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PLENARY European Parliament
Ruggero Razza
Vogliamo però che non sia un freno alla possibilità che gli Stati intervengano. Vogliamo ancora di più che sia uno stimolo a garantire un equo accesso ad ogni cittadino europeo in ognuno dei 27 Stati membri. Vogliamo che si faccia carico nel principio di sussidiarietà di ciò che agli Stati compete, consentendo un piano che sia di aiuto, eliminando regole che rendono difficile l'accesso alla professione, garantendo una vera coesione che significa eguali diritti. Se c'è una crisi non possiamo limitarci all'analisi. Noi formuliamo una proposta precisa: almeno un milione di unità di personale nel periodo del quadro che si concluderà finanziariamente nel 2034.
Significa aumentare la capacità formativa delle università, investire sui giovani, rendere attrattive le professioni sanitarie. Ma significa soprattutto affrontare la diseguaglianza territoriale, perché il diritto alla salute non può dipendere dal codice postale e quindi pensare alle aree rurali, montane, insulari, periferiche e scarsamente servite con incentivi, sostegno abitativo, borse di studio e opportunità professionali.
Anche la tecnologia deve integrare il lavoro, ma non può sostituirsi al lavoro. E poi c'è un tema: la prevenzione. Ogni euro investito in prevenzione può generare fino a 14 euro di ritorno attraverso minori costi e maggiore produttività. Ed ecco perché la prevenzione è un capitolo sul quale investire. La relazione invoca un principio di cui tante volte abbiamo discusso.
Se è un investimento, la salute non può essere soggetta agli stessi vincoli del patto di stabilità e crescita. Ciò che è stato concesso alla spesa per la difesa deve essere concesso alla spesa per la prevenzione. Di questo e di altro parleremo nel corso del dibattito che ascolteremo insieme al correlatore Lukas Furlas, che ancora una volta ringrazio, e sono convinto e auspico che la relazione possa trovare il maggior consenso possibile. Grazie.
Loucas Fourlas
Thank you very much. Now I would like to ask to take floor for the Commission, Commissioner Várhelyi, floor is yours.
Olivér Várhelyi
Honorable members, people working for the patients in our healthcare systems, I think, are the most important and they are absolutely critical for maintaining the healthcare system of Europe as we know it. Europe is facing a deficit of well over one million professionals. We can no longer afford to simply monitor these trends. Your report already shows really well that it cannot be solved in silos. The response has to span different sectors and policy areas and, of course, at different levels.
It is a joint endeavor with the member states, as the provision and the organization of the health systems lies under their exclusive responsibility and competence. Your report also points to the crucial role of EU rules on working conditions, health and safety at work, and mobility in addressing the persistent challenges. And on many of these issues you raise, we are already taking action. For example, the framework directive on safety and health at work, it is also applicable to all workers, including healthcare professionals, and covers all occupational risks. Today, doctors, nurses, midwives, dentists, pharmacists, whose professions are regulated in all member states, enjoy automatic recognition of their qualifications across the European Union.
With the skills portability initiative presented just this week, these recognition procedures will be faster, simpler, more transparent, and more digital for other healthcare professionals as well. But I agree with you, rules are not enough. We are also providing, therefore, financial and practical support on the ground. First, the joint action which is called HEROES under the EU4Health program has transformed health workforce planning from reactive to data-driven, aligning training with actual local needs and rethinking how we deliver care. Another example is the nursing action funded by the EU4Health program again.
This initiative equips national authorities with toolkits for optimizing how they recruit and retain nurses. And retention is crucial, particularly in rural and underserved areas where shortages are often felt maybe the most strongly. These are just two examples.
EU4Health and Digital Europe program also fund a wide variety of actions on training and capacity building. Second, let me mention the European Semester and the Recovery and Resilience Facility, because it has helped Member States to implement targeted measures to address shortages, modernize health systems and care delivery. I think across Member States you've seen a whole new program of refurbishing major hospitals and healthcare providers, overhaul also medical curricula and upskill professionals. So, honorable members, we will not alleviate workforce shortages without alleviating the burden that is the most important on our health system, and that is the aging demographics and the rising level of communicable diseases. So without mainstreaming prevention, our healthcare system is not going to be able to meet these challenges.
This is why we presented last year the Safe Hearts plan. In it, we want to decrease cardiovascular premature mortality by 25% by 2035. Moreover, services are also working on the implementation of the European Health Data Space. Digitalization and artificial intelligence have the potential to free up time and resources from health professionals so they can focus more on what matters most: their patients. So I count on your commitment to making this happen together.
Thank you very much.
Loucas Fourlas
Thank you, Commissioner. And now I will ask to take floor for EPP, András Tivadar Kulja.
András Tivadar Kulja
Tisztelt Elnök Úr, tisztelt Biztos Úr, tisztelt képviselőtársaim! Képzeljenek el egy modern kórházat modern felszereléssel, diagnosztikai eszközökkel, tele betegekkel, ápolók, orvosok és más egészségügyi dolgozók nélkül. Orvosként és az Egészségügyi Szakbizottság tagjaként pontosan tudom, hogy bármilyen modern is legyen egy kórház, egészségügyi dolgozók nélkül nincs egészségügy és nincs megfelelő egészségügyi ellátás. Az orvosok, ápolók, asszisztensek, betegszállítók, akár a kórházak fizikai dolgozói, ők mindennap az egészségügy tartóoszlopai. És azt látjuk Európában, és ezért született meg ez az átfogó jelentés, hogy bár az egészségügy az tagállami hatáskörbe tartozik, Európa-szerte Nyugat-Európában, Közép-Kelet-Európában, Dél-Európában ugyanazzal a problémával szembesülünk.
Rendkívül nehéz helyzetben vannak az egészségügyi dolgozók, túlterheltek, és folyamatosan csökken a számuk, miközben az idősödő társadalom egyre nagyobb terhet ró az egészségügyi rendszerekre. Ezért nagyon örülök, hogy ez a jelentés megszületett, és Lukasz Furlas és Reggero Razzale kollégáim mellett én is dolgozhattam ezen a jelentésen, hiszen meg kell mutatnunk, hogy igenis az Európai Parlament, az Európai Unió intézményei törődnek az egészségügyi dolgozókkal, törődnek a helyzetükkel, és szeretnénk tenni azért, hogy kellő megbecsülést kapjanak, biztonságos munkakörülmények között dolgozzanak, és ami nagyon fontos, a következő generáció számára is vonzóvá tegyük az egészségügyi szakmát bármely részén is dolgoznak az egészségügynek. Ezért szeretném kérni, hogy a mai napon szavazatukkal támogassák ezt a jelentést, hogy még többet tudjunk tenni az egészségügyi dolgozókért, és ki tudjuk fejezni hálánkat és megbecsülésünket az irányukba.
Köszönöm szépen.
Estelle Ceulemans
Thank you. For the S&D Group will speak Estelle Ceulemans, please.
Aujourd'hui, six ans après le COVID, on a oublié les applaudissements pour les soignants, leur engagement, leur sacrifice. Pourtant, la pénurie de personnel s'est encore aggravée et atteindra un million de travailleurs d'ici 2030 dans le secteur de la santé. La situation est grave pour les patients, pour le personnel et pour la société dans son ensemble. C'est une véritable bombe à retardement car si on ne fait rien, nous ne serons pas en capacité de faire face à une nouvelle pandémie et aux besoins liés au vieillissement de la population. C'est pourquoi le rapport voté aujourd'hui est important.
Il exige un plan d'urgence pour le personnel de santé et une stratégie pour augmenter les effectifs d'au moins un million de professionnels d'ici 2034. Les enjeux ne sont pas simples car il faut répondre à de multiples défis. Tout d'abord, améliorer les conditions de travail et lutter contre la pression au travail et l'épuisement professionnel. Il s'agit aussi de respecter des niveaux d'effectifs suffisants car le manque de personnel est un cercle vicieux qui pèse sur le bien-être et la sécurité des patients et du personnel. Enfin, il faut assurer des niveaux de rémunération adéquats.
Et pour tout cela, investir dans des systèmes durables et exclure des politiques d'austérité les investissements en santé. Car pour reprendre les mots de la présidente de la Commission hier, la santé n'est pas un privilège, c'est un droit. Et non, Monsieur le Commissaire, la directive cadre de 89 ne suffit pas à protéger sur les risques psychosociaux, nous voulons une directive spécifique.
Gerald Hauser
Thank you. For Patriots will speak Gerald Hauser, please.
Dankeschön, guten Morgen. Heute sprechen wir über fehlendes Personal im Gesundheitswesen. Und ich habe ein bisschen recherchiert, Herr Kommissar, bereits im Jahr 2012 hat es einen EU-Aktionsplan zur Planung und Gewinnung von Gesundheitspersonal gegeben, 2012, vor 14 Jahren. Und dann, so nach dem Motto täglich grüßt das Murmeltier, im Grunde jährlich etwas: 2023 einen weiteren Plan zur Bewältigung der Krise im Gesundheitswesen, 2024 einen Arbeitsplan gegen Arbeits- und Fachkräftemangel, 2025 eine europäische Strategie und jetzt 2026 reden wir wieder über einen EU-Krisenplan. Was bedeutet das, Herr Kommissar?
Es wurden seit 2012, wahrscheinlich schon vorher, Unmengen von Papier produziert, Unmengen Geld in die Produktion dieser Papiere investiert. Unterm Strich scheint wenig bis gar nichts herausgekommen zu sein, weil laut den Zahlen der Europäischen Kommission selber 4,1 Millionen Fachkräfte, Gesundheitspersonal, Ärzte, Hebammen fehlen. Das ist ja eine Tragödie, ist eine Katastrophe. Und ich habe also mich mehrmals im Gesundheitsausschuss zu Wort gemeldet und habe einfache, Herr Kommissar, einfache Vorschläge gebracht. Erstens einmal, aber die wurden ja alle weggewischt, man hat ja eine Brandmauer gegen die Patrioten errichtet, man diskutiert nicht mit uns.
Aber Herr Kommissar, es sind einfache Vorschläge. Erstens einmal, versuchen wir doch die Mitarbeiter, die man wegen der Pflicht-COVID-Impfungen aus dem Gesundheitswesen vertrieben hat, zurückzugewinnen.
Loucas Fourlas
Panelist, please. Panelist, please. Time. Please say your final words and the time is going. You can see on the red figures.
Thank you very much.
Okay.
Danke schön.
Francesco Torselli
Next speaker for ECR Group, Francesco Torselli.
Commissario, cari colleghi, la crisi dei nostri sistemi sanitari non è fatta soltanto di numeri, è fatta di medici, di infermieri, di operatori sanitari che vivono sotto pressione nei pronto soccorso, che subiscono aggressioni, che vivono in territori nei quali è sempre più difficile trovare un medico di famiglia. Nella mia Toscana, la regione da cui arrivo, durante lo scorso mandato in Consiglio regionale, Fratelli d'Italia aveva presentato due proposte: più sicurezza per gli operatori sanitari nei pronto soccorso e una premialità per chi sceglieva di lavorare nelle aree interne e disagiate. La maggioranza regionale non volle neppure discuterle. Eppure oggi l'Europa ci chiede di fare esattamente questo: rendere il lavoro nella sanità più sicuro, più dignitoso, più attrattivo, garantendo assistenza nei territori marginali, rurali e lontani. Speriamo che almeno oggi, Commissario, chi allora fece finta di non sentire abbia il coraggio di ravvedersi.
Grazie.
Irena Joveva
Hvala. Zdravstveni sistemi stojijo na ljudeh, ki vsak dan skrbijo, da ti sistemi sploh še delujejo. Ampak leta podinvestiranja, varčevanja in političnega odlašanja so pripeljala, vemo, žal do resne krize zdravstvenih kadrov ter s tem sistemov. Po vsej Uniji teh delavk in delavcev primanjkuje. Tisti, ki ostajajo, so izčrpani, njihove obremenitve rastejo, izpostavljenost nasilju tudi, njihova plačila pa prepogosto ne odražajo ne njihovega dela ne odgovornosti.
Da, potrebujemo več, mnogo več delovne sile, ampak najprej moramo poskrbeti, da iz sistema ne izgubimo še tistih, ki jih sploh še imamo. Potrebujejo dostojno plačilo, delovne pogoje, kakovostne, resne naložbe v strokovni razvoj. In kaj namesto tega počne večina vlad držav članic? Pričakujejo, da bodo ti ljudje kadrovsko podhranjenost reševali kar sami s še več dela. Med pandemijo smo jim vsak večer ploskali.
Se spomnite? Lepo, a ne? Ampak od aplavza se ne da ne plačati položnic ne zaposliti dodatne medicinske sestre. Takrat je predsednica Komisije obljubila močnejšo zdravstveno unijo. A te ne gradimo samo ob krizah, sploh pa ne z izčrpavanjem ljudi, na katerih sistem stoji.
Zato pričakujem več kot priporočila in več kot strategijo. Če znamo mobilizirati milijarde, ko nastopi kriza, jih moramo znati vlagati tudi v ljudi, ki preprečujejo popoln propad sistema. Kriza je že tukaj, rešitve poznamo, kar očitno še vedno iščemo, pa je politična odločnost. Hvala.
Maria Ohisalo
Thank you. For Greens will speak Maria Ohisalo.
Puheenjohtaja, komissaari, kollegat, kuvitelkaa keskiyön päivystystä, jossa sairaanhoitaja juoksee usean potilaan välillä. Kuvitelkaa iäkästä ihmistä, joka odottaa kotihoitokäyntiä, jota ei koskaan tule, koska hoitajaa ei löydy. Ja tämä ei ole mikään tulevaisuuden uhkakuva. Tämä on arkea sadoissa eurooppalaisissa sairaaloissa, kodeissa, hoivakodeissa tänään. Meillä on rakenteellinen henkilöstöpula, joka koskettaa aivan jokaista EU-jäsenvaltiota.
Liian pitkään me ollaan annettu hoitohenkilöstön uupua, palkkojen jäädä jälkeen ja työolojen heikentyä. Ja nyt meidän pitää toimia.
Ensinnäkin palkka- ja työolot. Ei riitä, että näissä saleissa ja kauniissa puheissa kiitellään hoitajia sankareina. Heille pitää maksaa myös sen mukaisesti. Ja muillakin numeroilla on väliä. Henkilöstömitoitus täytyy saada kohdalleen.
Työvoiman liikkuvuus ja oikeudenmukainen rekrytointi EU:n sisällä ja sen ulkopuolella pitää varmistaa ilman, että ryöstämme köyhimpien maiden terveydenhuoltoa tyhjäksi samalla. Työsuojelu ja väkivallan torjunta. Hoitohenkilöstö ei saa joutua kokemaan uhkailua ja väkivaltaa osana ns. normaalia työpäivää. Ei koskaan. Hyvät kollegat, terveydenhuollon henkilöstökriisi ei ole abstrakti talousluku.
Se on jokainen leikkaus, joka siirtyy. Se on jokainen ikäihminen, joka jää yksin. Se on jokainen hoitaja, joka lopulta lopettaa työssään, koska ei jaksa enää. Investointi terveydenhuollon henkilöstöön ei ole kulu. Se on investointi jokaisen eurooppalaisen turvallisuuteen ja ihmisarvoon.
Kiitos.
Thank you. For the Left group will speak Catarina Martins.
Catarina Martins
Obrigada, senhor presidente, senhor comissário, senhoras e senhores deputados. Pedimos que trabalhem um número infindável de horas, num ritmo de trabalho avassalador, com uma pressão sobre as suas competências, mas também sobre a sua responsabilidade direta cada vez com mais gente e com gente muito vulnerável. Pedimos que estudem anos, muitos anos, e depois pagamos salários que não chegam sequer para pagar a renda de uma casa no sítio onde trabalham. E depois chamamos a isto uma crise da mão de obra no setor da saúde. Eu chamar-lhe-ia uma crise do capitalismo, mas como sei que não é aqui que vamos resolver isto, talvez propusesse algumas coisas muito práticas e imediatas já nos debates europeus.
A primeira é que nós não podemos continuar a tirar receitas aos Estados e esperar que os Estados possam financiar os seus serviços públicos e por isso o orçamento é um erro. A segunda é que não podemos dizer que queremos continuar a cortar nos trabalhadores do Estado, porque os trabalhadores da saúde são, na sua grande maioria, os que seguram o país, trabalhadores do Estado. Senhor comissário, se a Comissão não quisesse destruir mais, talvez pudéssemos acreditar que queria resolver a crise.
Ivan David
Thank you very much. So, next speaker, Ivan David.
Vážená paní předsedající. Náročná práce, ne vždycky dobře placená ve zdravotnictví a náročná na odbornou přípravu a stres. K tomu přistupuje takzvaný volný pohyb pracovních sil, tedy pohyb ze zemí, kde je pečlivě udržována nízká úroveň mezd, do zemí s vysokými mzdami. Chudší země financují vzdělávání zdravotníků, kteří pak odcházejí do bohatších zemí. K tomu přistupuje špatně organizovaná zdravotní péče se špatnou dělbou práce, s duplikováním pracovních úkonů, vedení dokumentace s nadbytečnými administrativními úkony.
Lékem problémů je zásadní změna distribuce prostředků plynoucích do zdravotnictví, lepší organizace zdravotní péče včetně využití moderní techniky a vyrovnání rozdílů ceny práce mezi členskými státy. Za náročnou, často vysoce kvalifikovanou práci je prostě třeba zaplatit. Zdroje lze nalézt také uvnitř systému.
Tomislav Sokol
Thank you very much. So, next speaker, Tomislav Sokol.
Poštovani potpredsjedniče, povjereniče, kolegice i kolege. Svjetska zdravstvena organizacija očekuje da će Europskoj uniji do 2030. nedostajati čak 950.000 zdravstvenih djelatnika. To je podatak koji jasno pokazuje razmjere izazova s kojim se europski zdravstveni sustavi suočavaju. U Europi ne smijemo dopustiti stvaranje pacijenata prvog i drugog reda. Visoka kvalitetna zdravstvena skrb mora biti dostupna svim europskim građanima, bez obzira na to žive li u velikom gradu, na otoku, u ruralnom području ili u državi članici koja se suočava s ozbiljnim odljevom zdravstvenog kadra.
Zato je pitanje zdravstvenih djelatnika puno više od pitanja tržišta rada. Ono je pitanje jednakosti, kohezije i otpornosti Europe. Za snažnije zdravstvene sustave ključna su ulaganja u istraživanje i razvoj, obrazovanje i nove tehnologije, ali i stvaranje centara izvrsnosti koji će omogućiti prijenos znanja i vještina među državama članicama. No, pretpostavka za sve to su ljudi. Zato moramo kontinuirano i sustavno raditi na poboljšanju materijalnih i drugih prava zdravstvenog osoblja, njihovih radnih uvjeta i mogućnosti profesionalnog razvoja, posebno na ruralnim i na slabije razvijenim područjima.
Samo tako možemo zadržati ljude koji danas nose naše zdravstvene sustave i učiniti zdravstvena zanimanja privlačnima novim generacijama. Ali moramo učiniti korak više i stvoriti uvjete za povratak onih koji su otišli, što je posebno relevantno u kontekstu moje zemlje, Hrvatske. Zato posebno pozdravljam dio ovog izvješća koji poziva na uspostavu programa kojima bi se olakšao dobrovoljni povratak zdravstvenih djelatnika koji danas rade u drugim državama članicama ili čak izvan Europske unije. Kolegice i kolege, bez zdravstvenih djelatnika nema ni dostupnog, kvalitetnog i otpornog europskog zdravstva i zato je ovo izvješće izuzetno važno. Hvala lijepa.
Marta Temido
Thank you. Next speaker, Marta Temido.
Caras e caros colegas. Este não é um problema de novo. Trabalhamos hoje sobre duas décadas de alertas e de propostas da Organização Mundial de Saúde sobre este tema. Mas esta realidade da crise dos profissionais de saúde, da carência dos profissionais de saúde, apenas se agravou nos últimos anos, sobretudo depois da COVID-19. Nós sabemos, sabemos todos, senhor Comissário, que as competências da União Europeia neste domínio são limitadas por tratados.
Mas a ameaça que a crise da força de trabalho em saúde traz para a segurança e para o bem-estar dos europeus deve-nos obrigar a ser exigentes. Então a pergunta é: o que pode a União Europeia fazer para resolver este problema? E o relatório que iremos votar hoje traz respostas concretas que deixamos nas mãos da Comissão e dos Estados-Membros. Destaco três. Primeiro: precisamos de uma estratégia europeia para as profissões de saúde, alinhada com os planos nacionais, elaborada e acompanhada com os parceiros sociais para treinar, reter e fazer mais.
Depois, precisamos de responder às causas profundas do abandono do setor de cuidados: horas de trabalho infindáveis, dotações insuficientes, stresse e ansiedade, mas também aos obstáculos a modelos inovadores de prestação, como o apoio das tecnologias mais integrado, as questões das práticas avançadas de enfermagem. Finalmente, duas recomendações: inclusão de financiamento específico no próximo quadro financeiro plurianual para esta área e análise da possibilidade fiscal e normativa de excluir as despesas de saúde de futuros programas de ajustamento orçamental. Precisamos de mais profissionais, melhores condições e de uma Europa que cuide, e vamos bater-nos por isso. Muito obrigada.
Thank you. Next speaker, Marie Dauchy, please.
Marie Dauchy
Dans mon département, en Savoie, la pénurie de soignants n'est pas une statistique dans un rapport, c'est une réalité quotidienne. Dans nos vallées, les distances, l'enclavement, la pression touristique et surtout le manque de personnel mettent notre système de santé sous tension.
En Haute-Maurienne, le service de soins médicaux et de réadaptation de l'hôpital de Modane vient de fermer ses portes temporairement. Les patients sont désormais orientés vers Saint-Jean-de-Maurienne. Voilà ce que signifie concrètement la pénurie : des services qui ferment, des soignants que l'on déplace et des habitants qui doivent aller toujours plus loin pour se faire soigner. Face à cette réalité, que proposez-vous ? Des ratios entre patients et personnels pour éviter la surcharge.
