphasis on higher defense budgets and deregulation at the expense of social spending.  Here are five things you need to know about what Jetten’s government has in store: 1. IT WANTS US TO BELIEVE IN POLITICS AGAIN The new government is keen to signal it is making a clean break from years of political paralysis, rolling out its new Cabinet slogan: “Let’s get to work!” The not-so-subtle message here is that the three coalition members want to show they are serious about delivering on tackling the country’s main challenges, ushering in the end of an era of polarization and political clashes and returning full-force to the Netherlands’ long-standing tradition of compromise politics. After the conflict-ridden and gloomy-toned Schoof government, expect a “yes-we-can” vibe from The Hague.  2. IT’S SPLURGING ON … — Defense, allocating an extra €19 billion to meet the new NATO spending target of 5 percent of gross domestic product — 3.5 percent on core military expenditure and 1.5 percent on defense-related areas — and to facilitate the country’s transition from being a “peace dividend to combat power.” “The Netherlands is at the forefront of building a European pillar within NATO,” the coalition document reads.  — Solving the Netherlands’ housing crisis and phasing out nitrogen emissions through buyouts will also require large investments. Planned cuts to education and international aid will be put in the freezer — a win for the D66, for whose electorate those are core concerns. … AT THE EXPENSE OF …  — Social spending will take a big hit, with Dutch citizens expected to shoulder more of the burden for health costs.  “We’re preventing a huge explosion of the health care budget, which creates room to invest in defense and national security,” Jetten explained on Friday.   — The coalition document also stipulates a “freedom contribution,” a tax of about €184 per citizen per year which is meant to raise some €3.4 billion toward defense.  3. IT WILL STAY FIRM ON MIGRATION The previous government fell over migration, which remained a major campaign issue in the run-up to the election. Jetten positioned himself as the antithesis to far-right firebrand Geert Wilders, whose Party for Freedom has long claimed the topic. In the coalition text, the new government walks the tightrope of promising a strict immigration policy while trying not to echo Wilders too closely and alienate more progressive voters. The plan singles out the EU’s migration reforms, including its plans to bolster deportations, as a “first big step toward gaining more control over who comes to the Netherlands.” The Dutch government will take a leading role in pushing for changes to international refugee law, including by hosting an asylum summit, according to the program.  But the text also states that the Netherlands will take a stance in EU talks about return and transit hubs to make sure that migrants are never sent to countries where they risk persecution, and put on hold a controversial deal with Uganda to use the African country as a transit point for rejected asylum seekers. 4. IT’S RETURNING TO BRUSSELS’ EMBRACE  After a Euroskeptic tilt under the last Dutch government, Jetten is bringing the Netherlands back on a Brussels course, arguing for closer cooperation. That applies to defense, with the agreement setting a goal of 40 percent of procurement to be carried out “jointly with European partners,” as well as to migration.  Still, the new government remains loyal to the Netherlands’ reputation as one of the frugals, rejecting eurobonds. “Member states are primarily responsible for their own budgets,” the document reads.  The country will also continue to support Ukraine militarily and financially and push to use Russian frozen assets, according to the agreement.  When it comes to the United States, the program struck a stricter tone, pledging to “speak out when their actions undermine our values and interests, always with an eye to maintaining the relationship and preserving critical security interests.”  5. NONE OF THIS IS EVEN REMOTELY A DONE DEAL Perhaps the most important thing to know is that all of the above should be taken with a massive grain of salt. Over the past weeks, the three coalition parties have made a show of presenting a united front. But internal cohesion is by no means a guarantee of success.  In Dutch parliament, the three parties combined only have 66 out of 150 seats. In the Netherlands’ upper chamber they hold 22 out of 75 seats.  That means that the coalition will need to seek external support for every separate issue. Considering that the two largest opposition parties — the leftist GreenLeft-Labor alliance (GL-PvdA) and far-right Party for Freedom (PVV) — hold diametrically opposed views, that is a recipe for political acrobatics. In Jetten’s words: “This will be a cooperation government.”  In practice, Leiden University’s de Lange said, the framework laid out in the coalition agreement already hints the government will have to swerve even further to the right. “When you look at the plans that are on the table right now as a whole, it looks more likely that the decisive support will come from the far right,” de Lange said. “GL-PvdA has said from the beginning that they would not agree with funding defense by cutting social spending.” WHAT’S NEXT?  The Dutch parliament is expected to discuss the coalition agreement on Tuesday. That will be a first bellwether of the mood within various opposition parties and their willingness to help Jetten make good on his promise of getting things done. The divvying up of ministries and Cabinet posts is the next big step. If all goes well, the final team will line up on the steps of the Dutch king’s palace for the traditional photo by late February.  And then the work can begin.
