ENGLISH
HERA, essential for countries like Romania. European Union can gain strength in health crises
Published
3 years agoon
By
Diana Zaim
Romanian experts at national and European level argue that the European Health Emergency Response and Preparedness Authority (HERA) can bring important mechanisms, expected and needed at European level, but which need to be developed in complementarity with existing mechanisms that already have very good results.
National authorities, European decision-makers, representatives of the pharmaceutical industry responded to the initiative launched by Calea Europeană and the Romanian Association of International Pharmaceutical Manufacturers (ARPIM) and held an open dialogue on the role of the new instrument launched by the European Commission, the European Health Emergency Response and Preparedness Authority (HERA), in preventing, detecting and responding rapidly to health emergencies, by collecting information and strengthening the necessary response capacities.
The main lessons learned by the European Union from the beginning of the pandemic to date were discussed, as well as the need to achieve a Health Union, which cannot be possible without the implementation of European mechanisms involving all Member States in preparing a joint response in the event of a future health crisis.
The European executive has succeeded in laying another “milestone of a Health Union” by launching a new instrument, the European Health Emergency Preparedness and Response Authority (HERA). This Authority was launched on 16 September and aims to guide the entire EU health system towards the vision of ‘One Health’. HERA is a key pillar of the European Health Union announced by President von der Leyen in her State of the Union 2020 speech and will fill a gap in EU health emergency response and preparedness.
HERA and its new tasks for a stronger Union in the face of health crises. How HERA becomes a key pillar of the European Union
The Head of the European Commission Representation in Romania, Ramona Chiriac, welcomed the new measures taken by the European Commission to improve the EU’s health security, as this authority is “the result of lessons learnt during the pandemic, which showed the limits of what the EU can do in health crisis situations.”
- HERA reinforces the EU’s powers on health under the existing treaties. HERA’s mandate is forward-looking. HERA’s aim is to anticipate health crises by gathering intelligence, strengthening the necessary response capacity. So far, action in different policies has been taken reactively and not as part of an overall anticipatory management system.
- This will be the new task, to ensure that the European Union and Member States are much better prepared to act in the face of a cross-border crisis, because the pandemic does not stop at national borders or even at European borders. HERA complements the agencies already in place.
The Head of the European Commission Representation in Romania, Ramona Chiriac, also stressed that HERA is chaired by the President of the European Commission, but is constantly mandated by the Council, which means that the will of each Member State is relevant in this construction.
Cooperation with industry within HERA will be essential to develop, manufacture, distribute countermeasures. Such a structured, responsive cooperation mechanism is vital for the implementation of robust supply chain strategies and supply chains with strategically autonomous states.
Since the beginning of the pandemic, Member States have felt the need for a mechanism such as HERA. Romania must have a work core
Valeriu Gheorghiță, President of the CNCAV, present at the debate on the role of HERA, presented a preparedness and response structure in case of a health crisis, based on three pillars that should represent a working core: the prevention part, the pre-hospital part and the hospital part. According to the Romanian specialist, this preparedness and response strategy should have the following structure:
- Prevention strategy: vaccination as an effective means of limiting the spread of contagious disease, complemented by a population education strategy, because accessibility to vaccines is not enough. The population needs to be prepared and to understand that vaccination is a matter of course. Today’s children, who will be tomorrow’s adults, need to understand that vaccination is an added value. For the next health crisis, children must not be exposed to so many misinformation theories. We also need to improve training in diagnostic, surveillance and sequencing capacity: testing and diagnostic capacity is essential.
- Preparedness of the pre-hospital ambulatory medicine system for the identification and treatment of most forms of infections, of infectious diseases that can be very well managed in pre-hospital. There is a need for trained doctors and centres for diagnosis, treatment and access to effective therapies. HERA will enable easy accessibility and a centralised supply chain.
- Hospital preparedness: In pandemic conditions we need to have a response capacity, which means having modular structures and being able to quickly adapt hospital structures to a pandemic crisis or an epidemiological alert.
Stocks of health supplies and medicines were the main challenges during the COVID-19 pandemic
Călin Alexandru, director in the Department for Emergency Situations, says a unified approach is now needed at European level.
The pandemic has highlighted the need for production mechanisms at European level for medical equipment and medicines to ensure that EU citizens can meet their needs in such a situation. An important element that HERA is aiming for is centralised procurement. Romania has so far made centralised purchases, but only at national level. Centralised procurement of vaccines at European level is a very good example of the fact that in such a situation cooperation is mandatory.