Mais un hôpital qui fonctionne comme un tableau Excel ne peut pas fonctionner. Lorsqu'un patient arrive, aucun infirmier ne va lui dire : "Désolé, mon quota est atteint". Le problème n'est pas de mieux organiser la pénurie, le problème c'est d'y mettre fin. Il faut recruter, il faut fidéliser, il faut faire revenir les soignants qui ont quitté nos établissements. Et surtout, la santé doit rester entre les mains de nos nations.
Parce que les besoins d'une vallée alpine ne se décident pas depuis un bureau à Bruxelles. Ils se connaissent sur le terrain. Mais lorsque ce rapport propose des mesures concrètes pour faire revenir des professionnels de santé en Europe, nous les soutiendrons. Parce que sur ce sujet, notre priorité doit rester simple : des soignants dans nos hôpitaux et des hôpitaux dans nos territoires. Merci.
Aurelijus Veryga
Pirmininke, komisare, dėkoju kolegoms už tikrai labai gerą ir aktualų pranešimą. Europos sveikatos sistemos išties susiduria su didžiule struktūrine darbuotojų krize, o Lietuva tą krizę jau jaučia jau dabar. Ateityje iki 2032-ųjų metų prognozuojama, kad gali trūkti daugiau kaip 8 000 slaugos darbuotojų ir daugiau kaip 700 gydytojų Lietuvoje. Tačiau, kolegos, neužteks tik parengti daugiau specialistų. Turime gerinti darbo sąlygas, užtikrinti sąžiningą atlyginimą, mažinti perdegimą, kurti patrauklias darbo vietas regionuose ir investuoti į profesinį tobulėjimą.
Taip pat labai svarbu užkirsti kelią protų nutekėjimui. Laisvas darbuotojų judėjimas negali reikšti, kad vienos Europos valstybės savo sveikatos sistemas stiprina silpnindamos kitas. Europa turi ne perskirstyti specialistų trūkumą, o kartu spręsti jo priežastis, nes be medikų nebus nei veikiančios sistemos, nei tinkamo pasirengimo grėsmėms. Dėkoju.
Vlad Vasile-Voiculescu
Thank you. Next speaker, Vlad-Vasile Voiculescu, floor is yours.
Thank you, Chair. Commissioner, Europe is bleeding out its health workforce and we refuse the transfusion. More, all too often, people who could actually help us address this problem are seen as a threat. Our population is aging and needs more care, just as a wave of retirements will hit. One in three doctors and one in four nurses in the EU are over 55.
Germany and France will lose almost half of their health workforce in the next decade, Italy more than half. We have postponed this problem by relying on migration inside the EU. If we do not address it, it will weaken our quality of life, our economy and our trust in democracy. We cannot force our citizens to have more children to become doctors or nurses. But we can use our best universities to create a pathway for the education and integration of a new workforce from inside and outside our Union.
For 30 years, Romanians have contributed to EU's healthcare workforce. The dignity of so many people in Italy and Austria is relying on the shoulders of over 150,000 Romanian women who work as badanti or Pflegekräfte in Italy or Austria. Or 25,000 doctors from Romania and over 50,000 nurses are working outside the country in the EU. But moving a nurse from Bucharest to Berlin does not create an additional nurse for Europe. We need to train more people and offer an integration path.
So instead of fearmongering, let us ask what should this path for integration look like. The dignity of our elderly, the health of our children and the future of our healthcare system depends on choices we make now.
Loucas Fourlas
Thank you very much. Next speaker is supposed to be colleague Marino, but he is not in the room. I will give a floor to Rudy Kennes. Is he coming? No, but Rudy Kennes, you have a floor.
I will give him floor later. Thank you.
Rudi Kennes
Dank u, voorzitter. Commissaris, dit verslag is in ieder geval een stap in de goede richting, met name wat betreft het uitsluiten van de uitgaven voor gezondheidszorg van de begrotingsregels van de EU. Maar het is natuurlijk niet bindend en het gaat vooral niet ver genoeg. Het is niet alleen een personeelsprobleem, hè. Als de EU niet in actie komt, dan dreigt gewoon heel het gezondheidsstelsel in te storten.
Vroeger stond gezondheidszorg centraal in het beleid, maar sinds het neoliberalisme de EU heeft overgenomen, stellen we de eisen van de lobbyisten voorop en het algemeen belang jammer genoeg op de tweede plaats. Waarom stoppen zoveel zorgmedewerkers met hun job? Vanwege dure opleidingen, slechte salarissen en onmogelijke en onveilige arbeidsomstandigheden. We breken openbare diensten af om de overname door de particuliere sector eigenlijk te rechtvaardigen. Maar we zien het resultaat: privatisering maakt de situatie alleen maar erger.
We moeten dus investeren in openbare diensten en de EU moet nationale regeringen toestaan om toch geld te mogen uitgeven. Dus commissaris, breng deze boodschap over aan de Commissie: investeer in het zorgpersoneel en vooral, doe het nu. Dank u wel.
Branislav Ondruš
Thank you. I will give a floor to Branislav Ondruš.
Kolegyne a kolegovia, včera som pozorne počúval správu predsedníčky Európskej komisie Ursuly von der Leyenovej o stave Európskej únie a musím konštatovať, že v tejto správe sa ani len slovíčkom nezmienila, že by nedostatok odborných pracovníkov v zdravotníctve alebo ich zlé pracovné podmienky patrili medzi priority Európskej komisie alebo medzi niečo, čo by ju trápilo natoľko, že sa Európska komisia touto problematikou bude zaoberať. Namiesto toho sme počuli o ďalších miliardách, ktoré pôjdu zbrojárskym korporáciám, výdavkoch na zbrojenie, výdavkoch do korporácií bez toho, aby oznámila, že zmení pravidlá štátnej pomoci tak, aby každá subvencia pre firmy bola podmienená lepšími pracovnými podmienkami, vyššími mzdami, ochranou životného prostredia, jednoducho zlepšením života pracovníkov vrátane napríklad obmedzenia subdodávateľských reťazcov. Masívne zbrojenie, kolegyne a kolegovia, nebude znamenať viac bezpečnosti, ak zároveň nám bude chýbať kvalitné zdravotníctvo, ktoré bude dostupné každému bez ohľadu na jeho majetkové alebo príjmové pomery. Je smutné, ak sa z lekárky, ktorej poslanie je humanita, stane militaristická politička. Preto veľmi oceňujem túto iniciatívu ako dôkaz, že tento Parlament sa venuje problémom, skutočným problémom ľudí a Európanov.
A na záver chcem upozorniť...
Loucas Fourlas
Thank you, colleague. Time is over. Time is over. I switched off micros. Thank you very much.
Next speaker, Jagna Marczułajtis-Walczak.
Jagna Marczułajtis-Walczak
Szanowny panie komisarzu, we wtorek Komisja przedstawiła pakiet Fair Mobility, który ma ułatwić mobilność pracowników, upraszczać procedury i przyspieszać uznawanie kwalifikacji w Unii. Kiedy brakuje lekarzy, pielęgniarek, fizjoterapeutów czy opiekunów, konsekwencje przede wszystkim ponoszą pacjenci. Większa mobilność pracowników może pomóc tam, gdzie brakuje specjalistów, ale nie możemy rozwiązywać problemu niedoboru kadr w jednym miejscu poprzez ich dalszy odpływ z miejsc, gdzie ich już brakuje.
Odporność europejskich systemów ochrony zdrowia nie może być tylko zapisem w kolejnej strategii. Musi być realnie odczuwalna w codziennym życiu ludzi, szczególnie przez tych, którzy najbardziej potrzebują naszego wsparcia. Dlatego musimy zadać sobie następujące pytania. Czy nasze europejskie plany rzeczywiście odpowiadają na problemy pacjentów? Czy Komisja ma dane pokazujące, jaki wpływ proponowane regulacje będą miały na dostępność pracowników ochrony zdrowia w poszczególnych państwach członkowskich?
Jak zamierzacie zagwarantować, że te europejskie strategie przełożą się na realne inwestycje w krajowe systemy ochrony zdrowia i usługi? Czy w kolejnych wieloletnich ramach finansowych znajdą się środki na dokształcanie i zatrzymanie kadr w regionach, rozwój asystencji osobistej, usługi środowiskowe i deinstytucjonalizację? Dziękuję bardzo, proszę o odpowiedź.
Loucas Fourlas
Thank you. Now I will give a floor for colleague Vytenis Povilas Andriukaitis. Floor is yours.
Vytenis Povilas Andriukaitis
Thank you so much, dear President, Commissioner, colleagues. We all know that the healthcare workforce crisis is not a problem of tomorrow, but of this exact moment. Fewer staff means heavier workload, heavier workloads push more people to search for other sectors. In the end, it is a patient and citizens who bear the consequences. Medical deserts, it's a really difficult name, medical deserts.
Can you imagine how many deserts do we have in in all 27 member states? We need to act urgently. And we need to say very clearly, now member states could develop adequate wage standards, job security, safe staffing levels, occupational health and so on, and developed using cross-border cooperation, open methods of coordination and possibilities to encourage more cooperation and more harmonization of standards. Otherwise, we will not be capable to solve social dumping and so on. We need directive, we need new strategy.
Thank you, Commissioner, we wish you good job.
Margarita de la Pisa Carrión
Thank you very much. The next speaker is Margarita de la Pisa Carrión. Floor is yours.
Presidente, comisario, señorías. Imaginen que la vida de su hijo depende de una decisión trascendental y que el médico debe tomarla cuando lleva 24 horas de guardia. Esto pasa cada día en España. Estas son las condiciones en las que atienden nuestros médicos a millones de españoles. Se dejan la vida para cuidar la nuestra.
Se dedican a otros, a otras familias, pero no pueden estar con la suya. La bata blanca no debería eliminar derechos laborales. Tiene vocación, sí, pero también tiene necesidad de dormir o de pagar facturas. El plan europeo debe velar por que los profesionales puedan ejercer su labor en condiciones dignas y que no se vean obligados a marcharse. En España, eso requiere un estatuto médico propio, jornadas seguras, salarios acordes con su responsabilidad, reconocimiento de las guardias para jubilación.
Señorías, ningún plan europeo resolverá la crisis de personal sanitario mientras se tomen decisiones de espaldas a los médicos. Y requiere que no haya también ciudadanos de segunda, como ocurre en Ceuta o Melilla, donde la gestión sanitaria depende directamente del Gobierno, que ha abandonado a nuestros compatriotas. Allí los médicos no dan abasto. Y ahora, tras la invasión, se les pide un esfuerzo extra a quienes ya estaban al límite. Señor Sánchez, quienes salvan vidas no pueden seguir pagando sus imprudencias.
Desde Vox tenemos claro que hacen falta medios, descanso y dignidad para nuestros profesionales. Defender la sanidad española empieza por defender a quienes la sostienen.
Loucas Fourlas
Collega, collega de la Pisa Carrión, collega Margarita, Margarita, could you accept a blue card from colleague Miranda Paz, Ana Miranda Paz, 186? Yes, please, floor is yours.
Gracias, presidente. Señora de la Pisa, usted ha mencionado a la asistencia médica en Ceuta, en la crisis humanitaria que se está produciendo. Yo me pregunto, han atacado a la Cruz Roja, la Cruz Roja presta también esa asistencia. ¿Cómo valora usted esos ataques que se ha hecho a una organización internacional humanitaria, también de salud?
Margarita de la Pisa Carrión
La tensión que se está viviendo en Ceuta ha sido provocada. Y las fuerzas de seguridad del Estado deberían estar permanentemente ahí para que no ocurran este tipo de acontecimientos, pero desde el principio. Desde el principio para que no hubiera pasado que tantas personas hubieran entrado en avalancha arriesgando también su vida, ¿no? Quien llamó a todas esas personas a venir es responsable. El gobierno de Marruecos que dejó a todas esas personas venir arriesgando la vida de todas esas personas que se abalanzaron las unas a las otras, se ahogaron, no es responsable de esa situación.
Ahora les queremos echar de verdad la culpa a los ciudadanos de Ceuta cuando son los que están sufriendo esta situación insostenible.
Georgiana Teodorescu
Thank you, chair. Stimați colegi, când vorbim despre criza forței de muncă din sănătate, vorbim de fapt despre oamenii care așteaptă să fie îngrijiți. Europa are un deficit estimat de 1,2 milioane de medici, asistenți, moașe, fără a mai vorbi de toți ceilalți lucrători din sistemul medical. Dar această cifră înseamnă în realitate liste de așteptare mai lungi, diagnostice întârziate și pacienți care nu primesc la timp îngrijirea de care au nevoie. Cât despre salarizare, ei bine, aici sunt multe de spus, dar ar trebui să începem prin a asculta asistentele, moașele, brancardierii și toți aceia care muncesc enorm pentru foarte puțin.
În spatele fiecărui doctor epuizat, al fiecărei asistente care lucrează în ture interminabile și al fiecărui post vacant există mai mulți pacienți care așteaptă. Așteaptă un diagnostic, un tratament sau pur și simplu să fie ascultați. Avem nevoie să păstrăm și să atragem profesioniștii în sistem, să le oferim condiții de muncă decente și salarii pe măsura muncii lor, dar și să reducem birocrația care îi îndepărtează de ceea ce contează cel mai mult, pacientul. Deci când propuneți strategii aici la Bruxelles, începeți prin a vă întreba: ați vrea ca mama sau fiica voastră să fie îngrijită de un personal medical bolnav, epuizat și frustrat de condițiile de muncă?
Thank you. Next speaker, Elisabetta Gualmini.
Elisabetta Gualmini
Thank you, thank you, chair. Healthcare workers are facing a perfect storm. They are clearly understaffed, they work excessive hours while they get older, and they are subjected to stress and burnout and often fall victims to violence and assault, particularly women. Yet, amidst all that, we ask the impossible of them: to be there for an aging and aging population, to help us reduce the waiting lists, to stay perfectly up to date with technological innovations. One might assume, well, at least they must earn a fortune.
No, this is completely wrong, especially for nurses. So, we who are tasked with solving these problems must not only increase resources and dedicate a specific budget line in the upcoming multi-year financial framework, doing so on a bipartisan basis possibly, but we must also commit to restoring dignity and recognition to the role of all healthcare workers. They should not be treated as heroes, but as professionals, by providing them with adequate working conditions.
And there is another reason for that: healthcare workers serve as a vital point of reference for citizens within our local communities. During the pandemic in Italy, from the balcony we shouted "grazie" to doctors and nurses. Now we ought to be shouting "we are sorry" because we are really making a little bit of a mockery of you. Thank you.
Katrin Langensiepen
Erst beklatschen und dann handfest durchbeleidigen, das muss man erst mal können. So unser Kanzler, Herr Merz. Die Nutzniesser-Debatte in Deutschland hat bei vielen pflegenden Ärztinnen und Ärzten eine Empörungswelle ausgelöst, und das zu Recht. Wir sprechen heute im Europäischen Parlament über einen Krisenplan für die Gesundheits- und Pflegekräfte. Dass die Krise da ist, ist nicht neu.
Es handelt sich nämlich um eine massive Krise. Unser Gesundheitssystem wird zerbrechen, wenn wir nicht handeln und so weitermachen. Bis 2030 könnten der EU mehr als vier Millionen Gesundheits- und Pflegekräfte fehlen. Es drohen Unterversorgung und immer mehr medizinische Wüsten, vor allem dort, wo heute schon Fachkräfte fehlen und Menschen sich vom Staat lossagen. Deshalb fordern wir eine langfristige europäische Strategie für Gesundheits- und Pflegekräfte für die Zeit 2028 bis 2034.
Wir müssen in Menschen und vor allem dann in Frauen investieren, in bessere Arbeitsbedingungen neben der fairen Bezahlung, Ausbildung und echte Karriereperspektiven. Entlastung ist so wichtig, denn Investitionen in unsere Pflegekräfte sind Investitionen in ein starkes und krisenfestes Gesundheitssystem. Europa erkennt die Krise, wir müssen nun als Mitgliedstaaten folgen. Und deshalb muss auch die Bundesregierung es endlich verstehen: wer Pflegekräfte und andere Gesundheitsberufe als Nutzniesser bezeichnet, löst keine Krise, er verschärft sie nur. Wertschätzung tut es, Investition tut es, politisches Handeln tut es.
Herzlichen Dank.
Thank you. Thank you very much. Valentina Palmisano will be next speaker, please.
Valentina Palmisano
Grazie, Presidente, Commissario. Non può esistere una sanità pubblica forte se chi la tiene in piedi vive ogni giorno un incubo. Parliamo di medici, infermieri, OSS, schiacciati da turni estenuanti, costretti a operare in reparti fatiscenti, senza macchinari adeguati, lasciati soli a gestire lo sfinimento e la rabbia esasperata di familiari e pazienti. Questa non è soltanto carenza di personale, è abbandono. E questa battaglia, la loro voce, la portiamo oggi qui in Europa.
Diciamo che servono tutele reali, stipendi dignitosi, assunzioni stabili, superando i vincoli dei tetti di spesa, come facemmo in Italia con il governo Conte. La sanità per noi deve essere esclusa una volta per tutte dai vincoli del patto di stabilità, soprattutto per colmare i divari territoriali come quelli che esistono, ad esempio, nel nostro Mezzogiorno, Mezzogiorno d'Italia. Infatti, chi ogni giorno salva la vita agli altri non può continuare a rimetterci la propria. Quindi l'Europa deve scegliere da che parte stare: con chi cura e non con l'austerità. Grazie.
Thank you. Next speaker, Jan-Peter Warnke, please.
Jan-Peter Warnke
Herr Kommissar, Herr Präsident, Damen und Herren. Man kann zu diesem Bericht allen Beteiligten gratulieren. Begriffe wie Skill-Mix, Task-Shifting and Multi-Professional Teams sind Teil der Lösung und werden bereits erfolgreich praktiziert. Insbesondere in der Krankenpflege hat das Konzept des Advanced Practice Nursing mit der Notwendigkeit einer europaweiten Berufs- und Anerkennung bereits die erforderliche politische Unterstützung erfahren.
Wir haben allerdings auch einen Ärztemangel in der EU. Ich war froh, dass der Bericht eine Position zum Thema Labour Mobility versus Brain Drain formuliert hat. Aber es fehlte Physician Assistant im Repertoire unserer Maßnahmen. Ich vermisse eine klare politische Unterstützung für eine akademische Ausbildung, den Einsatz und die europaweite Anerkennung des Physician Assistant. Es ist eine sinnvolles Task-Shifting im oft übervollen Arbeitsalltag von Ärztinnen und Ärzten, und glauben Sie mir, ich weiß, wovon ich rede.
Ansonsten, liebe Kolleginnen und Kollegen, ein gelungener Bericht. Chapeau.
Elena Nevado del Campo
Gracias, presidente, comisario. Europa afronta una realidad crítica en nuestros sistemas sanitarios y necesita profesionales, pero también necesita tener la capacidad de retenerlos y esto requiere una solución y un esfuerzo conjunto, usted lo ha dicho en su intervención. Y por eso este informe es tan importante, porque hablar de sostenibilidad sanitaria significa hablar de condiciones laborales dignas, de conciliación, de formación, de planificación de plantillas, de prevenir el agotamiento de los que cada día sostienen nuestros hospitales y nuestros centros de salud, una competencia nacional pero una responsabilidad conjunta. En España estamos viendo cómo las consecuencias de no escuchar las van a pagar los pacientes porque tras meses de movilización los sindicatos médicos han anunciado una huelga indefinida a partir del próximo día 28 de octubre precisamente en protesta por la reforma del estatuto marcos que la ministra de Sánchez, Mónica García, quiere impulsar sin escucharles. Esa que orgullosamente reivindicaba su condición de médica y de madre y que va a provocar que el próximo jueves día 24 los médicos de Ceuta también hagan huelga precisamente en protesta por sus condiciones laborales.
Nosotros defendemos que la reforma es necesaria pero debe hacerse con los profesionales, que debe hacerse además con financiación adecuada, de esto va la financiación autonómica. Cuidar a quien nos cuida porque si no lo pagarán los pacientes, gracias.
Gabriele Bischoff
Herr Präsident, Herr Kommissar, Kolleginnen und Kollegen. Europa hat Gesundheit zu einer Ware gemacht, wo Profit mehr zählen als und auch die Shareholder als eben Patienten oder Beschäftigte. Es ist gut, dass der Bericht hervorhebt, dass es hier um elementare Daseinsvorsorge geht, und es stinkt so vielen Bürgerinnen und Bürgern, dass für ihre Familie, ihre Freunde, für sie selbst das nicht ausreichend gewährleistet ist. Der Bericht hebt Arbeitsbedingungen, Personalausstattung hervor und auch Brain Drain. Ich will noch einen Aspekt hinzufügen.
Das ist eine faktische Umverteilung des Reichtums von den armen Ländern in die reichen Länder Europas. Das ist keine nachhaltige Strategie. Die Ausbildung eines Arztes in Rumänien kostet 100.000 Euro pro Person, und wenn zwischen 2009 und 2015 die Hälfte der Ärzte von Rumänien in westeuropäische Länder gegangen sind, dann sehen wir diese Umverteilung. Deshalb brauchen wir eine echte europäische Strategie. Bitte unterstützen Sie diesen Bericht.
Ich finde, es ist wichtig, dass wir hier ganz klare Vorgaben geben. Danke sehr.
Cristian Terheş
Thank you, since you mentioned the name of my country, Romania, I have to reply to what you said. The reason why many doctors from Romania had to leave my country is because the European Commission forced at one point the Romanian government to close down on many beds in hospitals. Tens of thousands of beds were removed from hospitals. And because of that, many doctors did not have jobs. Surprisingly, we still have that problem now.