Politics
Defense budgets
European politics
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Social affairs
Forever chemicals to cost Europe half a trillion euros by 2050, EU says
BRUSSELS — Europe is on track to pay at least €440 billion to deal with the pollution and health impacts from toxic PFAS chemicals by the middle of the century, according to a study released Thursday by the European Commission. The cost could soar to nearly €2 trillion under more ambitious clean-up goals, the analysis warns, describing the roughly half-trillion-euro estimate as a baseline for addressing PFAS pollution across the European Economic Area. PFAS or “forever chemicals” — man-made chemicals used in a wide variety of industrial processes and consumer products — have been linked to a range of health problems, including cancer and fertility problems. The EU is preparing to propose a ban on their use later this year, with exemptions for “critical sectors” — a position likely to draw pushback from industry and some political groups. But even a full ban would leave Europe with costs of €330 billion by 2050, the report warned. “Providing clarity on PFAS with bans for consumer uses is a top priority for both citizens and businesses,” said EU environment chief Jessika Roswall. “That is why this is an absolute priority for me to work on this and engage with all relevant stakeholders. Consumers are concerned, and rightly so. This study underlines the urgency to act.” The study, carried out by consultancies WSP, Ricardo, and Trinomics, shows that how Europe acts matters just as much as whether it acts. In one scenario, where emissions continue, and authorities rely largely on wastewater treatment to meet strict environmental standards, the total bill would soar to around €1.7 trillion by 2050, driven mainly by clean-up costs. If the EU bans forever chemicals, the health costs would fall from about €39.5 billion a year in 2024 to roughly €0.5 billion by 2040, under a full phase-out scenario. “The Commission’s study exposes the staggering costs of PFAS pollution. Every day of inaction inflates the bill,” said Noémie Jégou, policy officer for Chemicals at the European Environmental Bureau. “The EU must turn off the tap now through an ambitious EU restriction of PFAS present in consumer products and used in industrial processes.”
Environment
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Gesundheit: Mehr Sparsamkeit, Warken
Listen on * Spotify * Apple Music * Amazon Music Friedrich Merz will den Herbst zum Aufbruch machen und spricht dazu heute in den Haushaltsberatungen im Bundestag. Wie schwer sein Projekt wird, zeigt das deutsche Gesundheitssystem. Gesundheitsministerin Nina Warken kämpft wie ihre Vorgänger mit Milliardenlöchern bei den Krankenkassen, steigenden Beiträgen und einer Reformkommission, deren Empfehlungen frühestens 2027 greifen. Jürgen Klöckner ordnet ein, warum Beitragserhöhungen kaum zu verhindern sind und welche Risiken beim Schätzerkreis im Oktober lauern. Im 200-Sekunden-Interview erklärt Simone Borchardt (CDU), welche Rolle Primärarztsystem und Ambulantisierung spielen – und wieso „Leistungssteuerung“ nicht Kürzung bedeutet. Armin Laschet soll Präsident der Deutschen Parlamentarischen Gesellschaft werden – während die AfD über Klagen nachdenkt. Pauline von Pezold berichtet über Machtspiele, Ablehnungen und Maximilian Krahs Drohung, die Nutzung des ehemaligen Reichstagspräsidentenpalais juristisch prüfen zu lassen. Das Berlin Playbook als Podcast gibt es jeden Morgen ab 5 Uhr. Gordon Repinski und das POLITICO-Team liefern Politik zum Hören – kompakt, international, hintergründig. Für alle Hauptstadt-Profis: Der Berlin Playbook-Newsletter bietet jeden Morgen die wichtigsten Themen und Einordnungen. Jetzt kostenlos abonnieren. Mehr von Host und POLITICO Executive Editor Gordon Repinski: Instagram: @gordon.repinski | X: @GordonRepinski.