There is a need for collaboration and integration of public health response measures and HERA can bring a plus and a positive element. The measures taken by different countries in the first waves of the pandemic were not coordinated and even created difficulties in collaboration within the EU. Measures must be taken in the future that do not affect collaboration, either economic exchanges or the free movement of citizens between countries.
HERA will be the instrument that will ensure the development, production and distribution of medicines, vaccines and other medical equipment among Member States.
Cristian Bușoi MEP, Chairman of the European Parliament’s Industry Committee, explained the benefits of HERA for the resilience of Member States’ health systems.
- HERA is a key pillar of the European Health Union which President von der Leyen announced in her annual speech as being of paramount importance for the European Union to be much better prepared in the future against health emergencies. HERA is not the only answer. We also have the EU health programme, EU4Health, which is totally different from the health programmes of the past. Decisions on health remain with the Member States, but the EU and the European institutions aim to contribute more and more in the years to come.
- HERA will prevent, detect and respond quickly to health crises. HERA will also have to anticipate certain potential health threats and crises. HERA will be that instrument that will ensure the development, production and distribution of medicines, vaccines and other medical equipment among Member States.
HERA, along with other European health initiatives, is essential for countries like Romania
Andrei Baciu, State Secretary of the Ministry of Health, reiterated the importance of HERA for a European Union better prepared to face new health threats, as well as Romania’s essential role in the HERA working groups.
- HERA can be an extremely good opportunity for Romania because it will accelerate the development of internal mechanisms that mirror the work that HERA does. Romanians expect a high level of performance and Romania’s membership of such a European mechanism will force progress in Romania.
- HERA, along with other European health initiatives, are essential for countries like Romania and the benefits of these efforts can be seen in everyday life. Such mechanisms are really the ones that have made it possible for Romania to have vaccines at the same time as any other Member State.The European Health Emergency Preparedness and Response Authority (HERA), essential for countries like Romania.
Romania has started the designation process and is aware of everything that is going on. Work is underway to set up these task forces. There is a lot of activity. Romania is already part of all the mechanisms within HERA and is on track with everything that has been requested so far.
Moreover, the Ministry of Health wants to make the most of these opportunities that this European initiative represents, precisely in order to generate in Romania a health system that can provide European advantages.
The Ministry of Health has said that it is essential for Romania to be part of such mechanisms, but the big problem in our country is that there is no institutional culture to learn from the difficulties we are going through. We have so many things to learn and so many things to improve in European health systems, and the most important advantage of this authority is that it institutionalises this ‘lessons learned’ mechanism and then comes up with concrete proposals.
National legislation must be drawn up to regulate the powers of each institution
The ANMDMR has informed its colleagues in the specialist structures about the HERA regulations. According to the ANMDMR representative, a crucial importance for HERA is the collaboration between HERA and national authorities. Even the Medicines Agency will be involved in this process, but at the moment it is not clear how. ANMDMR argues that a national regulatory act will have to be developed to regulate the tasks of each institution. Different aspects need to be regulated in order to be able to implement the regulation at national level as well. The ANMDMR will indirectly provide support in the working groups within HERA.
In order to ensure a rapid launch and building on the HERA incubator launched in February 2021, HERA will be established as an internal Commission structure and will become fully operational in early 2022. Its operation will be reviewed and adapted annually until 2025, when a full review will be carried out.
Diana Zaim este foto jurnalist, câștigătoare a Premiul Publicului la European Youth Event 2020, cel mai mare eveniment pentru tineri organizat de Parlamentul European. Absolventă a secției germană-portugheză în cadrul Universității din București, Diana urmează în prezent programul de master ”Relații Internaționale și Integrare Europeană” în cadrul SNSPA. Pasionată de promovarea valorilor europene, Diana este parte a comunității Model European Union, cea mai amplă simulare la nivel european a procesului decizional din cadrul Uniunii Europene.

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ENGLISH
Stefano Scarpetta (OECD): Improving productivity is key to the return of Romanians working abroad, while further education and training are key to the future of Romania’s labor market
Published
2 months agoon
April 4, 2025
Interview by Dan Cărbunaru – Director of Calea Europeană
In an interview for CaleaEuropeană.ro, Stefano Scarpetta, Director of the Employment, Labour and Social Affairs (ELS) Directorate of the OECD, discussed Romania’s labour market in the context of its accession to the Organisation for Economic Co-operation and Development (OECD). He highlighted both the progress made and the challenges that still need to be addressed.
Scarpetta emphasized that no country is perfect, but Romania has shown the right approach by recognizing existing issues, making progress, and being open to learning from other countries. “The spirit of cooperation, collaboration, and mutual learning is what makes OECD an important place to be part of,” he stated. Romania’s constructive engagement in the Employment, Labour, and Social Affairs Committees has been a key factor in advancing its accession process.