So what you're asking right now for the European Commission to do is to be more intrusive on an issue that should be and must be the sole competence of the member states. Thank you.
Gabriele Bischoff
I can answer you very shortly. It has many reasons why Romanian doctors leave their countries and come to Western Europe. And we have programs from Western countries to attract these people. We even have organizations that only live on this. We have to stop it if we want to have a sustainable strategy in Europe and we want to make sure that every Romanian has the same right and access to healthcare than anyone else in the European Union.
And this is why this kind of we take it from other countries and we don't have a sustainable strategy doesn't work.
Marie-Luce Brasier-Clain
Thank you. Thank you. Thank you. Thank you, and next speaker, Marie-Luce Brasier-Clain.
Merci Monsieur le Président, Monsieur le Commissaire. Ce texte a le mérite d'être lucide sur les causes des pénuries de professionnels de santé : manque d'attractivité des filières, manque de reconnaissance, conditions de travail difficiles, bureaucratie et maintenant des risques de sécurité. S'il rate parfois sa cible par des mesures contre-productives comme la mise en place de quotas patients-soignants à l'échelle européenne, la plupart des solutions vont dans le bon sens. Il faut évidemment revaloriser les salaires, faciliter l'accès à la formation, garantir des horaires de travail décents, préserver la santé mentale des travailleurs et atteindre un équilibre entre vie professionnelle et vie privée. Je salue également les incitations au retour des soignants européens partis à l'étranger et le rappel que le recrutement de soignants étrangers ne doit être qu'une mesure temporaire et non la norme.
C'est une excellente base de départ qu'il faut adapter à la réalité de chaque pays car l'harmonisation européenne n'est pas un totem censé régler tous les problèmes. Soutenons des politiques nationales coordonnées et une coopération complémentaire entre États membres et Union européenne dans l'intérêt des filières qui attendent de nous des résultats concrets. Je vous remercie.
Marlena Maląg
Thank you very much. Next speaker, Marlena Maląg.
Szanowni Państwo, co dziś widzą i czują polscy pacjenci? Okolista patologii w pigułce. Lekarz stażysta, który zarabia około 400 tysięcy euro rocznie i dyżury, na których nie był. Kobiety w ciąży, które mają kilkadziesiąt kilometrów do najbliższej porodówki. Pacjenci czekają długie godziny na pilne przyjęcie.
Ale też salonik VIP w niektórych szpitalach dla wybranych, dla wąskiej grupy prominentnych polityków. Omawiany tutaj raport mówi o prostych faktach. Zgadza się, brakuje lekarzy, pielęgniarek, pracują zbyt długo, a pacjenci mają nierówny dostęp do leczenia.
Ale raport pomija fakt, jakim jest ograniczenie dostępu do zawodu. W Polsce, za rządów, w których byłam ministrem, zwiększyliśmy liczbę miejsc na kierunkach lekarskich. Ale ten pomysł nie spodobał się liberałom, którzy chronią elitę lekarską. Dlatego jedni pracują za miliony, inni chcą, ale nie mogą wejść do zawodu, a pacjenci płacą coraz więcej i zdrowsi nie są. Problemy zwykłych ludzi mają często proste rozwiązania.
Chrońmy ludzi, nie elity. Dziękuję bardzo.
Stine Bosse
Chairman, Commissioner. Europa mangler helt op til en million læger og sygeplejersker allerede om fire år i 2030. Det er en god nyhed, at vi lever længere i Europa, men det er naturligvis en dårlig nyhed, at vi bliver færre til at arbejde og tage os af vores aldrende befolkning. Det er en fælles europæisk udfordring, og den kræver europæiske løsninger. Selvfølgelig skal vi starte med den arbejdskraft, vi allerede har, og vi skal uddanne flere, men vi skal også arbejde mere på tværs af landegrænser, understøtte digitale muligheder for samarbejde og centre for excellence, hvor vi altså kan blive dygtigere sammen og løse problemer.
Men det klarer ikke det hele. Den million, vi mangler, finder vi ikke i EU. Derfor bliver vi nødt til at tænke nyt, og nu er hr. Hauser gået, men ellers så ville jeg have sagt, det var nogle af de løsninger, han efterlyste. I Danmark er vi gået i gang med internationale aftaler. Vi danner samarbejder med for eksempel Filippinerne.
Det kan blive en model for hele Europa. Så for mig er det egentlig ganske enkelt. Ja til sikre ydre grænser, men også ja til samarbejde med andre lande om uddannelse og udveksling og om lovlige veje ind i Europa, både til mere uddannelse og til job. For uden europæiske løsninger er der simpelthen ikke hænder nok til at tage os af både vores oldeforældre og vores oldebørn.
Ana Miranda Paz
Muito obrigada. A presidenta von der Leyen disse onte no seu discurso que não quer que a inteligência artificial substitua os médicos. No meu país, a Galiza, aínda estamos un paso atrás. Na Galiza faltan médicos suficientes para temer por ser substituídos por causa das políticas nefastas en saúde do goberno do Partido Popular galego. Falta financiamento após décadas de investimento en saúde, tamén para salarios.
30% máis de agarda para especialistas e para operar. Traballadores de saúde esgotados. Ratio de enfermeiras por habitante por medio da media europea e española. Postos baleiros sen preencher, tendo en conta que hai centros de saúde sen médicos nin enfermeiras. Centros médicos sen especialidades, salarios precarios.
No meu país, unha persoa que vive no rural ten que percorrer até 50 quilómetros para ir ao médico. Esta é a receita do PP: privatizar, desmantelar o sistema público de saúde e fomentar seguros de saúde privados. Coa saúde das persoas non se xoga. Por iso defenderemos sempre a saúde pública, universal e gratuíta.
Thank you. Next speaker Anthony Smith.
Anthony Smith
Président, Commissaire, collègues. Après cette suite de monologues, je constate que les libéraux, conservateurs et néofascistes clament tous en chœur leur attachement sans faille au système de santé et rendent des hommages grandiloquents aux travailleuses et travailleurs du soin. Pourtant, c'est bien la Commission européenne qu'ils soutiennent par leurs votes et les gouvernements nationaux dans lesquels ils siègent qui infligent depuis tant d'années une violente austérité budgétaire aux peuples d'Europe. Dans mon pays, en France, le macronisme agonisant continue son action dévastatrice en prévoyant une nouvelle fois la suppression de milliards d'euros de financements dédiés au secteur social et de la santé dans le cadre du prochain budget.
Face à cela, les travailleurs, leurs organisations syndicales agissent, se mobilisent. Je tiens par exemple à saluer dans cet hémicycle les agents du centre hospitalier de Châlons-en-Champagne et plus largement de la Marne pour leurs actions revendicatrices commencées au début du mois contre des dizaines de suppressions de postes à l'hôpital. Le 29 septembre se tiendra une grande journée de mobilisation de la fonction publique et des pompiers pour s'opposer à ces mortifères coupes budgétaires. La France insoumise se tiendra aux côtés de ces travailleuses et travailleurs. Merci.
Gheorghe Falcă
Domnule președinte, domnule comisar, ca un om care am trecut prin cancer, știu ce înseamnă sistemul de sănătate și îl respect foarte mult. Doamnelor și domnilor, putem construi spitale noi, putem cumpăra aparatură de ultimă generație și putem investi miliarde în sănătate, dar toate acestea depind în fiecare zi de medicii și de asistentele care lucrează cu pacienții. Iar Europa începe să ducă lipsă acestor oameni. Pe scurt, vorbim de o criză. România cunoaște foarte bine această realitate.
Medicii și asistenții formați la noi lucrează astăzi în spitalele din multe state membre, iar acasă avem și noi încă destule comunități unde accesul la medic rămâne dificil. Problema este una mult mai profundă decât recrutarea. Medici epuizați de gărzi, asistenți care lucrează permanent sub presiune, profesioniști atacați la locul de muncă sau sufocați de birocrație. Raportul pune foarte corect accentul pe condițiile de muncă, pe formare și folosirea tehnologiei pentru a reda timp profesioniștilor. Pentru că în sănătate, orice investiție facem, la capătul lor rămân doi oameni: pacientul și cel care are grijă de el.
Trebuie să avem grijă de amândoi, trebuie să avem grijă de sistemul de sănătate. Mulțumesc.
Victor Negrescu
Domnule comisar, stimați colegi, imaginați-vă un copil sau o persoană în vârstă dintr-un sat din județul Alba, în România. Îl doare ceva, are nevoie de un medic, nu are mașină, iar medicul este la zeci de kilometri. Transportul public este rar, iar o consultație care ar trebui să fie simplă devine o problemă de o zi întreagă. Aceasta este realitatea pentru prea mulți europeni. De aceea, Europa trebuie să investească în oamenii din sănătate, pe lângă investițiile pe care le facem în echipamente și clădiri.
Am solicitat în acest raport măsuri concrete pentru medici, rezidenți și asistenți: remunerație echitabilă, formare mai bună, mentorat, condiții sigure și perioade reale de repaus. Am cerut, de asemenea, ca fondurile europene să fie folosite pentru a aduce medicii acolo unde lipsesc: în sate, în orașele mici, în regiunile izolate și ar trebui să folosim banii europeni inclusiv pentru locuințe, burse, stimulente, dar și pentru construcția de dispensare locale și cabinete rurale. Și trebuie să îi convingem pe medici să se întoarcă de unde au plecat. Ținta pe care o susțin este clară și scrie în raport: cel puțin un milion de profesioniști în plus în sănătate până în 2034. Mulțumesc.
Julien Leonardelli
Quand votre enfant tombe malade au milieu de la nuit, vous ne vous demandez pas quelle administration est compétente. Vous voulez simplement trouver un médecin pour le soigner. Je suis père de deux enfants et cette inquiétude, je la connais comme la connaissent des millions de parents.
C'est l'accablante réalité que décrit le rapport pour lequel nous débattons ce matin. D'ici 2030 l'Europe manquera de près de 4 millions de soignants. En France mes compatriotes attendent parfois des semaines pour consulter, parcourent des dizaines de kilomètres pour trouver un médecin et patientent des heures aux urgences tandis que nos soignants continuent de tenir malgré les gardes, le manque d'effectifs et l'épuisement. Nous reconnaissons l'urgence d'agir face à une pénurie qui touche toute l'Europe. La santé reste et doit rester une compétence des États membres.
Mais quand un texte va dans le bon sens pour nos soignants et pour nos patients, nous savons le soutenir. Ces 4 millions de soignants manquants nous ne les trouverons pas en allant les chercher chez nos voisins, évidant les hôpitaux d'autres pays du monde pour remplir les nôtres. Nous les trouverons en formant nos propres jeunes chez nous, en finir avec les numerus clausus absurdes qui ont asséché nos facultés pendant 20 ans. Libérer nos hôpitaux de la paperasse pour rendre du temps aux soins et payer correctement ceux qui au quotidien veillent sur nos malades. Se soigner n'est pas un privilège, c'est une promesse que nous devons à nos peuples.
Rendons cette promesse aux Français et rendons-la à tous les Européens.
Laurence Trochu
Merci Monsieur le Président, mes chers collègues, Monsieur le Commissaire. Ce rapport sur le manque de personnel dans le secteur de la santé a plusieurs mérites. Mais le premier d'entre eux est de mettre en lumière les défis auxquels font face les nations européennes. Le défi de l'éducation d'abord qui doit nous permettre de former les médecins et les chirurgiens de demain et à ce titre le classement PISA est inquiétant, notamment pour mon pays la France. Le défi de l'immigration ensuite dont on dit qu'elle est une solution au personnel soignant manquant alors qu'elle sature nos hôpitaux, représente un coût social énorme pour soigner des gens qui ne cotisent pas et importe parfois avec elle des maladies que l'on croyait disparues, le tout en vidant les pays tiers de leurs médecins et infirmières.
Le défi de la dignité humaine enfin avec une médecine qui ne doit pas se dévoyer en éliminant ses malades de manière préventive ou sous de faux prétextes compassionnels. Pour tous ces défis nous espérons que les nations européennes se souviendront de leur héritage civilisationnel. Formons, soignons les nôtres avant les autres et protégeons les plus vulnérables. Je vous remercie.
Billy Kelleher
In my lifetime the life expectancy in Ireland has increased from 70 years of age to 83 years of age and across Europe life expectancy is increasing dramatically. Of course with that comes the challenge of comorbidities and dealing with very complicated health systems to provide care for an aging population. And of course the double jeopardy on top of that with an aging medical and clinical age profile as well. So I very much welcome this EU healthcare workforce crisis plan and ensure that we make decisions now in an immediate period to address the long-term challenges that we're all facing. We also have to accept that the labor mobility and qualification recognition is not seamless across Europe.
And we do need to address that to make sure that the workforce can move to where there may be greater demand. But equally we can't have a situation where it goes to the highest bidding country to have a full complement of healthcare while other countries lose their healthcare professionals. So I do believe we need strong workforce planning into the future, addressing the complexities of health demands that will be out there in the years ahead. Finally I just want to say working conditions, stress and burnout are a real factor. On top of that Europe will be dependent on migrant workers for many, many years in our healthcare systems.
We should be conscious of that and we should be welcoming to them. Whether a person is seen as a migrant or an alien by some, the most important thing is they are here to work, to help and to assist in providing healthcare to the European citizens and for that we should be very appreciative of them, not condemning them and threatening them.
Sérgio Humberto
Muito obrigado, senhor presidente, senhor comissário, caros colegas. Na União Europeia estima-se um défice de cerca de 1,2 milhões de profissionais de saúde. Por trás deste número estão profissionais sobrecarregados, listas de espera crescentes e profundas e desigualdades territoriais. Este relatório responde com prioridades concretas: valorizar e reter os profissionais, garantir condições de trabalho dignas e seguras e antecipar as necessidades de formação através de dados fiáveis. A União Europeia deve acrescentar valor através do financiamento, da inovação e da partilha de boas práticas, respeitando as competências dos Estados-Membros.
Investir nos profissionais de saúde não é apenas uma política laboral. É proteger os nossos cidadãos, os nossos doentes, reduzir as desigualdades e garantir sistemas de saúde resilientes para as próximas gerações. Muito obrigado.
Thank you. Next speaker Romana Jerković, please.
Romana Jerković
Kolegice i kolege, povjereniče. Manjak zdravstvenih radnika u Europskoj uniji do 2030. godine mogao bi biti preko 4 milijuna. A već danas više od trećine liječnika i četvrtine medicinskih sestara starije je od 55 godina. Ovo je ozbiljna kriza. Zato nije dovoljno samo školovati nove zdravstvene radnike.
Moramo učiniti sve da mladima ova profesija bude privlačna. A to znači dobre radne uvjete, dostojanstvene plaće, mogućnost napredovanja, dovoljno kolega u smjeni i radno mjesto na kojem ljudi ne moraju žrtvovati vlastito zdravlje da bi brinuli o tuđem. I upravo zato u ovom izvješću tražimo puno. Tražimo ulaganja u obrazovanje, u specijalizacije i cjeloživotno usavršavanje, kao i bolje mogućnosti napredovanja i bolju zaštitu od nasilja i uznemiravanja na radnom mjestu. Potrebni su nam ciljani poticaji za zapošljavanje i konkretne mjere koje će zdravstvene radnike zadržati u sustavu, jer kao što znamo, bez njih zdravstvenog sustava ni nema.
Hvala lijepo.
Mariateresa Vivaldini
La carenza del personale sanitario in Europa non è una crisi temporanea, ma un deficit strutturale che l'Unione deve affrontare con misure efficaci, rispettando la sovranità dei singoli Stati. Per l'OCSE nel 2024 venti paesi dell'UE hanno segnalato carenze di medici e infermieri. In Italia il sistema sanitario nazionale garantisce a tutti un accesso gratuito alle cure che altri Stati non hanno e che pesa enormemente sul bilancio. Come altri paesi, registriamo una consistente carenza di personale con ripercussioni negative sulle liste di attesa e sulla qualità dei servizi. È tempo di intervenire rendendo il lavoro di medici, infermieri e operatori sanitari più dignitoso, migliorando le condizioni in cui operano, riducendo i rischi professionali e assicurando una costante formazione.
L'Unione Europea attraverso queste proposte inserite nel piano di crisi, corredato dal collega Ranza che ringrazio, vuole sostenere gli Stati in questa direzione con programmi mirati ed adeguate risorse per riuscire ad attrarre quei giovani che guardano a queste professioni. Solo così potremo garantire realmente il diritto alla salute dei nostri cittadini.
Grazie.
Bartosz Arłukowicz
Panie Przewodniczący, Szanowni Państwo, myślę, że powinniśmy tutaj porozmawiać o trzech głównych problemach, które dotykają system ochrony zdrowia i kadr systemów ochrony zdrowia w Europie. Pierwszy to jest starzejące się społeczeństwo i coraz węższe specjalizacje lekarskie, coraz węższe i węższe, właściwie silosowe, uniemożliwiają de facto zajęcie się holistycznie pacjentem senioralnym, a ten problem staje przed nami każdego dnia bardziej. Druga rzecz to brak przygotowania kadr do sytuacji nagłych w systemach opieki zdrowotnej, czyli pandemia i nie sama walka z wirusem, tylko zadbanie o ludzi, którzy w tym czasie chorują na nowotwory, udary, cukrzyce, wylewy i wszystkie inne choroby. Pandemia pokazała, że w walce z wirusem zapominamy o setkach tysięcy i milionach chorych umierających z innych powodów w tym czasie. I trzecia rzecz, która każdego dnia staje się coraz bardziej widoczna i potrzebna, to przygotowanie systemów ochrony zdrowia, w tym także kadr, do sytuacji wojennej, czyli przygotowania naszych szpitali w Europie do zajęcia się ludźmi, którzy prędzej czy później będą musieli stawić czoła zdarzeniom, których nikt by z nas nie chciał, a mianowicie sytuacjom frontowym.
Dziękuję bardzo.
Marc Angel
Commissioner, colleagues, how much more can we expect from the workforce that cares for us? Across Europe, they are reaching their limits and we are short of 1.2 million healthcare workers and one in three nurses and doctors report mental health problems linked to their working conditions. This is a real crisis and we cannot solve it by asking them to do more. When every shift risks pushing someone closer to burnout and patients face even longer waiting times, our response must be clear: adequate wages, safe staffing levels, decent working conditions and job security. We must ensure that a young doctor or nurse can build a career in healthcare and not be driven out by exhaustion.
And we need equal pay for equal work. Women make up 78% of healthcare workforce, yet they still face a significant pay gap. This is why we need a comprehensive long-term crisis plan for them and this has to be accompanied by a clear dedicated health budget. Healthcare is not a cost, but it is an investment. So let's come to action.
Thank you very much.
Alessandra Moretti
Grazie e ritrovati colleghe e colleghi. Ora ha facoltà di intervenire l'onorevole Moretti. Prego.
Grazie Presidente, Commissario. Purtroppo molti di noi si ricordano dell'importanza della salute solo quando viene a mancarci, così come troppi si ricordano degli operatori sanitari solo quando devono andare in ospedale o aspettano una visita. La salute non è una spesa da tagliare, ma una priorità politica assoluta, un investimento per il futuro e un diritto universale. Con questo report noi vogliamo dire una cosa chiara: non possiamo ricordarci del nostro personale solo quando ci sono le emergenze per poi abbandonarlo alla precarietà, ai turni massacranti, ai burnout. Costringere medici, infermieri, OSS a lavorare in condizioni disumane significa calpestare il loro diritto ad un lavoro dignitoso, ma significa anche negare il diritto alla salute di tutti i cittadini europei perché non esiste sanità senza i lavoratori della sanità.
Se crollano loro, crollano i sistemi sanitari e quando crollano i sistemi sanitari non funziona la società, non si lavora, non si viaggia, non si fa impresa. Investire sulla sicurezza, sui salari e sui diritti del personale sanitario significa proteggere la vita di ognuno di noi e mi auguro che questa Commissione e gli Stati membri se ne rendano conto e agiscano di conseguenza. Grazie.
Pina Picierno
Grazie l'onorevole Moretti. Passiamo ora al catch-the-eye. Ha fatto richiesta di intervento l'onorevole Grapini.
Mulțumesc, doamnă președintă, domnule comisar, stimați colegi, discutăm despre criza în sănătate, dar nu discutăm pentru prima dată.
Maria Grapini
Am auzit chiar și ieri de la doamna președintă tot felul de sloganuri: condiții egale pentru toți, acces la sănătate pentru toți cetățenii europeni, sănătatea trebuie să fie o prioritate. Dar haideți să ne gândim la ce cauze avem, de ce am ajuns în această situație? Pentru că criza de medici, plecarea medicilor din est în vest creează de fapt o problemă pentru pacienți. Și da, dacă sunt mai puțini, înseamnă că lucrează mai mult, sunt epuizați, cine și ei sunt afectați, dar și pacienții. O boală nu poate să aștepte pentru că e programat peste trei luni pentru că nu avem medici.
Domnule comisar, sigur, e de competența statelor membre, dar haideți să facem un plan de susținere pentru statele care au mai puțin dezvoltat sistemul de sănătate, pentru pregătirea tinerilor, pentru că în rural este o catastofă, nu ai un aparat, n-ai acces la aparate, degeaba votăm noi aici dacă în practică nu se pune. Și da, mai este o problemă: Uniunea Europeană nu mai finanțează construcția de centre pentru persoane permanente pentru persoane în vârstă, îngrijirea la domiciliu. Păi n-avem atâția îngrijitori. Finanțați centre pentru îngrijire pentru că acolo vom putea să avem un personal mai numeros. Vă mulțumesc.
Sebastian Tynkkynen
Kiitos. Kun maahanmuutosta haetaan sokeasti ratkaisuja hoitajapulaan, niin jälki on tätä. Muut hoitajat toimivat hoitotyön ohella kielikouluttajina. Asiakaskirjauksia on laadittu käännössovelluksella. Väärälle ihmiselle annetaan väärät lääkkeet, vaaratilanteita ja potilasvahinkoja.
