Health Systems Under Pressure in Europe
Across Europe, health systems face mounting pressures. Workforce shortages, uneven access, and entrenched inequalities leave many citizens underserved, and public trust in institutions is eroding. The pandemic briefly rekindled a sense of shared responsibility, yet shifting geopolitical tensions and economic priorities have since drawn attention away from collective well-being. This context raises a vital question: what does solidarity in health mean in Europe today? This context was highlighted at the European Health Forum Gastein (EHFG) 2025, where policymakers, civil society representatives, and health experts discussed the challenges and opportunities for solidarity in health across Europe.
Health is not merely a commodity; it is the foundation for social cohesion and long-term resilience. Investing in preventive care, mental health, and social support is not a trade-off with economic competitiveness — it is a prerequisite. In the European Union alone, premature deaths in 2022 accounted for 2.4 million lost work-years, highlighting the societal and economic consequences of insufficient early action. Across member states, access to care remains uneven, chronic diseases are on the rise, and innovations are not uniformly available, leaving vulnerable populations facing overlapping disadvantages.
The Role of Preventive Care and Mental Health
Solidarity in health demands action at every level. Primary and community care serve as the first line of defense, with multidisciplinary teams — including doctors, nurses, psychologists, and social workers — partnering with civil society organisations to reach underserved groups. Examples from Andalusia, Portugal, and Estonia’s e-consultation payment model show how coordinated, person-centred approaches build trust, improve access, and empower citizens. Prevention, early detection, and health literacy must complement innovation, ensuring no one is left behind. In the EU, the average diagnostic delay for asthma is 4.5 years, underlining the need for timely, equitable care.
Digital Health Innovation and Equity
Digital transformation presents both promise and challenge. AI, big data, and digital health tools can enhance early detection and patient monitoring. They also improve system efficiency. However, they risk amplifying bias and mistrust if governance is weak.. Europe’s task is to combine innovation with ethical oversight, embedding transparency, accountability, and accessibility into every design decision. Initiatives like the European Health Data Space (EHDS) aim to unify interoperability, research, and patient empowerment under one framework, giving citizens control over their health data while supporting innovation and equity.
Health systems also intersect with broader social and environmental challenges. Climate change, rising social inequalities, and ageing populations disproportionately affect vulnerable groups, while end-of-life care and rare diseases expose gaps in equity, research, and policy. Across Europe, collaborative solutions — from shared patient pathways to cross-border networks — are essential. Health contributes approximately 10% of EU GDP and 9% of employment, demonstrating its central role in both social and economic stability. Public funding, strategic investment in long-term care, and multi-sector collaboration strengthen resilience and uphold solidarity. Notably, €170 million has been allocated to the EU’s Strategic Research and Innovation Agenda on Health and Climate Change, ensuring vulnerable populations are included in solutions.
Examples of Person-Centred Care in the EU
Ultimately, solidarity in health is not merely about funding or policies; it is a commitment to fairness, inclusivity, and collective responsibility. From innovative care models like Karolinska University Hospital’s “hospital at home” programme to Estonia’s digital solutions, Europe has examples of what works when equity and person-centred design guide decisions. Rebuilding trust and strengthening solidarity requires transparency, engagement with civil society, and measures that demonstrate care in action.
Europe’s social contract in health can be renewed, balancing competitiveness with care. When investments, innovation, and policies are guided by solidarity, the continent can ensure that health becomes the common ground on which trust is restored — measured not in slogans or speeches, but in the well-being of every citizen.
Read the EHFG report here
Text/adaptation: Ifiyenia Anastasiou for Kapa3