One of the major challenges discussed was Romania’s significant workforce migration. Over the past two decades, millions of Romanians have sought employment in OECD and EU member states, attracted by better working conditions and higher wages. Scarpetta noted that while international experience can be valuable, Romania must focus on improving its own working conditions, wages, and productivity to encourage skilled workers to return. “You have a huge talent pool, not only in Romania but also in other European countries,” he said, adding that economic growth and job creation are essential to reversing this trend.
The OECD official also highlighted labour market disparities, particularly in female participation and youth employment. The high proportion of young people who are neither in education, employment, nor training (NEET) is a pressing concern. He stressed the need for Romania to better integrate these individuals into the workforce to maximize its human capital.
Addressing the broader benefits of OECD membership, Scarpetta cited examples from Latin America, where initial skepticism about joining the organisation gave way to broad support. He explained that OECD membership provides access to valuable policy insights, best practices, and international dialogue, all of which can accelerate economic and social development. “We don’t have to reinvent the wheel every time—learning from others helps speed up the process of good reforms,” he explained.
Looking to the future, Scarpetta acknowledged the multiple transformations affecting labour markets globally, including digitalization, artificial intelligence, the green transition, and demographic shifts. These changes create both challenges and opportunities, requiring adaptable policies and a workforce equipped with the necessary skills. “Policy plays an essential role, but we must also equip people to withstand shocks and grasp opportunities,” he noted.
Education and lifelong learning are central to this adaptation. While some argue that older education systems were better, the OECD official underscored the importance of foundational skills such as literacy, numeracy, and problem-solving. “If we lack foundational skills, everything else becomes more difficult,” he warned, emphasizing that education systems must evolve to meet the demands of a changing labour market.
Overall, Romania’s accession to the OECD represents a crucial step in its economic development, Scarpetta noted. While challenges remain, the country’s willingness to engage in reforms, learn from international experiences, and invest in human capital will determine the long-term success of this process.
Stefano Scarpetta has been the Director of the Employment, Labour and Social Affairs (ELS) Directorate of the OECD since 2013. Stefano Scarpetta leads the work of the Organisation in a number of broad areas including Employment, Labour, Migration, Health, Skills, Gender and Tackling Inequalities and contributes to the implementation of the Secretary-General’s strategic orientations in these areas. Stefano represents the OECD in the G20 and G7 and many other high-level international fora on labour market, social, migration and health issues. Under his leadership, ELS provides continuous assistance and support to countries in the design, implementation and evaluation of polices drawing from evidence-based analyses of how policy affects different economic, labour and social outcomes. His advice has contributed to numerous policy reforms in OECD countries and beyond, and new policy thinking in areas ranging from inequalities, labour market inclusion and the future of work, social protection for all, the integration of migrants, the economics of public health and patient-centred health care.
ENGLISH
INTERVIEW Stefano Scarpetta, Director of ELS Directorate of the OECD: Romania needs a well adapted healthcare system, focused on prevention and investment in the health workforce
Published
2 months agoon
April 4, 2025By
Diana Zaim
Interview by Dan Cărbunaru – Director of Calea Europeană
Stefano Scarpetta, Director of the Department for Employment, Labor and Social Affairs (ELS) at the OECD, discussed in an interview for CaleaEuropeana.ro about the improvements that the Romanian authorities can make to have a resilient health system, where prevention becomes a priority, investments in the workforce are not lacking in order to combat the shortage of medical staff, but also to strengthen the doctor-patient relationship.
An improved and adapted healthcare system means investing in prevention and primary care
”I think in the health sector is another one in which improvement is absolutely needed. But also I think the health sector in all countries, including Romania, has to adapt. Because we are living longer. We are living in better health, but we have more people older with chronic conditions. And I think the health care system has to evolve in a way in which hospitals of course play a fundamental role, but also primary care. Because many individuals with chronic conditions can be helped through basically primary care and not only by hospital and specialized care. So I think we need to invest more on prevention.”
The shortage of medical professionals, a challenge that urgently needs to be addressed
”We need to again create a better link, if you like, between the patient themselves and the doctors at all levels. And we need doctors and nurses, because in many countries, including Romania, there is a scarcity of doctors and nurses. But for that we have also to improve the working condition for them.”
”The reason why some of them drop out from the profession, or the fact that young people may not invest, may not study in the medical field, is because they know that working condition might be very difficult. So I think we have to work on both sides. On the working condition, on the pay, on the adaptation of the skills, but also on diversifying the offer of health support, which of course has to focus on hospital, specialized care, but also on primary care.”