Nämä kaikki ovat tosielämän esimerkkejä Suomesta ja siitä, mitä puutteellinen kielitaito aiheuttaa hoivatyössä. Kun Suomessa asiaa selvitettiin hoitohenkilökunnalta, ainoastaan yksi prosentti vastaajista koki, että ulkomailta aktiivisesti rekrytoidulla oli riittävä kielitaito toimia ammatissaan. Onko tämä sitä osaajien rekrytointia, josta täällä EU:ssakin usein puhutaan? Näistä esimerkeistä voimme kuitenkin vetää kaksi johtopäätöstä. Yksi: hoitajapulaan on etsittävä kestäviä ratkaisuja ennen kaikkea maiden rajojen sisältä ja kaksi: Euroopan maahanmuuttoon tarvitaan tiukempi seula.
Kiitos.
Grazie, ha fatto richiesta di intervento l'onorevole Vighenin.
Kristian Vigenin
Кризата с медицинските кадри не е предупреждение за бъдещето. Тя е реалност всеки ден за хиляди европейци, които изобщо нямат достъп до лекар, особено селските, отдалечените, обезлюдяващите се райони. Тя е реалност и в ежедневието на много здравни работници, принудени системно да работят извънредни часове. За страни като България проблемът е още по-остър. Инвестираме в обучението на лекари и медицински сестри, а след това много от тях заминават за държави членки, които предлагат по-високи възнаграждения.
България вече е сред страните с най-нисък брой здравни специалисти спрямо населението в Европейския съюз. Затова са необходими общоевропейски решения за постигане на по-добри условия на труд и реални стимули за работа там, където недостигът е най-голям. Нека предложим стипендии, подкрепа за специализация, жилищно настаняване и възможности за професионално развитие. Телемедицината също може да помогне. Здравната грижа е основно човешко право, което трябва да гарантираме за всеки европеец.
Отговорността е и на европейските институции, и на националните правителства, които трябва да търсят координирани решения. Благодаря.
Carlo Ciccioli
Grazie, Presidente. Tra le esigenze sociali più importanti per i cittadini europei, la sanità pubblica viene certamente prima di molte altre, e qui siamo tutti d'accordo. Poi c'è un dato, quello dell'aumento dell'aspettativa di vita, quindi maggiore domanda di cure, assistenza e personale sanitario, soprattutto nella fase fragile della vita. Ma qual è la soluzione? Questo è il punto.
L'Europa impone agli Stati parametri, vincoli, procedure di infrazione su moltissime materie. È arrivato il momento di farlo dove serve davvero: garantire un numero adeguato di medici, infermieri e operatori sanitari. Quindi, dal 2027, nella prospettiva di bilancio 28-34, dobbiamo introdurre standard vincolanti basati sul rapporto tra personale sanitario, popolazione, età media ed epidemiologia, da raggiungere entro il 2030, prevedendo un cofinanziamento europeo per le nuove assunzioni. La stessa logica deve valere per prevenzione e nuovi farmaci: devono essere considerati investimenti e quindi esclusi dai vincoli di bilancio, perché investire oggi in salute significa ridurre la spesa sanitaria domani.
Grazie, onorevole Terheş.
Cristian Terheş
Working? Thank you. Yes. Domnule comisar, după cum știți, îngrijirea medicală este o competență principală a statelor membre. Rolul Comisiei Europene este să sprijine statele în realizarea acestei îngrijiri medicale, nu să înlocuiască această competență.
Raportul despre care vorbim aici listează o serie de probleme pe care sistemul medical din țările statelor membre ale Uniunii Europene le are. Soluțiile, însă, oferite nu rezolvă problemele expuse în acest raport. Sunteți comisar pe sănătate. Cum puteți dumneavoastră de la Bruxelles, de exemplu, să ajutați un sat din Ungaria, de unde veniți? Ce puteți face de aici?
Este o chestiune a guvernului țării dumneavoastră, ca și a guvernului țării mele, să rezolve această problemă. Ursula von der Leyen, în perioada pandemiei, n-a putut gestiona chestiunea vaccinurilor. Contractele pe care le-a semnat, uitați-vă în ce formă au fost publicate: nici astăzi nu știm condițiile și clauzele acestor contracte. Păi dacă într-o chestiune atât de importantă cum a fost pandemia COVID-19, Comisia n-a putut gestiona această problemă, cum va gestiona întregul sistem medical de la nivel european? Mulțumesc.
Thank you. The last speaker, Nikolaou, please.
Lefteris Nikolaou-Alavanos
Ένας ακόμη άνθρωπος στην Ελλάδα έχασε τη ζωή του περιμένοντας το ασθενοφόρο, μια γυναίκα στο νησί της Αίγινας, επειδή δεν υπήρχε δεύτερος γιατρός στο Κέντρο Υγείας. Και αυτό δεν είναι μια ατυχής εξαίρεση. Είναι οι 1,2 εκατομμύρια κενές θέσεις στην Ευρωπαϊκή Ένωση, οι οποίες προβλέπεται να τετραπλασιαστούν τα επόμενα χρόνια. Το εξαντλημένο υγειονομικό προσωπικό που δουλεύει σταθερά πάνω από 50 ώρες την εβδομάδα. Αυτή η ευρωενωσιακή γραμμή κόστους-οφέλους και εμπορευματοποίησης της υγείας τσεκουρώνει τις κρατικές δαπάνες υγείας, υποστελεχώνει νοσοκομεία και εξαντλεί υγειονομικούς, ενώ προμοτάρει τους ομίλους της ιδιωτικής υγείας με τις συμπράξεις δημόσιου-ιδιωτικού τομέα, τους βάζει και στο κρατικό σύστημα υγείας.
Αυτή τη στρατηγική εφαρμόζει η κυβέρνηση της Νέας Δημοκρατίας, όπως και η κυβέρνηση Τσίπρα πριν από αυτή, που θέσπισε μάλιστα 60ωρη εργασία για τους γιατρούς. Ενώνουμε τη φωνή μας με τους αγωνιζόμενους υγειονομικούς που διεκδικούν αποκλειστικά κρατική δωρεάν υγεία, μαζικές προσλήψεις με μόνιμη δουλειά, μονιμοποίηση όλων των συμβασιούχων, επιστροφή 13ου-14ου μισθού και ουσιαστικές αυξήσεις, άμεση ένταξη στα βαρέα και ανθυγιεινά επαγγέλματα.
Diamo la parola al Commissario per la sua replica. Prego, Commissario Várhelyi.
Olivér Várhelyi
Madam President, honorable members, I can see that this is a very rich debate that we're having this morning. And I think that we all agree that we need real improvements on the ground as we speak. And while the organization and the delivery of healthcare remain clearly an exclusive national competence, the Commission is doing already quite a bit to help the member states to reinforce their healthcare systems. Just to give you a couple of examples. Under the recovery funds, we have delivered already over 42 billion euros for the member states to modernize their healthcare systems and to invest and start reinvesting into the healthcare system that Europe is relying on.
I also want to raise your attention to the two programs that we are running when it comes to staff planning, the HEROES program or the BeWell program, which is actually helping the nurses for upscaling and also helping the member states to get the nurses that they need. And I agree with the two main challenges we all face, but this is part of a bigger problem, and that is the sustainability of the European healthcare system as we know it. We have an aging population, we have a drastically increasing number of people suffering chronic diseases, and we have very clear budget limitations when it comes to public finances of the healthcare system, which is a universal one and which provides always the best available therapy for each European. To preserve this for the next generation, we have to make a major overhaul, and it starts with investing much more into prevention, because our healthcare system is care-heavy, and this burden is what you see on the back of nurses, doctors, and everyone who is running the healthcare system as we know it. We need to help them by investing in prevention much more so that they can really have a perspective of being able to serve more patients in the long term.
The second big challenge is, of course, how do we convince the next generation to take part and be part of the walk of life that we call healthcare? Because this is not just a profession, it is a walk of life, it is a special responsibility for others, and this is where we are failing to convince the next generations to be part of our healthcare system. Thank you very much.
Grazie. Diamo ora la parola al relatore, onorevole Furlas. Prego.
Loucas Fourlas
Ευχαριστώ, κυρία Πρόεδρε. Κύριε Επίτροπε, το COVID μας έμαθε κάτι πολύ συγκεκριμένο, κάτι πολύ σημαντικό: καμία χώρα μόνη της δεν μπορεί να αντιμετωπίσει τα θέματα υγείας. Δύο διαφορετικές επιτροπές, δύο εισηγητές από δύο διαφορετικές πολιτικές ομάδες, πολλές και διαφορετικές απόψεις.
Και όμως καταφέραμε. Καταφέραμε να καταλήξουμε σε μία έκθεση, σε μία κοινή θέση για να δώσουμε λύσεις σε ένα πολύ σοβαρό θέμα όπως περιγράψαμε σήμερα. Και να το βάλω όλο σε μία πρόταση και να είμαι πάρα πολύ σύντομος. Αυτό που προσπαθούμε να κάνουμε είναι να φροντίσουμε τους ανθρώπους που μας φροντίζουν. Να τους δώσουμε πίσω την αξιοπρέπειά τους.
Ας υπερψηφίσουμε λοιπόν αυτή την έκθεση. Ας δώσουμε ένα βήμα και κάποιες λύσεις, ας κάνουμε ένα πρώτο βήμα. Δεν αρκούν μόνο τα χειροκροτήματα σε αυτούς τους ανθρώπους, πρέπει να τους το αποδείξουμε και με πράξεις. Ευχαριστώ πάρα πολύ.
Grazie onorevole Razza, prego.
Ruggero Razza
Grazie presidente, grazie ovviamente al commissario per aver seguito il dibattito e per aver fornito anche ulteriori contributi da parte della Commissione. Grazie a tutti i colleghi di tutti i gruppi politici che sono intervenuti e che hanno reso ricco il dibattito, ma il lavoro era avvenuto anche in fase di redazione della relazione come ha detto poco fa anche il collega Furlas. Sul fronte del quadro giuridico europeo la relazione propone alcuni passi in avanti, lo dico perché ho ascoltato alcune critiche in ordine al perimetro di intervento proposto. Non c'è e non vuole esserci una sfera di invasione delle competenze dei singoli stati in materia di organizzazione della sanità, ma c'è un'esigenza di armonizzazione di regole e di principi del quadro giuridico di riferimento europeo. Se noi diciamo che bisogna raggiungere l'obiettivo di un milione di nuovi professionisti in un quadro temporale specifico, diciamo anche, come già il Parlamento aveva detto, che nel nuovo quadro finanziario pluriennale 2028-2034 ci aspettiamo investimenti riconoscibili in materia di sanità.
Se invochiamo una coesione all'interno degli stati e tra gli stati e riteniamo che si debbano sostenere sul piano formativo l'accesso alle professioni sanitarie anche con una revisione del quadro regolatorio delle politiche di coesione, non stiamo invadendo un perimetro che riguarda la competenza dei singoli stati, ma stiamo richiamando regole perché se oggi uno stato avesse voluto destinare, per esempio dal Fondo Sociale Europeo, alcuni interventi per il sostegno della spesa socio-sanitaria non avrebbe potuto farlo e quindi non avrebbe potuto garantire quegli obiettivi di miglioramento che sono necessari. Colleghi cosa ha insegnato la pandemia? La pandemia ci ha insegnato che la salute è sicurezza. Un'Europa incapace di garantire medici, infermieri, prevenzione, farmaci, accesso alle cure ai propri cittadini è un'Europa fragile perché è un'Europa che dipende da altri. Grazie.
Pina Picierno
Grazie, la discussione è chiusa, la votazione si svolgerà oggi. E ora continuiamo con il nostro ordine del giorno che reca l'interrogazione orale alla Commissione sul rafforzamento della resilienza sanitaria globale nei paesi partner. E allora diamo subito la parola all'autore dell'interrogazione, l'onorevole Andrews.
Barry Andrews
Thank you Madam President, Commissioner Kyriakides and colleagues. It's great that we're having this debate on an ambitious global health policy. And we do global health because it's the right thing to do. We do global health because there have been extraordinary gains in, for example, child mortality in the last decades. So it works, it actually works.
And that's why it's important that we resurface the assumptions behind this policy during the course of this short debate. It is the right thing to do. But there are secondary consequences. It also helps to deliver European security. It also helps to ensure the prosperity of the European economy.
There is widespread evidence that official development assistance delivers for the European economy, it delivers for EU exports, it opens up markets and trade routes that might not otherwise have worked. So not only does it deliver for the beneficiaries of an ambitious global health policy, but it delivers for Europe as well. So if we're changing that, we better know exactly what we're doing. If we decide that we're going to move away from that model, we have to be very careful about it. And unfortunately, of course, in 2025, there were dramatic cuts in aid, a reduction of 25% over 2024.
I mean, this is a cliff edge. And the consequences are already being felt. There are less girls going to school today in 2026 than there were two years ago. There are more cases of child marriage than there were two years ago. There are more cases of cholera, there's more cases of transmission of childhood HIV and AIDS.
So the situation is urgent. There has been a lot of effort made to try to manage this transition by primary health cares and by health institutions across the world. That is true. And but the problem is that the coping mechanism has been shifting away from long-term interventions, shifting away from prevention into immediate emergency issues. So that has masked the overall impact of the numbers, but that's not something that can be masked forever.
The current outbreak of Ebola in DRC is a good example of things that are working. It is contained. We have learned some of the lessons from the outbreak in West Africa in 2014 and 2015, but there are some lessons that we did not learn. So there are two main points that I want to make about the global lessons that have to be adopted. First of all, the World Health Organization is at the center of the global health architecture, the World Health Assembly and the World Health guidelines.
And we have to as a European Union really promote this multilateralism. We have to have early warning systems, we have to have surveillance, we have to encourage public institutions to declare a pandemic at the earliest possible opportunity, and we have to discourage the private sector from withdrawing from places where pandemics are taking place because that of course disincentivizes public authorities from reporting honestly. Secondly, we have to invest in health systems strengthening. This is one of the key lessons from the outbreak in West Africa in 2015. Health systems, essentially, to give one example, in Sierra Leone today, there is one doctor for every 10,000 head of population.
By contrast, in my country in Ireland, we have 40 doctors per 10,000 head of population. Now, it's a slight improvement in Sierra Leone actually from where it was in 2014, but it just goes to show this is the core issue. If we really are serious about avoiding the next pandemic, which would have a devastating effect on the European economy, wiping out all of the competitiveness gains that we've worked so diligently to achieve, then we must invest in global health and health system strengthening in particular. And I mean the African CDC, I mean in cooperation in Horizon with African universities, I mean in vaccines and therapeutics and diagnostics. Africa imports 99% of its vaccines, it imports 90% of its medicines, and there's lots of work to do.
I just want to make a final point about Global Gateway. Less than 10% of Global Gateway projects are actually invested in health. So the reality is a little bit different to how it's presented, less than 10% of Global Gateway projects. So the Parliament will endeavor to scrutinize properly these health flagships in the years to come.
We're going to really look closely at not only the inputs, leverage of private sector investment and whether it can actually reach fragile states, but also the overall impact. And that's our job and that's something we will do. We will also try and shift the emphasis away from infrastructure and manufacturing, which is good, onto primary healthcare and health system strengthening. I think that balance has to be achieved. And finally, we also have to focus on fragile states.
Unfortunately, many fragile states are not bankable, they're not investable, they don't have the governance, compliance and regulatory environment that Global Gateway thrives in. And so we have to keep that in mind. So finally, I repeat, we have to have a global health policy that is ambitious and reflects both knowing the right thing to do as well as doing it in our own interest as well. Thank you.
Pina Picierno
Grazie. Ora diamo la parola a nome della Commissione al Commissario Sikela.
Jozef Síkela
Madam President, honorable members, as global challenges intensify, the pressure on global health continue to mount. Conflicts, forced displacement, climate disasters, disease outbreaks and disinformation campaigns. Each one of these challenges take a toll on the health and well-being of people around the world. Take for example the deadly Ebola outbreak worsened by conflict in the DRC. And these challenges occur against a backdrop of declining global health funds and rising politicization of health investment.
In May, the Commission adopted the Global Health Resilience Initiative. This is not about creating another health program. This is about uniting Europe's investments and expertise behind a common goal: delivering greater impact where it is needed most while supporting the EU's strategic autonomy and competitiveness. We do this through nine flagship initiatives that boost health at local, national, the regional and global levels. Together with a broad range of stakeholders, we are supporting country-led health systems from strengthening primary care to increasing access for vulnerable population, including women and girls.
Boosting countries' capacity and creating a conductive environment to produce medicines and vaccines through Global Gateway. Detecting health threats faster and strengthening prevention, preparedness and response capacity. Countering disinformation through evidence-based communication and greater access to scientific research. Providing life-saving healthcare to those in fragile settings through humanitarian assistance and strengthening cooperation between governments, civil society and multilateral organizations. Next week, in the margins of UNGA, I will host a side event bringing together key partners in the global health architecture, including the World Health Organization and other UN bodies, governments and the private sector to discuss our shared challenges.
Honorable members, I am pleased that your resolution closely aligns with our approach to global health. We have a unique opportunity to build a more coherent, country-owned and equitable global health architecture that supports our partners in their transition to health sovereignty. Through more effective coordination, financing and collaboration, we can really maximize our impact. Thank you.
Grazie. Ha facoltà ora di intervenire l'onorevole Mandl. Prego.
Thank you.
Grazie, ha facoltà ora di intervenire l'onorevole Mandl. Prego.
Lukas Mandl
Thank you very much, Commissioner, it's highly appreciated that you, given your busy schedule, and I know about your busy schedule very well, are always present in the European Parliament when your issues are discussed, and this is of utmost importance for our parliamentary endeavor here on European level. I also thank Barry Andrews, our chair in the Development Committee, for his initiative to make this motion for a resolution on global health. And first and foremost, I want to share my clear view that global health investments from Europe's side is not a gift to anybody, but it's an investment in Europe's health, in Europe's stability and in the resilience of Europeans when it comes to health, because health issues don't know borders at all. We have known that before the pandemic, we have been proven of that due to the pandemic and during the pandemic, and we see today we have to invest in other parts of the world, of course, especially investing in the capability of these other parts of the world themselves to invest in health. And how people treat each other when it comes to preparedness for health issues, when it comes to treatment in health issues, when it comes to diseases, says a lot about societies.
So how we deal in health crisis says a lot also about how we conduct the principle of human dignity, of individual freedom and of each person worth the same. This is what we spread as Europe, not only in terms of money, but also in terms of good example, means a lot to the world.
Christophe Clergeau
Madame la Présidente, Monsieur le Commissaire, je voudrais d'abord remercier notre collègue Barry Andrews d'avoir pris l'initiative de ce débat, dire que je partage son propos et que ce qui est en cause, c'est bien la santé globale des populations sur la planète et la sécurité de l'Europe et la santé des Européens. Et il y a urgence, Monsieur le Commissaire. La communication de la Commission et ce que vous avez décrit comme initiative, c'est positif, mais les effets seront des effets de moyen terme. L'urgence, elle est absolue, elle est là, elle est liée au retrait américain. On voit partout en Afrique et dans le reste du monde reculer les actions de prévention et les actions de mobilisation, de vaccination, reculer la lutte contre le sida.
On voit avec Ebola la fragilisation des systèmes de santé. Dans certains pays, c'est des dizaines de milliers de personnes qui ont été licenciées. Donc moi la question que je pose, elle est très simple : c'est comment l'Europe et l'Organisation mondiale de la santé sécurisent la santé mondiale en assurant la pérennité des systèmes de santé et des actions de prévention partout ? Et je voudrais que vous nous disiez quel est le budget qui va être mobilisé, d'où qu'il vienne, Global Europe, UCPM/HERA ou EU4Health, pour réellement être aux côtés de nos partenaires dans le reste du monde et éviter l'effondrement de la santé mondiale et la mise en danger également de la santé des Européens. Merci.
Grazie, onorevole Hauser.
Gerald Hauser
Danke. Es ist recht interessant, Herr Kommissar, wir haben also gerade vorhin über die Probleme des Gesundheitswesens in der Europäischen Union diskutiert. Es fehlen 4,1 Millionen Fachkräfte im Gesundheitsbereich. Und jetzt diskutieren wir, was können wir tun, um in Partnerländern das Gesundheitswesen zu stärken.
Also hochinteressant, wo werden Schwerpunkte gesetzt? Zur angesprochenen Desinformation auch ein Beispiel. Herr Kommissar und Kollegen, Sie wissen ja, während der sogenannten Pandemie wurde uns mitgeteilt von Ihnen, dass es wichtig ist, Kinder zu impfen. Mit dem Argument, Kinder müssen deswegen geimpft werden, damit sie den Covid-Virus nicht übertragen können, damit sie ihre Großeltern besuchen können. So war es doch.
Und wir haben uns immer gegen Kinderimpfungen ausgesprochen und wurden dann als Schwurbler und Verbreiter von Desinformation bezeichnet. Ich zitiere jetzt, ich zitiere jetzt eine parlamentarische Anfragebeantwortung von Gesundheitskommissar Várhelyi, genau diese Impfung betreffend, aktuell am 24. August bekommen. Ich zitiere: "Die Indikation, für die die Impfstoffe zugelassen wurden, war die Prävention schwerer Erkrankungen durch die Infektion und nicht speziell die Prävention einer Virusübertragung." Das heißt, Sie wussten, dass mit der Covid-Impfung nicht die Menschen nicht geschützt werden, Kinder nicht geschützt werden, die Virus zu übertragen. Das wussten Sie.
Und trotzdem haben Sie die Eltern aufgefordert, die Kinder zu impfen. Ich frage Sie: Wer hat damals Desinformation verbreitet? Waren Sie das? Wir waren es nicht.
Allora, onorevole Koczeska, prego.