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SPD und NRW: Arbeiterpartei ohne Arbeiter
Listen on * Spotify * Apple Music * Amazon Music Nächster Tiefpunkt für die SPD bei den Kommunalwahlen in Nordrhein-Westfalen – und ein Wahlergebnis, das weit über das Ruhrgebiet hinausweist. Die CDU bleibt stärkste Kraft, die AfD erzielt zweistellige Gewinne und schickt OB-Kandidaten in die Stichwahl. Gordon Repinski analysiert diese Wahl und ihre Bedeutung für die SPD.  Im 200-Sekunden-Interview wird Karl Lauterbach sehr klar: Die Bürgergeld-Debatte habe der SPD massiv geschadet. In der AfD schwelt der Streit um eine Russlandreise. Alice Weidels mögliche Blockade trägt dazu bei und ein Showdown diese Woche könnte zeigen, dass es in der Partei vor allem auch um persönliche Befindlichkeiten geht.  Und: Ein sportlicher Konsens zum Wochenstart. Deutschland ist Europameister im Basketball! Das Berlin Playbook als Podcast gibt es jeden Morgen ab 5 Uhr. Gordon Repinski und das POLITICO-Team liefern Politik zum Hören – kompakt, international, hintergründig. Für alle Hauptstadt-Profis: Der Berlin Playbook-Newsletter bietet jeden Morgen die wichtigsten Themen und Einordnungen. Jetzt kostenlos abonnieren. Mehr von Host und POLITICO Executive Editor Gordon Repinski: Instagram: @gordon.repinski | X: @GordonRepinski.
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Sozialreformen: Kommt die Praxisgebühr zurück?
Listen on * Spotify * Apple Music * Amazon Music Dem Kanzler steht ein harter Herbst bevor: Steigende Krankenkassenbeiträge, leere Pflegekassen und ein paradoxer Arbeitsmarkt setzen die Koalition unter Druck. Rasmus Buchsteiner analysiert die Reformpläne – und warum plötzlich wieder über eine Gebühr pro Arztbesuch diskutiert wird. Im 200-Sekunden-Interview: Daniel Terzenbach. Der Vorstand der Bundesagentur für Arbeit erklärt, warum trotz Rekordbeschäftigung der Fachkräftemangel so groß ist und Deutschland jährlich 400.000 Zuwanderer braucht. Außerdem: Ernüchterung nach dem Washington-Gipfel. Hans von der Burchard berichtet aus Japan über die Zweifel in der Bundesregierung, ob das Treffen mit Trump, Selenskyj und Putin wirklich einen Durchbruch gebracht hat. Die ‘Machthaber’-Folgen findet ihr hier: Wladimir Putin Giorgia Meloni  Das Berlin Playbook als Podcast gibt es jeden Morgen ab 5 Uhr. Gordon Repinski und das POLITICO-Team liefern Politik zum Hören – kompakt, international, hintergründig. Für alle Hauptstadt-Profis: Der Berlin Playbook-Newsletter bietet jeden Morgen die wichtigsten Themen und Einordnungen. Jetzt kostenlos abonnieren. Mehr von Host und POLITICO Executive Editor Gordon Repinski: Instagram: @gordon.repinski | X: @GordonRepinski.
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Handel mit USA: Das Chlorhuhn ist zurück
Listen on * Spotify * Apple Music * Amazon Music Es ist zurück: Das Chlorhuhn. Jahrzehnte nach TTIP geistert das Symbol des transatlantischen Handelsstreits erneut durch die europäische Debatte – denn Donald Trump droht mit Strafzöllen, wenn die EU nicht bei Agrarstandards nachgibt. Friedrich Merz drängt auf eine Einigung mit Washington, doch selbst der CDU-Wirtschaftspolitiker Tilman Kuban warnt wenigstens leise im 200-Sekunden-Interview: Europa muss selbstbewusst verhandeln – und auch pragmatisch neue Märkte erschließen. Auch im Inland herrscht Zugzwang: Gesundheitsministerin Nina Warken will die umstrittene Klinikreform von Karl Lauterbach abmildern, weil das Wunsch auch der Unions-geführten Länder ist. Jürgen Klöckner erklärt, warum der Kanzler das Krankenhaus-Problem direkt vor der Haustür hat – und warum trotzdem niemand Kliniken schließen will. Und zum Schluss eine gute Nachricht aus der Hitzewelle: Laut Studie reden Politiker bei höheren Temperaturen kürzer. Das Berlin Playbook als Podcast gibt es morgens um 5 Uhr. Gordon Repinski und das POLITICO-Team bringen euch jeden Morgen auf den neuesten Stand in Sachen Politik — kompakt, europäisch, hintergründig. Und für alle Hauptstadt-Profis: Unser Berlin Playbook-Newsletter liefert jeden Morgen die wichtigsten Themen und Einordnungen. Hier gibt es alle Informationen und das kostenlose Playbook-Abo. Mehr von Berlin Playbook-Host und Executive Editor von POLITICO in Deutschland, Gordon Repinski, gibt es auch hier:   Instagram: @gordon.repinski | X: @GordonRepinski.
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