Stefano Scarpetta has been the Director of the Employment, Labour and Social Affairs (ELS) Directorate of the OECD since 2013. Stefano Scarpetta leads the work of the Organisation in a number of broad areas including Employment, Labour, Migration, Health, Skills, Gender and Tackling Inequalities and contributes to the implementation of the Secretary-General’s strategic orientations in these areas. Stefano represents the OECD in the G20 and G7 and many other high-level international fora on labour market, social, migration and health issues. Under his leadership, ELS provides continuous assistance and support to countries in the design, implementation and evaluation of polices drawing from evidence-based analyses of how policy affects different economic, labour and social outcomes. His advice has contributed to numerous policy reforms in OECD countries and beyond, and new policy thinking in areas ranging from inequalities, labour market inclusion and the future of work, social protection for all, the integration of migrants, the economics of public health and patient-centred health care.
ENGLISH
INTERVIEW Stefano Scarpetta, Director of ELS Directorate of the OECD, says Trump’s tariffs could lead to higher prices for some goods and services: The OECD is a safe place for constructive dialogue
Published
2 months agoon
April 4, 2025By
Teodora Ion
Stefano Scarpetta, a high-profile Italian economist known for his expertise in labor market, social policy and global economics who has been director of the Employment, Labour and Social Affairs (ELS) Department at the Organization for Economic Cooperation and Development (OECD) since 2013, believes that the new taxes announced by the Trump administration could have consequences on the prices of certain goods and services.
In an interview with CaleaEuropeană.ro, on the occasion of the conference entitled “Improving the quality of employment through skills development and global collaboration: a challenge for Italian companies in Romania – experiences and good practices in the light of OECD standards” organized by the Italian Embassy in Bucharest and the Ministry of Labor, Family, Youth and Social Solidarity, he stressed that a “trade war or, to some extent, an escalation of tariffs” is not beneficial for either side.
”We still need to process exactly what is the extent of the severity of the measures (n.r. announced) and it is also it will be very important to see whether there will be a reaction in the countries potentially affected by these tariffs. Certainly, I think from the work we’ve done at OECD, the trade war or, to some extent, an escalation of tariffs will not be good for GDP nor employment. In particular, will affect some sectors, those most impacted by the tariffs themselves, but also potential on the vulnerable groups, because this might also lead to increasing prices of a number of product and services. I think we still have to see how the diplomacy and the negotiations will go and hopefully avoid the introduction, but among particular, the persistence of these tariffs in different countries. They have a negative effect not only for European countries, but I think across the globe, even potentially for the OECD itself”, Scarpetta responded to a question asked by CaleaEuropeană.ro on the impact of the tariffs unveiled by the US administration on the day described by Donald Trump as ”Liberation Day”.
Asked about the OECD’s position in facilitating dialogue between Americans and Europeans, Stefano Scarpetta gave assurances that the Organization for Economic Cooperation and Development “is a safe place”.
”The United States is a founding country of the OECD, it’s actually a country that inspired its predecessor, the Organization for European Economic Cooperation. This was basically the organization that implemented the Marshall Plan, which was which was the big plan from the United States to help the reconstruction of Europe. So you see how strong the ties are between the US, the OECD and European countries. I think the OECD is still a very safe place for an open and transparent dialog and we have so many areas of cooperation between European countries, the US and many other countries that are members of the OECD. The OECD is made up of 38 countries that strongly believe that there is still place for constructive dialogue with all countries, including the US”, the Director of the Employment, Labour and Social Affairs (ELS) Directorate of the OECD since 2013, a renowned Italian economist known for his expertise in the fields of labour market, social policies and global economics, has shown his conviction.
Donald Trump announced Wednesday that he will impose “reciprocal tariffs” of at least 10% on all imports entering the United States and higher specific tariffs on some of the biggest trading partners of the world’s largest economy, including the European Union, which is facing tariffs of 20%.
The financial market has already reacted to the announcement of these protectionist measures, with stock markets falling and the US dollar losing ground against the euro in a trade war that looks set to intensify, with companies and citizens the main losers.
The European Union, through European Commission President Ursula von der Leyen, and the European Parliament, through its International Trade Committee, have sharply criticized the decisions, announcing that countermeasures are pending if the negotiations for an agreement do not bear fruit.
Some member states have already braced for the impact. Spain has revealed it will implement a €14.1bn support package, while Romania’s government has announced measures to protect Romanian companies in all industries affected by the effects of the US-EU trade war.
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