Małgorzata Gosiewska
Szanowni Państwo, wzmacnianie odporności zdrowotnej państw partnerskich nie może oznaczać jedynie przekazywania kolejnych pieniędzy z Europy. Pomoc musi odpowiadać na rzeczywiste potrzeby ludzi i wzmacniać samodzielność. Mieszkańcy Afryki potrzebują trwałych systemów: szpitali, diagnostyki, personelu medycznego i realnego dostępu do leczenia. Zamiast pompować kolejne środki w pojedyncze prywatne przedsięwzięcia, powinniśmy wspierać tworzenie systemów ubezpieczeń zdrowotnych, które pozwolą leczyć także najuboższych, a może przede wszystkim najuboższych. Unia może je czasowo współfinansować, a dalsze wsparcie powinno zależeć od ich skuteczności, przejrzystości i podejmowania odpowiedzialności przez państwa partnerskie.
Nie możemy też akceptować sytuacji, w której pod hasłem pomocy zdrowotnej narzuca się państwom partnerskim rozwiązania ideologiczne, w tym promowanie aborcji, zamiast koncentrować się na zdrowiu matek, kobiet, dzieci. Pomoc ma budować samodzielność, a nie zależność. Samodzielna i bardziej sprawna Afryka to bardziej bezpieczna Europa. Dziękuję przewodniczącemu komisji za podjęcie tego tematu, ale dziękuję też panie komisarzu za zaangażowanie w przygotowywanie zmian systemowych. Na nie liczymy.
Dziękuję bardzo.
Erik Marquardt
Vielen Dank, Frau Präsidentin. Herr Kommissar, schön, dass Sie da sind. Die globale Gesundheitsfinanzierung wurde in den vergangenen Jahren um mehr als 50 Prozent gekürzt. Und man kann nun einerseits sich Tabellen angucken und sagen: Mensch, das ist ja weniger Geld. Aber ich glaube, wir tun gut daran, uns ganz konkret anzuschauen, was das für Menschenleben bedeutet, was das für Menschen bedeutet.
Es gibt eine Studie von Lancet, die besagt, dass bis 2030 bei diesen Kürzungen 22,6 Millionen Menschen zusätzlich sterben könnten. Und natürlich kann man sich jetzt fragen, machen ja manche auf der rechten Seite dann: Was geht uns das eigentlich an? Sind ja nicht in Europa, ist uns ja irgendwie egal, dass die Menschen sterben. Aber ich möchte eigentlich, dass wir uns schon auch in Europa darauf einigen, dass es am Ende doch nicht sein kann, dass wir laut dieser Studie dann zum Beispiel 5,4 Millionen Kindern unter fünf Jahren sagen: Ist leider andere Prioritäten haben, als dafür zu sorgen, dass sie eine Zukunft haben. Und ich glaube, diese ethisch und moralische Ebene, die ist wichtig.
Aber es ist natürlich auch wichtig, dass wir ein eigenes Interesse daran haben, dass es der Welt besser geht. Es geht ja nicht nur um Gesundheit von Menschen, es geht auch um Gesundheit von politischen Systemen. Es geht um Krisenprävention, Vorsorge. Es geht darum, dass wir zum Beispiel so eine globale Pandemie, wie wir sie gerade erlebt haben, nicht noch mal erleben.
Und dafür ist es natürlich wichtig, dass wir uns damit beschäftigen. Es wäre schön, wenn hier auch 27 Staats- und Regierungschefs sitzen würden, die in ihren Haushalten dann dafür den Weg frei machen, aber daran arbeiten wir und ich bedanke mich erst mal für diese Debatte.
Catarina Martins
Obrigada, senhor presidente. Eu queria agradecer a oportunidade desta pergunta oral. Há aqui alguns debates absurdos no Parlamento. Eu gostava de tentar explicar muito brevemente porque é que não há nenhuma oposição entre prioridade à resposta na saúde na Europa e prioridade à saúde global. Porque qualquer pessoa com dois dedos de testa sabe que se não houvesse cooperação global, o COVID tinha sido uma desgraça ainda maior.
Porque qualquer pessoa com dois dedos de testa sabe que sem cooperação global, nós não tínhamos um surto de Ébola nalguns sítios em África, tínhamos também na Europa. É por isso que não há nenhuma escolha entre uma coisa e outra. Mas há uma escolha sim que temos de fazer: em quem é que confiamos para dar resposta de saúde global. E nós sabemos que o setor privado da saúde não esteve lá quando foi o COVID, como não está lá nos surtos de Ébola. Nós sabemos que as patentes e a propriedade intelectual têm aliás sido um obstáculo muitas vezes aos tratamentos fundamentais às pessoas.
E é por isso que acharmos que parcerias público-privadas na saúde global vão resolver o problema é um erro. Precisamos de investimento público e de investimento público certo. E precisamos de apoiar os serviços de saúde locais e que haja profissionais em todos os locais. Isso é fundamental. E no mundo de Trump, o mínimo que se exige à União Europeia é que seja sensata nesta sala.
Porque se nós desprotegemos a cooperação mundial em saúde, se nós esquecemos os direitos globais, não há nenhuma fronteira, não há nenhuma arma que vá proteger a saúde e a vida dos europeus.
Marc Jongen
Meine Damen und Herren, Herr Kommissar Schinas, nach Corona hat die Europäische Union in der Gesundheitspolitik sehr viel Vertrauen verspielt und die WHO erst recht. Sie weigert sich bis heute, ihre Fehler einzugestehen, geschweige denn sie aufzuklären. Und ausgerechnet diese Akteure wollen uns jetzt eine globale Gesundheitsstrategie verkaufen. Sechs Milliarden Euro hat die EU von 2021 bis 25 für globale Gesundheit ausgegeben. 22 Prozent des WHO-Haushalts kommen aus der Union, den Löwenanteil zahlt wie immer Deutschland.
Wir sind der größte Geldgeber einer Organisation, die Lockdowns, Impfzwang und Zensur mitgetragen hat und für die allen Ernstes ein Karl Lauterbach als Direktor im Gespräch ist, der während Corona kläglich versagt hat. Man hat ja immer nur wie immer nur die besten Absichten. Was aber die Kommission Resilienz nennt, das ist der Ausbau eines latent totalitären Gesundheitsregimes. Stärkere Koordination multilateraler Strukturen, das heißt mehr Macht für die WHO. Vertrauen in die Wissenschaft und der Kampf gegen tatsächliche oder angebliche Desinformation, das bedeutet abweichende Meinungen, und zwar auch fachlich fundierte zur Wirksamkeit von Impfungen, sollen unterdrückt werden.
DSA, Faktenchecker und Democracy Shield lassen grüßen. Herr Kommissar Schinas, drei Fragen.
Erstens, wie wollen Sie verhindern, dass aus globaler Gesundheitsresilienz wieder die totalitäre Kontrolle der Bürger wird, die wir unter Corona erlebt haben: Überwachung, Reiseverbote, Berufsverbote, soziale Ächtung? Zweitens, wer definiert Desinformation? Die Kommission, die WHO, bezahlte Factchecker? Und drittens, wird die Kommission eine unabhängige Untersuchung der WHO-Pandemiepolitik unterstützen oder weiter Geld nach Genf überweisen und so tun, als sei nichts gewesen? Die ESN-Fraktion lehnt jede Aufstockung der EU-Mittel für die WHO, die Bill Gates als größten privaten Spender hat, entschieden ab.
Sogar Angela Merkel hat ja inzwischen zugegeben, welchen Impfdruck die Gates-Stiftung in der Coronazeit auf Regierungen weltweit ausgeübt hat. Einige Punkte gehen auch in die richtige Richtung. Medikamente müssen wieder dort hergestellt werden, wo man sie braucht, in den Partnerländern und in Europa selbst. Es braucht keine Pandemie, um zu verstehen, wir dürfen uns bei der Gesundheit nicht von China abhängig machen. Problematisch ist aber eben die ideologische Ladung, die Kommission und Ausschuss in die Resolution geschrieben haben.
Sexuelle und reproduktive Gesundheit und Rechte heißt in der Praxis EU-Geld und Propaganda für Abtreibungen. Angebracht wäre Schutz der Mütter und Kampf gegen Kindersterblichkeit. Dazu kommt die Gender-Ideologie, LGBTQ als Pflichtprogramm für Partnerländer, deren Kulturen und Rechtsordnungen das mehrheitlich ablehnen. Wir brauchen keinen solchen neokolonialen Export westlicher linker Identitätspolitik, sondern kosteneffiziente Prävention in den Partnerländern dort, wo es nötig ist. Kein neues Fass ohne Boden, keine ideologische Agenda und kein Zensur- und Überwachungsregime im Namen der Gesundheit.
Vielen Dank.
Grazie, e ora ha facoltà di replicare a nome della Commissione il Commissario Sikela. Prego.
Jozef Síkela
Madam President, honorable members, thank you for your insights and recommendations. I will keep them in mind and we will continue to roll out the Global Health Resilience Initiative. I also want to thank Barry Andrews for initiating this debate. Maybe a short answer to your question how: very simply, evidence-based. Let me emphasize a few points.
Going forward, the Commission remains committed to partnering fully with member states to maximize impacts. From 21 to 25, the EU mobilized, as already mentioned, over 6 billion euros to build global health resilience. Together with the World Health Organization, we are supporting stronger health systems in 115 countries across Africa, the Caribbean, Latin America, Asia, the MENA region, and Europe. Through Global Gateway, we mobilized more than 2 billion euros for regional manufacturing of vaccines and medicines. Today, production sites are taking shape in Senegal, Ghana, Nigeria, Rwanda, and South Africa.
And we are bringing together researchers, universities, regulators, and health professionals to build self-sustaining ecosystems. In times of crisis, the EU steps up in humanitarian assistance and response, as for the Ebola outbreak with over 200 million euros in immediate humanitarian aid, surveillance, and research funding. While some global actors may retreat from their commitments, we are fully engaged to deliver better health outcomes for people. The EU stands ready to do its part as a reliable partner at the global, regional, and country levels. Thank you very much.
Grazie e ora ha facoltà di intervenire l'onorevole Sokol.
Tomislav Sokol
Poštovana potpredsjednice povjereniče kolegice i kolege. Zdravstvene prijetnje ne poznaju granice. Upravo zato Europa mora biti spremna zaštititi svoje građane pravodobno prepoznati rizike i spriječiti da zdravstvene krize prerastu u prekogranične prijetnje. Prevencija mora biti naš prioritet. Rano otkrivanje bolesti učinkoviti sustavi upozoravanja razmjena relevantnih podataka i bolja pripravnost mogu spriječiti širenje epidemija i smanjiti njihove zdravstvene društvene i gospodarske posljedice.
Istodobno dugoročno jačanje zdravstvenih sustava partnerskih država mora se temeljiti na odgovornosti njih samih. Oni moraju graditi snažne institucije ulagati u vlastite zdravstvene radnike i osiguravati održivo financiranje svojih zdravstvenih sustava mobilizacijom vlastitih resursa. Europska unija naravno pritom može i treba biti pouzdan partner. Naša suradnja treba jačati njihove kapacitete a ne stvarati trajnu ovisnost. Zato europska razvojna politika mora biti usmjerena na konkretne potrebe jasne ciljeve mjerljive rezultate i dugoročnu održivost.
Jednako je važna bolja koordinacija između Europske unije država članica partnerskih zemalja i međunarodnih organizacija. Moramo smanjiti fragmentaciju i preklapanje programa te osigurati učinkovitije korištenje raspoloživih sredstava. Naš cilj je jasan. Spriječiti zdravstvene prijetnje prije nego što prijeđu granice ojačati pripravnost Europe i pomoći partnerskim zemljama da izgrade snažne i održive vlastite kapacitete. Kolegice i kolege partnerstvo mora počivati na uzajamnoj odgovornosti.
Europa će ostati pouzdan partner ali trajna otpornost trećih država može se izgraditi samo tamo gdje država preuzima odgovornost za vlastite zdravstvene sustave. Hvala lijepa.
Leire Pajín
Señor comisario en el 2020 vimos como un virus detectado en un lugar concreto del mundo ponía en jaque nuestra seguridad y nuestra sociedad paraba nuestras vidas en todo el mundo en muy pocos días. Es verdad que tuvimos una cooperación científica sin precedentes y conseguimos unas vacunas en tiempo récord. Pero cometimos un grave error aprovisionar las vacunas el 87% en los países del norte y solo el 0,2 fue distribuido en los países de renta baja. En los países de renta media de América Latina la mortalidad fue devastadora. Aquello no fue solo una injusticia fue un error de seguridad sanitaria global.
Porque la pandemia nos recordó algo muy sencillo la salud es un bien global y por eso tenemos que tomarlo como tal. Por eso queremos acoger la y valorar que la Comisión incluyera la salud global en sus prioridades este año a través de esta comunicación y queremos agradecerle al chair de la Comisión de DEVE esta iniciativa. Pero ojo la mayoría de los problemas vienen en países olvidados y debemos focalizarnos ahí. Fortalecer los sistemas sanitarios fortalecer las capacidades de prevención y respuesta de fabricación de vacunas y entender de una vez por todas que la salud global es una cuestión de solidaridad pero también de seguridad para Europa.
Michele Picaro
Grazie onorevole Picaro.
Presidente commissario colleghi le crisi sanitarie non conoscono confini e rafforzare i sistemi sanitari dei paesi partner significa proteggere anche la salute e la sicurezza dell'Europa. Il Piano Mattei indica una strada che può diventare un modello europeo partenariati paritari e investimenti costruiti sulle reali esigenze dei territori.
Di fronte a sfide come la resistenza antimicrobica, le pandemie e i farmaci falsificati, dobbiamo continuare a contrastare HIV, tubercolosi e malaria, ma dobbiamo soprattutto rafforzare le capacità locali. Questo significa investire nella telemedicina, collegare i territori alle reti di specialisti europei e trasferire conoscenze e competenze. Significa anche promuovere cofinanziamenti e partnership tra imprese europee e produttori locali, favorendo il trasferimento tecnologico e la creazione di hub produttivi, sempre nel quadro di una solida governance pubblica. Perché investire nella salute non significa soltanto garantire cure migliori, significa creare crescita, stabilità e maggiore sicurezza per i paesi partner e soprattutto per l'Europa. Grazie.
Grazie, onorevole Estaràs Ferragut, prego.
Rosa Estaràs Ferragut
Gracias, presidenta, comisario. La pandemia nos enseñó que la resiliencia sanitaria no se construye cuando llega la crisis, sino que se tiene que construir desde mucho antes. La política de salud mundial debe ser una prioridad estratégica para la Unión Europea, no solamente por solidaridad, sino también por seguridad mundial. En un momento de creciente inestabilidad geográfica y también en recortes en la financiación de la salud pública mundial, Europa tiene que dar un paso al frente. Apostar por reforzar la resiliencia sanitaria mundial es clave.
Debemos asegurarnos que la cooperación genere capacidades y no dependencia, para que sea un sistema accesible e inclusivo. Para esto tenemos que dedicar especial atención a todos los colectivos vulnerables, especialmente a las niñas, a las mujeres y a las personas con discapacidad. Es también muy importante contrarrestar la desinformación sanitaria y garantizar políticas de vacunación eficaces. Y por último, la ambición de la Unión Europea para poder ejercer este liderazgo en materia de salud mundial tiene que ir acompañada de financiación suficiente y por esto pedimos que partidas presupuestarias habrá en el futuro marco financiero plurianual. Gracias, comisario.
Marit Maij
Thank you, chair, commissioner, colleagues. We talk about international cooperation in terms of projected growth, fiscal health, and even bankability and return on investment, as if generating more money is the end goal and not the means to improve the lives of people. Growth figures can rise while inequality deepens and basic services stay out of reach. Official development aid cuts on health have amounted to five to seven billion euro in the last years, and it's putting investment in health back to the levels of 2008, hitting especially those in regions where support for accessibility of healthcare is the most needed. We can build all the railways and ports and airports that we want, but without access to human basic needs for regular people, those investments benefit only the few.
Sustainable development is about people. We need to invest in people, in their health, and not just in profit. Thank you.
Grazie, onorevole Schenk.
Oliver Schenk
Frau Präsidentin, Herr Kommissar, liebe Kolleginnen und Kollegen.
Spätestens seit der COVID-Pandemie wissen wir: Gesundheit kennt keine Grenzen. Gleichzeitig ist die internationale Gesundheitsfinanzierung allein von 2024 auf 2025 um 21 % eingebrochen. Ebola und andere Ausbrüche zeigen uns, welche Folgen schwache Gesundheitssysteme haben können, vor Ort, aber auch für uns in Europa. Deshalb ist es richtig, dass Europa seine Partnerschaften stärkt. Dabei geht es aber nicht allein um finanzielle Hilfe.
Europas Stärke sind Forschung, medizinische Expertise und innovative Unternehmen. Gemeinsam mit unseren Partnern müssen wir klinische Forschung ermöglichen, Wissen teilen und nachhaltige Produktionskapazitäten vor Ort aufbauen. Das stärkt Gesundheitssysteme vor Ort, diversifiziert Lieferketten für uns und eröffnet zugleich Chancen für europäische Forschung und Unternehmen. Globale Gesundheitsresilienz ist deshalb nicht nur Solidarität, sie liegt auch in unserem eigenen europäischen Interesse. Vielen Dank.
Grazie a lei, onorevole Lorant.
Murielle Laurent
Merci, Madame la Présidente, Monsieur le Commissaire, chers collègues. La santé est un droit fondamental humain. Jamais il ne devrait dépendre du lieu de naissance, de moyens ou de genre. Pourtant, des millions de personnes n'ont toujours pas accès aux mêmes soins. Les femmes et les filles en paient particulièrement le prix.
Elles sont trop souvent moins écoutées, moins prises au sérieux, moins bien diagnostiquées. L'épidémie d'Ebola en RDC le montre. Premières à donner les soins, ce sont les femmes qui sont les plus touchées. Elles sont aussi les premières touchées par les réductions de l'aide au développement qui se multiplient. Je le regrette vivement car ces fonds contribuent à sauver des millions de vies.
Il faut inverser cette tendance pour tenir un engagement qui honore l'Union européenne, celui d'une santé véritablement universelle.
Grazie, onorevole Kelly.
Seán Kelly
Uachtarán, a Choimisinéir, is ábhar tábhachtach é seo. And I'd like to thank my good colleague Barry Andrews for raising important questions regarding the Commission's initiative. The pandemic proved that global health affects us all, and we cannot be resilient until healthcare systems around the world are resilient. Persistent health inequalities make people less capable of preventing and overcoming crises. That is why this initiative cannot be assessed in isolation.
Global health succeeds or fails depending on whether we recognize its interdependence with sustainable development goals. Yet, as budgets for global health shrink, Europe must reconfirm its commitment to these goals through sustained long-term funding and genuine commitment to collaboration with partner countries. Sin a bhfuil uaim, a Uachtaráin, táim thart. Go raibh maith agat.
Liudas Mažylis
Dėkoju, pirmininke, komisare, kolegos. Epidemijos ir ligos nesilaiko žemėlapio sienų, todėl kiekviena valstybė turi turėti sveikatos sistemą, pajėgią atlaikyti kylančius iššūkius. O vystomoji metinė pagalba sveikatai smuko iki žemiausio lygio nuo 2009-ųjų metų. Pasirengimui pandemijoms trūksta 10,5 milijardo dolerių.
Partnerių atsparumui stiprinti reikia integruotų, pačių šalių valdomų sveikatos sistemų, kurios jungia ligų stebėseną, laboratorijas ir medikus, o ne fragmentiškų programų atskiroms ligoms. Ne tada reikia pulti valdyti Ebolos protrūkį, kai jis išplinta, o prevencyviai. Reikia pakankamo pradinio finansavimo, kad šalys ilgainiui pačios užtikrintų savo suverenitetą sveikatos srityje. Mūsų partnerių atsparumas yra pirmoji Europos apsaugos linija, o prevencija yra pigiausia ir priimtiniausia saugumo politika. Dėkoju.
Pina Picierno
Grazie, passiamo al catch-the-eye, ha fatto richiesta di intervento l'onorevole Andriukaitis. Prego. Please, please. The floor is yours, yeah.
Vytenis Povilas Andriukaitis
Labai atsiprašau, vertimas. Gerbiamas komisare, išties dėkoju, kad puikiai atsakėte į klausimą tų, kurie čia sėja paniką ir kurie skleidžia dezinformaciją net šioje salėje. Jūsų atsakymas buvo taiklus: evidence-based. Ir mes turime dar kartą pasakyti labai aiškiai, kad pasaulio šalys laukia Europos Sąjungos lyderystės šitame Global Health Resilience programoje, todėl kad tai yra paremta būtent moksliniais duomenimis. Ir mes galime pasidžiaugti, kad dabar Europos Sąjungoje mes svarstome Biotechnologijų aktą, kuris gali padėti išvystyti labai efektyviai didelę vakcinų poreikį ir jo galimybes vakcinuoti daugelį pasaulio šalių, vaikų, moterų ir taip toliau.
Vienas iš pavyzdžių yra nauja maliarijos vakcina, kuri šiandien gelbsti daugelio pasaulio valstybių vaikus. Taip kad investuokim, mums reikia šitų investicijų ir reikia lyderystės.
Grazie, onorevole Terheş.
Cristian Terheş
Thank you. Mr. Commissioner, when you put together vaccines with profits, you open the Pandora box. And this Pandora box was opened in Europe during the COVID-19 pandemic crisis. You claim that when we talk about vaccines, we need to base our decisions on evidence. I remind you that in this plenary, your predecessors stated that we need to approve these vaccines — I voted against those provisions — but they have to be approved in order to stop the transmission of the virus.
But when the representative of Pfizer was asked if they ever tested the Pfizer vaccines, the person stated, and I quote: "We had to move at the speed of science and we did not do it." So it's important to look back at what happened during the pandemic, and it's sad that you turn your back to me, because you have to provide concrete answers to the Europeans. You're talking about money: 71 billion euros worth of contracts were signed by Ursula von der Leyen to purchase 4.5 billion doses of COVID vaccines. Here are parts of those contracts with clauses that haven't been published yet. When are you going to publish these contracts?
Thank you, onorevole López Aguilar, prego.
Juan Fernando López Aguilar
Gracias, presidente, comisario, toda crisis, también la sanitaria, nos desafía en nuestros cimientos, en lo que más apreciamos, hasta en nuestra identidad, y es probable que salgamos peores de una crisis, pero la disciplina consiste en hacer cuanto esté en nuestra mano para ser mejores.
COVID fue un ejemplo. La Unión Europea invirtió. Lo hizo conjuntamente. La Unión Europea promovió la investigación científica y técnica y colaboró con la industria en la generación de vacunas, pero se ha puesto de manifiesto el error de su distribución desigualitaria, lo que contradice la vocación de la Unión Europea de ser primera en la fila de la ayuda humanitaria y la cooperación al desarrollo de manera equitativa y ser globalmente relevante. Por tanto, ahora la lección es que la Unión Europea tiene que imponer su legislación europea, no solamente para asegurar la transparencia en la distribución de las vacunas y, por tanto, combatir cualquier asomo de corrupción o de malversación de fondos a su propósito, pero también tiene que asegurar que la industria farmacéutica y las industrias médicas no imponen su voluntad por encima del legislador europeo.
Gracias, presidente.
Sebastian Tynkkynen
Arvoisa puhemies, EU ei voi olla ilmainen terveyskeskus koko maailmalle. Mutta mitäpä te olette taas vaatimassa? Euroopan eduskunnan nimissä halutaan nyt linjata, että EU:lta tarvitaan poliittisia ja taloudellisia sitoumuksia suojella globaalia terveyttä yleismaailmallisena oikeutena ja globaalina julkishyödykkeenä. En tiedä, missä utopiassa te elätte, mutta todellisessa maailmassa meillä ei riitä tähän rahat alkuunkaan. Jäsenmaat tekevät hartiavoimin töitä, että terveyspalvelut säilyisivät julkishyödykkeenä edes omille kansalaisilleen.
Tässä samassa tekstissä te kauhistelette myös kehitysapuleikkauksia. Sillä on syynsä, miksi esimerkiksi Suomen hallitus on leikannut kehitysapua. Vuosikymmenten kehitysapu on ollut äärimmäisen tehotonta ja se on ruokkinut entisestään rehottavaa korruptiota. Siksi on aika sulkea kehitysavun rahahanat. Grazie.
Grazie, grazie a tutti voi. Comunico di aver ricevuto una proposta di risoluzione a conclusione della discussione. La discussione è dunque chiusa e la votazione si svolgerà oggi. La seduta ora è sospesa e riprenderà più tardi con la seduta solenne con l'intervento di Mark Carney, il primo ministro canadese. A tra poco.
Roberta Metsola
So good afternoon, good morning, dear colleagues. Today we welcome once again Prime Minister of Canada Mark Carney to this hemicycle, but here today to be able to speak to us directly. Dear Mark, thank you for being here. The friendship between the European Union and Canada is rooted in our shared values and in our outlook. It is built on the same understanding that united Canadians in 1867 and Europeans in 1951, that we are always stronger when we work together.
Our partnership endures. It is grounded in the stories of our peoples, many of those who helped to build your nation were Europeans in search of a better life. And in our continent's darkest moments, Canadians were there for us. In 1914, when war shattered our continent, Canadians fought shoulder to shoulder with us through the muddy trenches of Ypres, the Somme and Passchendaele. On Vimy Ridge, where your national memorial keeps watch, a corner of Europe will remain forever Canadian.
Generation later, in 1944, your boys came to our aid again, storming Normandy beaches alongside British and Americans to help liberate Europe from fascism. On that day, Canadian forces pushed farther inland than any other and in some of the bloodiest fighting of the war, sustained heavy losses but soldiered on. This sums up so much about the courageous Canadian spirit and Europe will always be grateful for the sacrifice of so many who stood with us and defended freedom and democracy. We will never forget.
And it is with that spirit and with the weight of that history that we now look to the future together. Yesterday's announcement opening the door to deepening our alliance is a huge positive step forward with potential for closer collaboration on the issues that matter to people, to families, and to industry on both sides of the Atlantic. The potential exists for better cooperation on so many different levels from defense and trade to energy, education, and research. So together we can break new and exciting ground and ultimately improve lives. Today is another milestone in that shared journey and your presence here, dear Mark, could not be more significant.
So I know we're all looking forward to hearing you speak. Thank you for being here. Without further ado, the floor is yours, Prime Minister.
Mark Carney
Alors, Madame la Présidente Metsola, chère Roberta. Madame la Présidente von der Leyen, chère Ursula. Membres honorables du Parlement européen, collègues distingués. Je vous remercie de m'accorder l'honneur de prendre la parole devant vous en ce début de session décisive. Je vous parlerai aujourd'hui de la manière dont notre réponse à la rupture géopolitique actuelle devrait intégrer une nouvelle dimension.
Mais tout d'abord, j'aimerais évoquer un élément plus ancien. Quelque chose qui remonte à bien avant les relations entre l'Union européenne et le Canada. Car la profondeur de nos liens ne se mesure pas avec des échanges commerciaux ni n'est inscrite dans nos traités. Nos liens sont profondément enracinés dans nos terres. In the heart of Germany, above Weimar, there is a wooded ridge called Ettersberg.
And for decades, Goethe walked, thought, and wrote there. An oak on that ridge came to bear his name, a living monument to the highest ideals of European culture. As the 20th century turned dark, that same oak became trapped behind the barbed wire of Buchenwald, a silent witness to humanity's deepest moral failure. Goethe understood that ideals must be fought for. That values do not defend themselves.
Indeed, at the end of Faust, the old man's last vision is of a free people on free ground. Nur der verdient sich Freiheit wie das Leben, der täglich sie erobern muss. Freedom and life must be earned every single day. Every day. Every day, not once in 1945 or 1956 or 1989, every day including this one.
La liberté a été conquise grâce à l'héroïsme de la résistance européenne pendant la guerre. Elle a été cultivée par les fondateurs de la Communauté européenne du charbon et de l'acier au lendemain de la guerre. Elle a été favorisée par la création de la Communauté européenne. Elle a été préservée par la mise en place de l'Union européenne et elle s'est développée grâce à son élargissement après la chute du mur de Berlin. The values embodied by that Goethe oak have also endured in part because the ideals that flourished beneath its branches also crossed the Atlantic.
In 1917, amidst the devastation of the Battle of Vimy Ridge, a young Canadian lieutenant named Leslie Miller gathered a handful of acorns from the shattered European landscape. He carried them home and planted them in Canadian soil near Milton, Ontario, where they grew into a majestic forest. A century later, a profound circle of renewal was completed because grafts from Leslie Miller's Canadian oaks were repatriated to France and replanted on the same Vimy Ridge where they had been born. This is the essence of the Canada-European Union partnership. Seeds, values, ideas, trade, people and progress carried back and forth across the Atlantic for centuries.
We are not fair-weather allies. We do not pursue zero-sum deals. Our commitment to the rule of law and our unyielding defense of human dignity, individual freedom and democracy share the same deep roots, the same unwavering dedication. We hold common values for which we have always fought and in whose defense we must always remain vigilant. We believe that a strong economy is not an end in itself but a means to a just society.
We are committed stewards of our natural heritage. We believe that our prosperity grows when it's shared. These values, this is a sharing of choice, not coincidence. In his writings, Goethe borrowed a word from the chemists of his day, Wahlverwandtschaften, or the elective affinity of different elements that combine because of their inherent attraction. Canada and Europe are not bound by geography, even though our Danish friends know that we share a 3,000-kilometer border in the Arctic.
We are bound by an affinity, elective, chosen, renewed and stronger for being so. Aujourd'hui, nos sociétés sont secouées par de nouvelles tempêtes. Les bouleversements, les bouleversements pardon, liés au changement climatique, l'érosion des normes démocratiques, l'utilisation du commerce comme arme. Les institutions multilatérales sur lesquelles nous comptions ont été affaiblies. La souveraineté et l'ouverture sont aujourd'hui difficiles à concilier.
L'intégration économique est désormais utilisée comme une arme et les droits de douane comme un moyen de pression. Les mécanismes financiers ont été utilisés à des fins de coercition. Les chaînes d'approvisionnement constituent des points faibles à exploiter. La technologie transforme la nature de la guerre, la structure des économies et la capacité des États à gouverner. Les plateformes technologiques aspirent à la souveraineté.
Elles veulent fixer les conditions d'accès, elles veulent dicter les règles en matière de réglementation et même les contourner. Elles veulent contrôler nos données, répandre les désinformations, voler l'enfance de nos enfants. This combination is a ferocious storm. A single tree will come down in it. A forest will not.
And that's because beneath the forest floor, the roots of an oak intertwine with those of its neighbors, exchanging nutrients, adding strength to strength, creating a resilient, self-sustaining ecosystem. Together, Canada and the European Union can anchor our ground to hold our values while forming a protective canopy under which our citizens can thrive. This is about sovereignty, our ability to live as we wish. It's about the freedoms we must fight for every day because sovereignty requires resilience, the ability to withstand shocks. Sovereignty today goes beyond being able to feed, fuel and defend ourselves.
It now requires secure access to AI, semiconductors, critical minerals, payment systems, clean energy technologies, vaccines, space-based communications. And we all have important gaps in these strategic capabilities, and we each must rely on individual nations or individual companies to fill them. And that creates vulnerabilities, particularly when supposedly global companies prove national in the breach. Closing these gaps is not possible alone, but it's very achievable collectively. Canada and Europe are each strong.
Europe and Canada are stronger together.
The institutions we've inherited are organized by geography. The strategic capabilities that we need are organized by function. We can ally by function, if we are bold and deliberate. And we shouldn't be cowed by the perceived scale of the task. Just as dominance is the arrogance of the hegemon, perfection is the enemy of the good.
The economics of this are clear. The leverage of the powerful in an exploitative relationship collapses well before complete independence is achieved, because diversity confers advantage. The objective is not self-sufficiency, it's collective resilience. And it's this mutual advantage that's at the core of the case for a deeper partnership between Canada and Europe. Europe brings so many things: market power, research depth, advanced manufacturing, the ability and the will to set standards that the world frequently adopts, a defense industrial base that's being rebuilt at speed.
Canada brings energy at huge scale and in every form that the transition requires. We have one of the world's largest endowments of critical minerals, deep capabilities in space, AI and quantum, amongst the strongest banking systems and the most expert pension capital. We have unique Arctic geography and privileged access to both Atlantic and Pacific networks. And where our strengths differ, they complement. Where they overlap, they create scale.
We should build on each other's strengths, deliberately, systematically and rapidly. We've already begun, and I thank this Parliament, we've already begun with CETA, one of the world's most successful trade agreements. Thank you. And I thank President von der Leyen, President Costa, for our strategic partnership agreement struck last June. We're developing that and deepening it.
We've also begun to take advantage of Canada's role as the first non-European member of CEF. But we should recognize that the ecosystem we've built is not yet equal to the ferocity of the changing climate, and nor is it moving fast enough to match the speed of the upheaval. Yesterday, President von der Leyen spoke of moving beyond CETA to an alliance for the future, opening the door to Canada to become the European Union's first associate member. Canada welcomes this ambition, and I will tell you polling shows that an overwhelming majority of Canadians support much closer ties with Europe.
The future is a unique positive approach that we will define together, building on our common strengths and based on our shared values. But let me take this opportunity to say plainly what Canada proposes. Canada and Europe should secure our strategic autonomy through deep cooperation in the full range of strategic capabilities, including critical minerals, defense industrial capacity, AI and compute, energy security, space and payments. We should move towards seamless digital trade in non-agricultural goods and a wide range of services. We should deepen our people-to-people ties, allowing our youth to work, study and live where they want on either side of the Atlantic.
Canadian membership of Erasmus Plus would give your students and ours more opportunity to learn at some of the world's top universities, to broaden their horizons and to build those lasting ties that will sustain our alliance for the future. Canadian membership of the next generation of Horizon would allow us to pool resources, cooperate on frontier technologies, leverage our world-class research institutes and universities. Yesterday, President von der Leyen announced, and I quote, a new European cooperation on critical raw materials to obtain and stockpile the material needed for electric cars, for chips and batteries, cleantech and defense. I'll observe that Canada has deposits of over 34 critical minerals and we are among the top producers of the 10 most essential for the energy transition. Our alliance can help fill Europe's need for reliable supply, Canada's desire for advanced processing capabilities and our common objective to complete value chains in the transition and our defense.
Canada can contribute LNG and hydrogen at large scale to support Europe's energy security, including by developing and leveraging new port infrastructure in our high north and on our east coast. And Canada in turn can benefit from your leadership in so many clean energy technologies. We can pool new sovereign compute capacity and build more secure broadband connections between Europe and Asia via our common geography. Canada and Europe can join forces to develop AI safety protocols, coordinate common standards and strengthen transparency, all while developing applications so that our governments and our companies can serve our citizens better. Canada and Europe should consider exploring an integrated market for financial services to broaden choice and reduce costs for our citizens, to improve access to capital for our companies, while maintaining our world-leading financial resilience.
These are some of the opportunities. But the fundamental point is that the opportunities that can be created by an alliance for the future are the product of our common values, our compatible systems, our complementary strengths. And deepening and widening our relationship will strengthen our sovereignty, improve affordability and opportunity and security for our citizens, while safeguarding our abilities to live our lives as we choose. I also want to be precise about what I am not proposing. I'm not proposing a third block in order to become a great power rival only with better manners.
We do not seek power to dominate others. On the contrary, we are pursuing resilience so no one, no one can control our open markets, impair our sovereignty, threaten our territorial integrity, or undermine our freedoms, our democracies, our rule of law. It's these motivations, these fundamental motivations combined with our latent hard power mean that we can help to create the next just, stable and prosperous world order. A Canada-EU alliance would create a beacon for other democracies. An alliance not defined by what we oppose, but about what we are for: freedom, solidarity, prosperity, sustainability.
An alliance that builds resilience for what it allows us to do for our citizens and our citizens to do for themselves. An alliance strong enough so that no one can dictate our choices, an alliance open enough that others can join, an alliance principled enough that our strength reinforces international law rather than seeks to replace it. And to conclude, in my country it's often said that Canada became a nation during that battle of Vimy Ridge. And certainly the thousands of Canadians who didn't return from that battle sacrificed their lives for something much bigger than themselves. One who did come home stopped first to pick up some acorns.
And today the same Vimy oaks grow in Canada as in France. Living proof that what we cultivate together can survive the darkest winter to thrive again.
So let us now deepen those roots, widen this canopy and grow a transatlantic forest under which our citizens can flourish as free people on free ground every single day. Thank you very much. Merci beaucoup.
Sophie Wilmès
Good afternoon, the sitting is resumed. Dear colleagues, I would like to welcome in the visitor gallery Jauher Ilham, the daughter of our 2019 Sakharov Prize laureate Professor Ilham Tohti. The Renew Group has notified the President of a decision relating to a change to appointments within committees, this decision will be set out in the minutes of today's meeting and will take effect on the date of this announcement. We now come to the vote. Joint motion for resolution tabled by five groups on the deterioration situation of media freedom and freedom of expression in Hong Kong following the recent arrest of bookseller Letitia Wong and the conviction of Liu Chik-yan and Ho-chak Sun-tung.
Paragraph one, original text by roll-call vote, the vote is open. The vote is closed. Adopted. Vote for the resolution as a whole by roll-call vote, the vote is open. The vote is closed.
Adopted. Joint motion for a resolution tabled by three groups on political prisoners in Cuba, in particular the case of Felix Navarro and his daughter Sayli Navarro. Amendment two, in favor, against, abstention, rejected. Amendment three, in favor, against, abstention, rejected. Amendment six, in favor, against, abstention, rejected.
Amendment four by roll-call vote, it was clear. Amendment four by roll-call vote, the vote is open.
The vote is closed. Rejected. Amendment 7, in favor. Against. Rejected.
Amendment 8, in favor. Check. We'll check. Amendment 7, we'll check. The vote is open.
The vote is closed. Rejected. Amendment 8, in favor. Against. Abstention.
Rejected. Amendment 5 by roll-call vote, the vote is open. The vote is closed. Rejected. Amendment 1, in favor.
Against. Abstention. Rejected. Resolution as a whole, where am I? By roll-call vote, vote is open.
Vote is closed. Adopted. Joint motion for a resolution tabled by six groups on the post-electoral repression in Zambia and the killing of Mutotwe Kafwaya. Vote for the resolution as a whole by roll-call vote, the vote is open. The vote is closed.
Adopted. Report by Lukas Furlas and Ruggero Razza on the EU health workforce crisis plan. Paragraph 1, original text, in favor. Against. Abstention.
Adopted. Amendment 1 by roll-call vote, the vote is open. The vote is closed. Rejected. Original text, paragraph 2, in favor.
Against. Abstention. Adopted. Original text in three parts, first part, in favor. Against.
Abstention. Adopted. Second part, in favor. Against. Abstention.
Adopted. Third part, in favor. Against. Abstention. Adopted.
Paragraph 6, original text, in favor. Against. Abstention. Adopted. I give the floor to Mrs. Margarita de la Pisa Carrión to move an oral amendment to add a new paragraph after paragraph 13.
Gracias, señorías. Lamentamos que en España a los médicos hospitalarios se les exija de forma habitual trabajar en turnos de 24 horas sin parar, a veces de forma consecutiva, y sin que se les garanticen los descansos compensatorios. En algunos casos, estas horas de guardia no se reconocen adecuadamente a efectos de remuneración ni cotización en la Seguridad Social.
Sophie Wilmès
Is there any opposition to the oral amendment? So, we go to the paragraph 17 because the oral amendment cannot be taken, so we move to the next vote. Paragraph 17, original text by roll-call vote. The vote is open. The vote is closed.
Adopted. Paragraph 20 original text in favor. Against. Abstention adopted. Paragraph 21 original text in favor.
Against. Abstention adopted. Paragraph 22 original text in favor. Against. Abstention adopted.
Amendment 2 by roll call vote the vote is open. The vote is closed. Rejected. Paragraph 33 original text in five parts. First part in favor.
Against. Abstention adopted. Second part in favor. Against. Abstention adopted.
Third part in favor. Against. Abstention adopted. Fourth part in favor. Against.
Abstention adopted. Fifth part in favor. Against. Abstention adopted. Paragraph 37 original text in favor.
Against. Abstention adopted. Paragraph 51 original text in favor. Against. Abstention adopted.
Paragraph 53 original text in favor. Against. Abstention adopted. Amendment 3 by roll call vote the vote is open. The vote is closed.
Rejected. Recital AH original text in favor. Against. Abstention adopted. Vote for the resolution as a whole by roll call vote the vote is open.
The vote is closed. It is adopted. Report by Mr. Sandro Ruotolo on the impact of social media and the online environment on young people. I give the floor to the rapporteur for two minutes. Your microphone.
Sandro Ruotolo
Grazie, Presidente. Voglio innanzitutto ringraziare i relatori ombra e tutti coloro che hanno lavorato a questo report. In questi mesi è maturata tra noi una consapevolezza: siamo di fronte a una questione epocale che riguarda il rapporto tra i giovani e il mondo digitale. C'è il tema della dipendenza, della compulsività, del danno alla salute e dobbiamo intervenire subito. Lo ha fatto la Presidente von der Leyen prima riunendo gli esperti e ieri annunciando in questa aula un'iniziativa legislativa europea.
Il nostro rapporto ha colto il cambio di paradigma: la responsabilità principale delle piattaforme che devono rendere il mondo digitale sicuro e abitabile per i nostri ragazzi. Noi dobbiamo decidere e assumerci le nostre responsabilità, ma quando parliamo di dipendenza, salute, sviluppo dei giovani, dobbiamo prima ascoltare gli esperti. E gli esperti si sono pronunciati e la Presidente von der Leyen ha indicato una progressività nell'accesso dei minori: sotto i 13 anni niente social, dai 13 ai 15 accompagnati dai genitori e con limiti precisi. Ora dobbiamo andare avanti e dobbiamo guardare anche alle decisioni prese negli Stati Uniti. Lì le piattaforme sono state chiamate a rispondere non soltanto economicamente, ma anche con misure concrete.
Quelle misure devono diventare regole europee. Noi alla legge del più forte nel mondo digitale preferiamo la forza delle regole e il rispetto dei diritti, soprattutto di chi non ha ancora raggiunto la maggiore età. Se fissiamo un limite di età dobbiamo avere anche uno strumento sicuro per verificarlo. E questo strumento esiste: è la soluzione europea per la verifica dell'età, il Digital Wallet, che crea regole comuni europee attuate poi a livello nazionale, che deve dire soltanto una cosa: se l'utente ha superato o meno la soglia di età richiesta. Bisogna proteggere i minori e la loro privacy e su questo punto come Parlamento chiederemo le garanzie.
Bisogna proteggere i minori e la loro privacy e su questo punto come Parlamento chiederemo le garanzie. Dunque, divieti ma anche educazione digitale. L'Europa è sempre stata la culla del diritto, deve esserlo anche nel mondo digitale. Grazie.
Sophie Wilmès
We proceed to the vote. Amendment 1. Who is in favor? Who is against? Abstention.
Rejected. Amendment 2. Who is in favor? Against. Abstention.
Rejected. Paragraph 63, original text in three parts. First part, in favor? Against. Abstention.
Adopted. Second part, in favor? Against. Abstention. Adopted.
Third part by roll-call vote. The vote is open. The vote is closed. Adopted. Amendment 3, in favor?
Against. Abstention. Rejected. Paragraph 78, original text in two parts. First part, in favor?
Against. Abstention. Adopted. Second part, in favor? Against.
Abstention. Check. Vote is open. Vote is closed. It is rejected.
Paragraph 85, original text in two parts. First part by roll-call vote. The vote is open. The vote is closed. Adopted.
Second part, the vote is open by roll-call vote. The vote is closed. Adopted. Recital AD, original text in two parts by roll-call vote. The vote is open.
The vote is closed. Adopted. Second part by roll-call vote. The vote is open. The vote is closed.
Adopted. The vote for the resolution as a whole by roll-call vote. The vote is open. The vote is closed. Adopted.
Report by Mr. Paulo do Nascimento Cabral on the role of social and economic and environmental standards in safeguarding fair competition for all aquatic food products and improving food security. I give the floor to the rapporteur for two minutes.
Paulo do Nascimento Cabral
I know, but I think that you would like to hear what I have to say. Senhora Presidente, não podemos pedir cada vez mais aos nossos pescadores e oferecer-lhes cada vez menos para continuarem a pescar. É esta a principal mensagem deste relatório. Quero falar de quem está no mar, de quem de madrugada enfrenta o mau tempo e coloca a vida em risco, os custos de combustível, a burocracia, a incerteza, mas apesar de tudo isso continua a garantir alimento às nossas famílias. Os pescadores europeus cumprem inúmeras regras ambientais, sanitárias, de segurança, de controlo, de rastreabilidade, de combate à pesca ilegal.
Na União Europeia defendemos oceanos saudáveis e uma pesca sustentável. Mas sustentabilidade também significa ter rendimento para viver, barcos seguros para trabalhar e jovens que queiram continuar esta profissão. Não podemos impor estas e outras obrigações aos pescadores europeus enquanto entram no nosso mercado produtos provenientes de países onde estas mesmas exigências não existem ou não são equivalentes.
Recordo que hoje importamos mais de 80% dos produtos de pesca e da aquacultura que consumimos na União Europeia. A reciprocidade é uma exigência. Quem quer vender no mercado europeu deve respeitar as nossas regras. E para os nossos precisamos de menos burocracia, mais investimento e uma frota mais moderna e segura, de apoiar particularmente a pequena pesca, as comunidades costeiras, as nossas ilhas e as regiões ultraperiféricas e garantir que um jovem que hoje olhe para o nosso mar possa sentir que a pesca é o seu futuro. Os pescadores são parte da solução para a segurança alimentar, para a nossa economia e para a proteção dos nossos oceanos.
Queremos pescadores no mar, peixe europeu nas nossas mesas e comunidades costeiras com futuro. É por isso que defendemos uma pesca sustentável, sim, mas também economicamente viável, socialmente justa e com condições de concorrência leal. Por isso é fundamental revermos a política comum de pescas com um verdadeiro pacote de simplificação, com financiamento europeu específico e protegido no próximo quadro financeiro plurianual e restabelecer o POSEI-Pescas para as nossas regiões ultraperiféricas. Proteger o mar é essencial, proteger quem vive do mar também é. Muito obrigado.
Sophie Wilmès
Thank you. We proceed with a single vote by roll-call vote. The vote is open. The vote is closed. It's adopted.
Motion for resolution tabled by four groups on the evaluation of the common fisheries policies and follow-up. Paragraph 1, amendment 2, by roll-call vote. The vote is open. The vote is closed. Rejected.
Original text in two parts. First part, in favor, against, abstention, adopted. Second part, by roll-call vote. The vote is open. The vote is closed.
Adopted. Amendment 3, by roll-call vote. The vote is open. The vote is closed. Rejected.
Amendment 4, by roll-call vote. The vote is open. The vote is closed. Rejected. Original text in two parts.
First part, in favor, against, abstention, adopted. Second part, by roll-call vote. The vote is open. The vote is closed. Adopted.
Paragraph 4, amendment 5, by roll-call vote. The vote is open. The vote is closed. Rejected. Original text in four parts.
First part, who is in favor, who is against, abstention, adopted. Second part, by roll-call vote. The vote is open. The vote is closed. Adopted.
Third part, by roll-call vote. The vote is open. The vote is closed. Adopted. Fourth part, who is in favor, who is against, abstention, adopted.
Paragraph 5, original text in four parts. First part, who's in favor, who is against, abstention, adopted. Second part, by roll-call vote. The vote is open. The vote is closed.
Adopted. Third part by roll-call vote, the vote is open. The vote is closed. Adopted. Fourth part by roll-call vote, the vote is open.
The vote is closed. Adopted. Paragraph 12 original text by roll-call vote, the vote is open. The vote is closed. Adopted.
Paragraph 13 original text in three parts, first part, the vote is open. The vote is closed. Adopted. Second part by roll-call vote also, the vote is open. The vote is closed.
Adopted. Third part, the vote is open. The vote is closed. Adopted. Paragraph 20 original text by roll-call vote, the vote is open.
The vote is closed. Adopted. Paragraph 22 original text by roll-call vote, the vote is open. The vote is closed. Adopted.
Amendment 1 by roll-call vote, the vote is open. The vote is closed. Rejected. Vote for the resolution as a whole by roll-call vote, the vote is open. The vote is closed.
Adopted. Motion for a resolution tabled by six groups on narcotrafficking in Europe's ports, protecting our borders and supporting our law enforcement officers. Amendment 2 in two parts, first part by roll-call vote, the vote is open. The vote is closed. Rejected.
Second part by roll-call vote, the vote is open. The vote is closed. Adopted. Amendment 3, who is in favor? Who is against?
Abstention? Rejected. Amendment 6 by roll-call vote, the vote is open. The vote is closed. Rejected.
Amendment 7 by roll-call vote, the vote is open. The vote is closed. Rejected. Amendment 8, who is in favor? Who is against?
Abstention? Rejected. Amendment 14 in two parts, first part by roll-call vote, the vote is open. The vote is closed. Adopted.
Second part by roll-call vote, the vote is open. The vote is closed. Adopted. Amendment 9 in two parts, first part by roll-call vote, the vote is open. The vote is closed.
Rejected. Second part by roll-call vote, the vote is open. The vote is closed. Rejected.
Paragraph 5, original text in two parts, first part by roll-call vote, the vote is open. The vote is closed. Adopted. Second part by roll-call vote, the vote is open. The vote is closed.
Adopted. Amendment 10 by roll-call vote, the vote is open. The vote is closed. Rejected. Amendment 11, who is in favor?
Who is against? Abstention, rejected. Amendment 12, the vote is open by roll-call vote. The vote is closed. Rejected.
Amendment 4 by roll-call vote, the vote is open. The vote is closed. Rejected. Amendment 13 in two parts, first part by roll-call vote, the vote is open. The vote is closed.
Adopted. Second part by roll-call vote, the vote is open. The vote is closed. Adopted. Amendment 1, who is in favor?
Who is against? Abstention, rejected. Amendment 5 by roll-call vote, the vote is open. The vote is closed. Rejected.
Vote for the resolution as a whole by roll-call vote, the vote is open. The vote is closed. Adopted. Now it's time. Motion for a resolution on the recent hybrid attacks and instrumentalization of migrants in Ceuta and the need for a coordinated response to protect EU's external borders.
We start for the motion for a resolution from EPP B9-0406/2021. Paragraph 1, original text in two parts, first part, who is in favor? Who is against? Abstention, adopted. Second part by roll-call vote, the vote is open.
The vote is closed. Adopted. Amendment 18 by roll-call vote, the vote is open. The vote is closed. Rejected.
Amendment 45 by roll-call vote, the vote is open. The vote is closed. Adopted. Paragraph 2, original text in two parts, first part by roll-call vote, the vote is open. The vote is closed.
Adopted. Second part, the vote is open by roll-call vote also. The vote is closed. Adopted. Amendment 19 by roll-call vote, the vote is open.
The vote is closed. Rejected. Paragraph 3, amendment 20, who is in favor? Who is against? Abstention, rejected.
Amendment 62 by roll-call vote, the vote is open. The vote is closed. Rejected. Amendment 46, who is in favor? Who is against?
Abstention, rejected. Original text in two parts, first part, who is in favor? Who is against? Abstention, adopted. Second part, who is in favor?
Who is against? Abstention? Adopted. Second part, who is in favor? Who is against?
Check. So, the vote is open. The vote is closed. Adopted. Amendment 7 by roll-call vote, the vote is open.
The vote is closed. Rejected. Amendment 21 by roll-call vote, the vote is open. The vote is closed. Rejected.
Amendment 22, who is in favor? Who is against? Abstention? Rejected. Amendment 63, paragraph 4 of amendment 63 by roll-call vote, the vote is open.
The vote is closed. Rejected. Amendment 23 by roll-call vote, the vote is open. The vote is closed. Adopted.
Original text in three parts. First part, who is in favor? Who is against? Abstention? Adopted.
Second part, who is in favor? Who is against? Abstention? Check, it's too close. The vote is open.
The vote is closed. It is adopted. Third part, who is in favor? Who is against? Abstention?
I'm going to ask for a check as well. The vote is open. The vote is closed. Adopted. Amendment 8 by roll-call vote, the vote is open.
The vote is closed. Rejected. Amendment 24 by roll-call vote, the vote is open. The vote is closed. Adopted.
Amendment 25 by roll-call vote, the vote is open. The vote is closed. Rejected. Amendment 47, the vote is open by roll-call vote. The vote is closed.
Adopted. Amendment 64 by roll-call vote, the vote is open. The vote is closed. Rejected. Amendment 26, who is in favor?
Who is against? Abstention? Rejected. Amendment 4 by roll-call vote, the vote is open. The vote is closed.
Rejected. Amendment 27 by roll-call vote, the vote is open. The vote is closed.
Rejected. Amendment 74 by roll-call vote, the vote is open. The vote is closed. Adopted. Amendment 75 by roll-call vote, the vote is open.
The vote is closed. Adopted. Amendment 29 by roll-call vote, the vote is open. The vote is closed. Rejected.
Original text in two parts, first part, who is in favour? Who is against? Abstention. Adopted. Second part, who is in favour?
Who is against? Abstention. Adopted. Amendment 65 by roll-call vote, the vote is open. The vote is closed.
Rejected. Amendment 30 by roll-call vote, the vote is open. The vote is closed. Rejected. Original text in two parts, first part, who is in favour?
Who is against? Abstention. Adopted. Second part, who is in favour? Against?
Abstention. Rejected. Amendment, check, we'll check. The vote is open. The vote is closed.
Adopted. Amendment 5 by roll-call vote, the vote is open. The vote is closed. Rejected. Amendment 66, the vote is open by roll-call vote.
The vote is closed. Rejected. Amendment 76, the vote is open by roll-call vote. The vote is closed. Rejected.
Amendment 78 by roll-call vote, the vote is open. The vote is closed. Adopted. Paragraph 8, amendment 48 by roll-call vote, the vote is open. The vote is closed.
Rejected. Original text in two parts, first part, who is in favour? Who is against? Abstention. Adopted.
Second part, who is in favour? Against? Abstention. Adopted. Amendment 50 by roll-call vote, the vote is open.
The vote is closed. Rejected. Amendment 31, who is in favour? Who is against? Abstention.
Rejected. Original text in two parts, first part, who is in favour? Against? Abstention. Adopted.
Second part, who is in favour? Against? Abstention. Adopted. Amendment 6 by roll-call vote, the vote is open.
The vote is closed. Rejected. Amendment 67 by roll-call vote, the vote is open. The vote is closed. Rejected.
Paragraph 10, amendment 32, who is in favour?
Who is against? Abstention? Rejected. Original text in three parts, first part by roll-call vote, the vote is open. The vote is closed.
Adopted. Second part by roll-call vote, the vote is open. The vote is closed. Adopted. Third part, the vote is open by roll-call vote.
The vote is closed. Adopted. Amendment 51 by roll-call vote, the vote is open. The vote is closed. Rejected.
Amendment 33 of paragraph 11, so paragraph 11, amendment 33, amendment 33, who is in favor? Who is against? Abstention? Rejected. Amendment 68 by roll-call vote, the vote is open.
The vote is closed. Rejected. Amendment 10 by roll-call vote, the vote is open. The vote is closed. Rejected.
Amendment 35, who is in favor? Who is against? Abstention? Rejected. Amendment 52 by roll-call vote, the vote is open.
The vote is closed. Rejected. Original text in three parts, first part, who is in favor? Who is against? Adopted.
Third part, who is in favor? Who is against? Abstention? Check, we'll check this one, vote is open. Vote is closed.
Adopted. Amendment 9, who is in favor? Who is against? Abstention? Rejected.
Check, for me it was clear but I will check, no problem, the vote is open. The vote is closed. Rejected. Amendment 34 by roll-call vote, the vote is open. The vote is closed.
Rejected. Amendment 36 by roll-call vote, the vote is open. The vote is closed.
Rejected. Original text in four parts. First part, who is in favor? Who is against? Adopted.
Third part by roll-call vote, the vote is open. The vote is closed. Adopted. Fourth part by roll-call vote, the vote is open. The vote is closed.
Adopted. Amendment 53 by roll-call vote, the vote is open. The vote is closed. Adopted. Amendment 54, who is in favor?
Who is against? Abstention. Rejected. Amendment 69 by roll-call vote, the vote is open. The vote is closed.
Rejected. Amendment 37, who is in favor? Who is against? Abstention. Rejected.
Original text in two parts. First part, who is in favor? Who is against? Abstention. Adopted.
Second part by roll-call vote, the vote is open. The vote is closed. Adopted. Amendment 38, who is in favor? Who is against?
Abstention. Rejected. Amendment 39 by roll-call vote, the vote is open. The vote is closed. Rejected.
Amendment 70 by roll-call vote, the vote is open. The vote is closed. Rejected. Amendment 77 by roll-call vote, the vote is open. The vote is closed.
Adopted. Amendment 71 by roll-call vote, the vote is open. The vote is closed. Rejected. Original text in two parts.
First part, who is in favor? Who is against? Abstention. Adopted. Second part, who is in favor?
Who is against? Abstention. Adopted. Amendment 1 in three parts. First part by roll-call vote, the vote is open.
The vote is closed. Adopted. Second part by roll-call vote, the vote is open. The vote is closed. Adopted.
Third part, who is in favor? Who is against? Abstention. Rejected. We'll check.
It was clear to me. Vote is open. Vote is closed. Rejected. Amendment 2, who is in favor?
Who is against? Abstention. Rejected. Amendment 3, who is in favor? Who is against?
Abstention. Rejected. Amendment, no, that's clear. 79 by roll-call vote, the vote is open. The vote is closed.
Adopted. Amendment 40 by roll-call vote, the vote is open. The vote is closed. Adopted. Amendment 41, who is in favor?
Who is against? Abstention. Adopted. Where am I?
Amendment 42 by roll-call vote, the vote is open. The vote is closed. Adopted. Recital A, original text by roll-call vote, the vote is open. The vote is closed.
Adopted. Amendment 43, who is in favor? Who is against? Abstention, rejected. Amendment 72 by roll-call vote, the vote is open.
The vote is closed. Adopted. Recital C, amendment 55 by roll-call vote, the vote is open. The vote is closed. Rejected.
Original text in two parts, who is in favor? Who is against? Abstention, adopted. Second part, who is in favor? Who is against?
Abstention, adopted. Amendment 12, who is in favor? Who is against? Abstention, rejected. Amendment 60 by roll-call vote, the vote is open.
The vote is closed. Rejected. Amendment 61 by roll-call vote, the vote is open. The vote is closed. Rejected.
Amendment 13, who is in favor? Who is against? Abstention, adopted. Amendment 14 and amendment 15, it falls, yes, sorry. Amendment 44, who is in favor?
Who is against? So, amendment 44, if you, I need... Ah yeah, so I was right, it's okay, don't worry. Amendment 14 and amendment 59 by roll-call vote, the vote is open. The vote is closed.
Rejected. Amendment 44, who is in favor? Who is against? Abstention, check. Vote is open.
Vote is closed. Adopted. Recital D, amendment 56 by roll-call vote, the vote is open. The vote is closed. Rejected.
Amendment 15, who is in favor? Who is against? Abstention, rejected. Amendment 11, who is in favor? Who is against?
Abstention, rejected. Amendment 11, who is in favor? I just said it. Original text in four parts. Yes, it's the end of the week for everybody.
In four parts, first part, who is in favor? Who is against? Abstention, adopted. Second part, who is in favor? Who is against?
Abstention, check. Vote is open. Vote is closed. Adopted. Third part, who is in favor?
Who is against? Abstention, check. Yeah, sorry. Vote is open. Vote is closed.
Adopted. For part two, who's in favor? Who's against? Abstention. Adopted.
Amendment 57 by roll-call vote, the vote is open. The vote is closed. Rejected. Recital E, amendment 58 by roll-call vote, the vote is open. The vote is closed.
Rejected. Original text, who's in favor? Who's against? Abstention. Adopted.
Recital F, original text in three parts, first part by roll-call vote, the vote is open. The vote is closed. Adopted. Second part by roll-call vote, the vote is open. The vote is closed.
Adopted. Third part by roll-call vote, the vote is open. The vote is closed. Adopted. Recital G, original text in two parts, first part, who's in favor?
Who's against? Who's abstention? Adopted. Second part, who's in favor? Who's against?
Abstention. Adopted. Amendment 16 by roll-call vote, the vote is open. The vote is closed. Rejected.
Recital H, original text in two parts, who's in favor? Who's against? Abstention. Adopted. Second part, who's in favor?
Who's against? Abstention. Adopted. Amendment 73 by roll-call vote, the vote is open. The vote is closed.
Rejected. Amendment 17, who's in favor? Who's against? Abstention. Rejected.
Vote for the resolution as a whole by roll-call vote, the vote is open. The vote is closed. Adopted. Resolution tabled by the Committee on Development and Strengthening Global Health Resilience in Partners Country. Amendment 1, who's in favor?
Amendment 1, who's in favor, by show of hands? Amendment 1, who's in favor? Who's against? Abstention. Rejected.
Amendment 2, in favor? Against? Abstention. Rejected. Amendment 3, in favor?
Against? Abstention. Rejected. Amendment 4, in favor? Against?
Abstention. Rejected. Vote for the resolution as a whole for roll-call vote, the vote is open. The vote is closed. Adopted.
The sitting is suspended and it will resume at 3 o'clock with the Commission statement, protecting people's health against toxic substances.
Nicolae Ștefănuță
Good afternoon, colleagues. Ședința este reluată. Procesul-verbal al ședinței de ieri și textele adoptate sunt disponibile. Are there any observation to the adopted texts? Without that being the case, the this is deemed to be adopted.
The next item on the agenda is the Commission statement on protecting people's health against toxic substances. Although this is the last debate in this week's Parliament session, it is a very important debate which reflects on the health of the EU citizens and toxic substances which are endangering our health. We have had recent examples from all across Europe from PFAS containing hazardous waste, Italy, Slovenia, Germany, city of Gospić in Croatia, and as the chair of this seating, I want to express my full solidarity with the citizens and the willingness of the EU to protect the interest of our citizens. I open the debate with the Commissioner Olivér Várhelyi. Legyen szíves, a szó.
Olivér Várhelyi
Köszönöm, elnök úr. Honorable members, protecting health is a foundation for us, as citizens and for our economy as well. It is also not one-dimensional. It spans from every level of governance to various policy fields. So let me start with one risk factor that is both the most harmful and the easiest to avoid, which is tobacco.
Tobacco-related mortality in the EU fell from approximately 700,000 people in 2012 to about 530,000 in 2023. This is a very important progress. But this means that over half of a million people in the EU still die every year as a result of tobacco use. New nicotine products are spreading, especially in younger generations. More than half of nicotine pouches users are under 40.
One in five consumers of tobacco and nicotine products aged between 15 to 19 years of age started by regularly using already e-cigarettes. In fact, we need to address e-cigarettes with nicotine or without. The aerosol they produce can contain toxic metals such as lead, nickel, and chromium along with other harmful chemicals. These substances cause documented damage to the nervous, cardiovascular, and also the respiratory systems. Our rules therefore need to keep pace with the rapidly changing market.
That is why we're working on the update of the tobacco legislation to provide more effective protection against those products as promised under the Safe Horse Plan. In it, we will also address the increasingly aggressive digital marketing that is making these products more attractive especially to those younger audiences. So the Commission is now carrying out an impact assessment drawing on a broad consultation process.
Second, protecting people's health starts with the people that care for patients. This is one reason why we phased out the use of dental amalgam in the EU from the beginning of 2025, significantly reducing exposure to mercury. Together with your help, the latest update to carcinogens, mutagens and reprotoxic substances directive was just finalized, and to better protect workers, it will tackle specific substances with maximum exposure limits. And protection cannot stop at the workplace. A healthy environment underpins people's health.
Against this backdrop, the Commission significantly updated its environmental rules during the last mandate, tightening air and water pollution rules, industrial emissions standards and waste management. The Commission also continued its work under the EU chemicals legislation, the REACH, addressing various hazardous substances. Currently, ECHA is in the final phase of assessing a general PFAS restriction. Finally, let me turn to something that concerns every European, every day: the food on our table. Food in Europe must be safe.
EU law protects human health from risks related to contaminants and plant protection residues in food. Maximum levels of contaminants and plant protection residues in food are set out in legislation, following risk assessments by the European Food Safety Authority. Strong limits require proper enforcement and monitoring. During the last three years of monitoring, 98.8% of samples were free of residues or were within the legal limits. Member States enforce our laws, for example by withdrawing non-compliant products from the market.
The same principle applies to food imports. Import controls make sure that non-compliant products are rejected at the border and do not enter our markets. To strengthen the EU's import control system, earlier this year, the Commission launched a new task force on import controls, coupled with immediate practical measures. These measures include increasing audits in non-EU countries by 50% and audits at EU border control points by 33%. We have created a pool of 30 national experts, and their visits to the border control posts have started basically this week on the 14th of September.
Additionally, around 650 national officials will receive dedicated EU training. The task force will better target controls, audits and monitoring where they can have the greatest impact. So, honorable members, whether the risk comes from tobacco and nicotine products, exposure at work, chemicals in our environment or contaminants in our food, Europeans expect us to protect their health. I look forward to hearing about your perspectives.
Thank you very much.
Nicolae Ștefănuță
Mihajlo, köszönjük. And now we open the debate and the first speaker is Mr. Karlo Ressler on behalf of the EPP.
Karlo Ressler
Hvala puno potpredsjedniče, poštovani povjereniče, kolegice i kolege. Zaštita zdravlja ljudi nije ni lijeva, ali nije ni desna tema. Čista voda, zrak i okoliš se tiču svih nas. I zato kada dođe do problema, kada dođe do propusta ili kada dođe do ovakvih situacija s kakvim se nažalost suočavamo i u Hrvatskoj, ozbiljna politika rješava problem, a ne širi strah i paniku. Ozbiljna politika građanima donosi rezultate sanacije, a ne koristi strah građana za svoje planove.
Nezakonito gospodarenje otpadom predstavlja zajednički europski izazov koji se tiče baš svake države članice jer je ekološki kriminal često prekograničnog karaktera, a kao što znamo i jedna od najunosnijih aktivnosti organiziranog kriminala. Nezakonito odlaganje više od 35.000 tona opasnog otpada u Varaždinu, u Gospiću i u Benkovcu koje je otkriveno uz pomoć Europola pokazuje koliko šteta može nastati takvim nezakonitim djelovanjem. Ali zato je još jasnije da briga za zdravlje se ne može i ne dokazuje se glasnoćom ideološkog napada nego neovisnim analizama, javnim podacima i rokovima sanacije. Ovaj slučaj zbog toga nije još jedna prilika za ideološko nadmetanje nego test snage naše pravne države. Građani imaju pravo na istinu, na kontinuirani zdravstveni nadzor i na sanaciju s jasnim rokovima, a počinitelji bez ikakve dileme moraju biti procesuirani i odgovarati.
Zaključno kolegice i kolege, jasno je da nećemo birati između ignoriranja problema s jedne strane i širenja panike s druge strane nego da biramo mjerenje, transparentnost, sanaciju i odgovornost, konkretne mjere koje će predstaviti kolege iz delegacije, biramo zaštititi svoje sugrađane, a ne napuniti ih strahom i onda na tom strahu politički jahati. Hvala.
Nicolae Ștefănuță
The next speaker is Romana Jerković, she will speak from her seat. 548.
Romana Jerković
Thank you. Kolegice i kolege, povjereniče, prije svega željela bih reći da postavljati pitanja nije širenje panike već zaštita građana. Koliko je važna današnja rasprava ilustrirat ću na primjeru grada Gospića u mojoj Hrvatskoj. Grad Gospić danas ima oko 35.000 tona ilegalno odloženog otpada, više od tri tone po svakom stanovniku. Takva ekološka katastrofa ne nastaje preko noći.
Ona nastaje kada vlast godinama zatvara oči i kada pogoduje interesima dobro povezanih pojedinaca umjesto da štiti građane. Ona nastaje kada korupcija, pogodovanje i politička šutnja postanu važniji od zdravlja građana. Neki sada pokušavaju prebaciti krivnju isključivo na prekogranični promet otpada i međunarodni kriminal. Da, to bez sumnje treba istražiti, ali pravila postoje i ona su vrlo jasna. Pitanje je zašto ih vlada i državne institucije nisu provodile.
Kako je moguće da su tisuće kamiona s opasnim otpadom iz nekoliko država prešle granicu, a da ih nitko nije pregledao? Kako je moguće da su završile zakopane u Gospiću? Kako je moguće da i nakon nekoliko desetaka inspekcijskih nadzora država nije uspjela spriječiti razmjere ilegalnog odlaganja i to ne samo u Gospiću već i na drugim lokacijama?
Samo u slučaju Gospića prekršen je ugovor o funkcioniranju Europske unije, barem pet europskih direktiva i zakona te dvije konvencije povezane s otpadom. I još nešto. Zakonski rok za zbrinjavanje nezakonito unesenog otpada je 30 dana, a što mi danas u Gospiću imamo nakon 580 dana od uhićenja? Ovo je samo jedan primjer od mnogih. Kao da zaštita zdravlja ljudi od otrovnih i opasnih tvari su pitanje političke volje.
E nisu. To je obveza države i njezinih institucija, a kada država zakaže onda se moramo obratiti europskim institucijama. To je posljednja linija obrane zdravlja naših građana na koju ovaj puta ozbiljno računamo. Hvala lijepa.
Mélanie Disdier
Protéger la santé de nos concitoyens face aux substances toxiques est une exigence absolue. C'est un défi qui réclame de la rigueur, de l'exigence et surtout de la rationalité. Or dans cet hémicycle et particulièrement sur les bancs de la gauche et des Verts, la rationalité scientifique a depuis bien longtemps cédé sa place à la panique morale et à l'idéologie. Rappelons une évidence connue depuis longtemps : c'est la dose qui fait le poison. Aujourd'hui la technologie nous permet de détecter des traces de substances à une échelle infime, c'est-à-dire un milliardième de milligramme.
Mais détecter une molécule ne signifie pas que le seuil de toxicité est atteint. Pourtant, l'extrême gauche et les écologistes entretiennent sciemment cette confusion. Ils confondent systématiquement la présence d'une trace avec un risque sanitaire avéré. Et cette politique de la peur a des conséquences concrètes. Cette politique de la peur a des conséquences désastreuses.
En toxicologie, cela porte un nom : la substitution regrettable. Sous la pression d'un discours alarmiste et déconnecté du réel, vous, la gauche, les macronistes, exigez des interdictions brutales sans aucune alternative viable. Quel en est le résultat ? Regardons par exemple l'agriculture. En interdisant bêtement les NNI, vous forcez nos cultivateurs, notamment dans la filière de la betterave, à pulvériser davantage en amont avec des insecticides, en les obligeant à multiplier les passages de tracteurs.
Au nom d'une prétendue protection, vous avez aggravé le problème. Vous ne faites pas de l'écologie, vous faites de l'idéologie. Mais au-delà de ces conséquences agricoles, la plus grande supercherie de votre politique européenne réside dans le cynisme commercial. Vous imposez à nos agriculteurs et à nos industriels les normes les plus drastiques du monde. J'en profite d'ailleurs pour saluer l'immense qualité de l'agriculture française, la plus vertueuse au monde.
Mais en même temps la Commission européenne laisse nos frontières grandes ouvertes à des produits étrangers traités avec des phytos que nous n'avons même pas, que nous avons strictement interdits sur notre sol. Où est la protection de la santé humaine quand l'Union européenne importe massivement des denrées agricoles traitées avec des phytos interdits chez nous, tout en pénalisant nos propres producteurs ? L'absence de véritables clauses miroirs est une trahison sanitaire autant qu'une injustice économique. Au Rassemblement National, nous portons une autre vision. Nous croyons en la science et au progrès, pas en l'obscurantisme des Verts.
La protection de la santé humaine ne passera pas par une asphyxie réglementaire, mais par la souveraineté, en protégeant nos frontières, en finançant la recherche pour trouver des alternatives réelles et en cessant de transformer la noble cause de la santé publique en un outil de décroissance punitive.
Je vous remercie.
Nicolae Ștefănuță
Je vous remercie. The next speaker is Marlena Maląg on behalf of the ECR Group.
Marlena Maląg
Szanowni państwo. Wyobraźmy sobie ciężarówkę. Przyjeżdża nocą, zamiast trafić do legalnej instalacji zjeżdża na teren poprzemysłowy. Ładunek znika pod ziemią. Kilka godzin pracy i problem znika z oczu.
Ale nie znika z ziemi, nie znika z wody, nie znika z życia ludzi, którzy mieszkają w pobliżu, którzy jedzą owoce tej ziemi, oddychają tym powietrzem, kąpią się w okolicznych akwenach. W Chorwacji zakopano w ten sposób około 37 ton odpadów przemysłowych, medycznych, elektronicznych sprowadzanych z innych państw Unii Europejskiej. Wśród odpadów wykryto również tak zwane wieczne chemikalia. A teraz spójrzmy na drugą stronę tego systemu. Legalny przedsiębiorca musi przejść procedurę notyfikacji, zapewnić bezpieczeństwo finansowe, prowadzić monitoring, a następnie ponosić koszty rekultywacji.
Przestępca może wywieźć odpady i zakopać je w ziemi. Raport Mario Draghiego wskazywał, że to właśnie przepisy odpadowe należą do największych źródeł i kosztów regulacyjnych dla małych i średnich firm. Uczciwość zabija nakładane obowiązki, brak jednolitej interpretacji między państwami Unii Europejskiej. Niestety konkluzja jest smutna. Jeżeli legalna działalność staje się coraz bardziej kosztowna i skomplikowana, a nielegalna działalność nadal pozostaje opłacalna, system tworzy system zachęt dla osób nieuczciwych.
Potrzebujemy więc przede wszystkim skutecznego egzekwowania przepisów. Powiem państwu co zrobił rząd Zjednoczonej Prawicy, by pokonać mafie odpadowe. Mafie, które zagrażały środowisku, ale tak naprawdę przede wszystkim zdrowiu i życiu moich współobywateli. W latach 2018-2023 Polska wprowadziła obowiązkowy monitoring wizyjny miejsc magazynowania i składowania odpadów. Zabezpieczenia finansowe, skróciła czas magazynowania z trzech lat do jednego roku oraz umożliwiła cofanie zezwoleń i zamykanie instalacji niespełniających wymogów.
To pokazuje konkretne działania. Konkretne działania i te działania niezgodne z prawem powinny być wypalane gorącym żelazem, twardo, konsekwentnie, skutecznie. Nie możemy oczekiwać bezpieczeństwa od systemu, który przede wszystkim kontroluje, katuje przede wszystkim uczciwych przedsiębiorców. Potrzebujemy systemu, który skutecznie ściga tego, kto odpady nielegalnie przywozi i ukrywa i porzuca. Likwidujmy nadmierną regulację, która tworzy przestrzeń do patologii.
Szanujmy uczciwość. Dziękuję bardzo.
Nicolae Ștefănuță
Dziękujemy. The next speaker Irena Joveva on behalf of the Renew Europe Group.
Irena Joveva
Kolegice, kolegi. Ta razprava je bila sprva predvidena z drugačnim, zelo jasnim naslovom. V njej so bile jasno navedene večne kemikalije, PFAS, in v njej oziroma v naslovu je bil tudi jasno naveden primer onesnažene podtalnice na Hrvaškem. Potem pa je naslov doživel zanimivo čistilno akcijo. Danes je v njem samo še zaščita zdravja ljudi pred strupenimi snovmi.
Škoda, da se 37.000 ton odpadkov v Gospiću ne da odstraniti tako preprosto.
Čiščenje tega je vendarle nekoliko zahtevnejše od čiščenja naslova razprave, kajne? Ker v Gospiču so še vedno. Skoraj 33.000 ton jih je zakopanih v zemlji. Le nekaj kilometrov stran od rojstnega kraja Nikole Tesle. Najbrž je odveč razlagati, da je bil to človek, ki je svoje življenje posvetil prihodnosti.
O njej je razmišljal precej prej vsemi drugimi. Danes bi bilo dovolj, če bi tamkajšnja oblast o prihodnosti razmišljala vsaj pravočasno. Ni pa to samo hrvaška zgodba. Odpadki so prihajali tudi iz drugih držav članic, iz Italije, iz Nemčije in tudi iz moje države Slovenije. Po podatkih preiskovalcev je samo iz Slovenije v Gospič v manj kot dveh letih prišlo skoraj 1.500 ton odpadkov.
Slovenski inšpektorat pa pravi, da soglasja za pošiljanje odpadkov podjetju oziroma obratom povezanih s tem primerom niso bila izdana. Če iščemo razlog, zakaj je to evropski problem, tukaj ga imate. Odpadki očitno znajo prečkati evropske meje precej bolje kot odgovornost. In medtem so PFAS večne kemikalije našli tudi tam, kjer jih res nočeš najti. Bom natančna, ker je pomembno.
Našli so jih v podzemni vodi na območju odlagališča. Prebivalke in prebivalci so opozarjali leta. Hrvaški premier Andrej Plenković pa danes govori o paniki, histeriji in politizaciji problema. Zanimivo. Ljudje so opozarjali, odpadki so ostajali, večne kemikalije so prišle v podtalnico, ampak očitno nič od tega ni bil dovolj velik problem za pristojne.
Problem nastane, ko nekdo vpraša, kdo je odgovoren. In ko človek že misli, da zgodba ne more postati bolj absurdna, postane. Za prekrivanje približno 33.000 ton zakopanih odpadkov je bila izbrana hrvaška podružnica slovenskega podjetja, pri kateri so doma našli, pazite, nezakonito zakopane odpadke. Očitno izkušnje z zakopavanjem štejejo kot referenca. Če ni smešno, je zato, ker je res.
In zato potrebujemo evropski odgovor. Boljšo sledljivost čezmejnih pošiljk odpadkov, učinkovit nadzor, hitro sanacijo in dejansko izvajanje načela, da onesnaževalec plača. Predvsem pa potrebujemo odgovornost. Hrvaško lahko odstranite iz naslova te razprave, razpravo lahko prestavite oziroma postavite na četrtek popoldne na sam konec plenarnega tedna, ko je večina že odšla domov, ampak problema s tem ne boste odstranili. Žal.
In Nikola Tesla je prihodnjim generacijam zapustil izume, kaj jim boste vi? Večne kemikalije? Meni je sicer bolj všeč večna odgovornost, tudi politična. Razmislite. Hvala.
Nicolae Ștefănuță
Hvala. The next speaker is Gordan Bosanac on behalf of the Greens/EFA Alliance.
Gordan Bosanac
Zahvaljujem. Poštovani povjereniče, u ponedjeljak sam već alarmirao ovaj dom o nelegalnom uvozu 37.000 tona toksičnog otpada zagađenog PFAS-om iz Italije, Slovenije i Njemačke u grad Gospić u Hrvatskoj. Ovim kriminalnim ekocidom u direktnu opasnost dovedeno je zdravlje ljudi, o čemu danas govorimo. U Hrvatskoj je ukinuta obaveza najave uvoza otpada kao i očevidnik otpada i danas naše institucije ne znaju gdje se nalazi gotovo milijun tona otpada koji nam ulazi u državu svake godine. Povjereniče, kako je bilo moguće na nacionalnoj razini deregulirati nadzor uvoza otpada, a da je to i dalje u skladu s uredbom o pošiljkama otpada?
Kako je to moguće? Dodatno, potrebno je donijeti jasna pravila prema kojima država koja nema kapacitete za oporabu otpada ne može onda otpad ni uvoziti, jer inače isti završi u tlu i vodi. Konačno, budući da nacionalna vlada mjesecima ne uspijeva riješiti ovaj ekocid u šengenskom prostoru, pozivam Komisiju da prati ovaj slučaj. Gospić i Hrvatska neće biti smeće Europske unije niti više mogu čekati ni minute. Hvala vam.
Nicolae Ștefănuță
Hvala lijepa.
The next speaker is Per Clausen on behalf of the Left.
Per Clausen
Jeg forstår selvfølgelig godt den vrede, som den kroatiske befolkning har over for de politiske magthavere og de uansvarlige virksomheder, som udsætter deres liv for fare. Men sagen er, at den her problemstilling er meget værre. For faktisk så er det jo tusindvis af giftige stoffer, som forurener vores miljø, vores arbejdspladser, børnenes legetøj, tøj og sågar den mad, vi spiser. Og det er velmærket lovligt. Så jeg vil godt advare dem, som nu taler om, at vi skal reducere reglerne.
Nej, det er ikke fordi, der er for meget regulering i forhold til giftstoffer i EU. Der er for lidt. Der er alt, alt for mange giftstoffer, som tillades. Jeg har selv været med i forhandlinger omkring en såkaldt kemikalieomnibus, hvor en af konsekvenserne var, at man besluttede, at mennesker, som bruger kosmetik, skal udsættes for kræftfremkaldende stoffer i flere år ude i fremtiden. Det synes jeg er helt uacceptabelt.
Og samtidig har vi jo set, hvordan Kommissionen har aflyst den REACH-reform, som de lovede os i årevis. Tiden er ikke inde til at beskytte borgerne, menneskene bedre mod farlige kemikalier, er synspunktet. Og så må man jo fortælle om, hvad konsekvensen er. For vi har talt om PFAS, vi har talt om bly, om myriader af andre stoffer, som man hellere vil deregulere end regulere. Og så bliver vi også nødt til at snakke om, når det sker, når vi forgiftes, hvordan det påvirker hormonsystemer og forplantningsevne, hvordan det øger risikoen for kræft, hjerte-kar-sygdomme og luftvejssygdomme.
Men alligevel så bliver det her trukket i langdrag og helst i stilhed. Men nøleriet har en pris. Og vi står nu i en absurd situation. I stedet for at være i gang med at afvikle produktionen af skadelige evighedskemikalier, herunder PFAS, så kan vi se frem til, at produktionen øges. Vi må regne med endnu mere skade på miljøet og mere negativ påvirkning af borgernes helbred og en endnu større regning, som de kommende generationer skal betale for oprydning.
En regning, der alene, hvis vi taler om evighedskemikalier, løber op i 440 milliarder euro ekstra i omkostninger for EU i 2050, hvis vi ikke gør noget nu. Det, vi skal huske på, når vi taler om giftige stoffer, det er, at lukke øjnene for problemet får det ikke til at gå væk. At udskyde handling igen og igen er ikke gratis. Hver dag, vi venter med at handle, forøges de problemer, stofferne medfører, og den regning skal fremtiden betale. Så det, jeg synes, man bedst kan karakterisere den politik, vi fører nu, med, er, at den er uansvarlig og den er umoralsk.
Nicolae Ștefănuță
Tak. Urmează... we now open the debate. Also you can use blue cards or catch-the-eye. I'm sorry, I'm sorry, I'm sorry. We still have on behalf of the ESN Group, I apologize, Mr. Bauzemer, Arno Bauzemer.
Please.
Arno Bausemer
Ja, Herr Vorsitzender, meine sehr verehrten Damen und Herren, Herr Kommissar, vielen herzlichen Dank. Die Vorgänge im kroatischen Gospić müssen unser Bewusstsein schärfen, denn hier wurde in den letzten Monaten uns allen vor Augen geführt, wie schwarze Schafe in der Abfallbeseitigung mit krimineller Energie den Umweltschutz mit Füßen getreten haben. Europol geht davon aus, dass mindestens 35.000 Tonnen problematischer Abfälle illegal auf mehrere Deponien in Kroatien verteilt worden sind. Eine dieser Stellen liegt bei Gospić in der Nähe einer ehemaligen Industrieanlage. Europol zufolge wurden möglicherweise Frachtpapiere und andere Dokumente gefälscht, um kroatische Umweltvorschriften zu umgehen.
Plastikmüll soll demnach als für das Recycling geeignet ausgewiesen worden sein, obwohl das gar nicht der Fall gewesen ist. Nach Angaben der europäischen Polizeibehörde wurde der größte Teil des Mülls über verschiedene Unternehmen aus Italien nach Kroatien gebracht, weitere Lieferungen kamen demnach aus Slowenien und auch aus Deutschland. Unter den Abfällen befanden sich Plastik sowie gefährliche Abfälle aus Krankenhäusern. Den Tatverdächtigen wird vorgeworfen, mit den Geschäften mindestens 4 Millionen Euro verdient zu haben, das Verfahren ist bislang noch nicht abgeschlossen. Aber die kriminelle Energie solcher Machenschaften, die macht einen fassungslos.
Es ist deshalb erfreulich, dass die Kooperation zwischen den kroatischen Behörden und Europol funktioniert und im Rahmen der seit 2025 laufenden Ermittlungen bereits 13 Beschuldigte festgenommen worden sind. Der Binnenmarkt, so wie wir ihn uns vorstellen, soll Handel und Wettbewerb ermöglichen und damit zum Wohlstand unserer Bürger beitragen. Hier zeigt sich allerdings, dass durch die offenen Grenzen und die damit verbundenen Export von schädlichen Abfällen dieser Binnenmarkt missbraucht worden ist. Grundsätzlich sind deshalb hohe Strafen für die Verantwortlichen nötig und es muss auch die Rolle der zuständigen Prüfbehörden unter die Lupe genommen werden, denn unter Umständen hätte der schädliche Inhalt dieser Abfälle schon vorher auffallen müssen, bevor die Abfälle in Kroatien eingelagert worden sind. Und wir sprechen hier auch nicht von einem rein kroatischen Problem.
Ganz grundsätzlich müssen wir alle Kräfte mobilisieren, um unsere Bürger vor solchen gesundheitlichen Gefahren zu schützen. Und hier tun sich teilweise Abgründe auf, zumal Anspruch und Wirklichkeit bei gewissen politischen Kräften oft weit auseinanderliegen. Nehmen Sie die Giftschlammgrube Brüchau in meiner Heimat im Norden von Sachsen-Anhalt an. In der Nähe von Stendal, Salzwedel. Hier haben es CDU, SPD, Grüne und FDP in den letzten 10 Jahren Regierungsverantwortung nicht geschafft, diese quecksilbervergiftete Grube auszukoffern.
Die Bürger laufen wegen der Gefährdung für das Grundwasser seit Jahren Sturm gegen diese Ignoranz und haben in dieser Woche auch einen juristischen Erfolg vor dem Oberverwaltungsgericht errungen. Politik braucht keinen Aktionismus. Und Ökonomie und Ökologie dürfen nicht einseitig und schwarz und weiß ausgespielt oder unterschieden werden, aber dort, wo Gefahren entstehen und wissenschaftlich bestätigt sind, da ist es unsere Aufgabe zu handeln und jedes Zögern fehl am Platze. Vielen Dank.
Nicolae Ștefănuță
Vielen Dank. Now the debate is open, Tomislav Sokol is the next speaker and you have the possibility for blue card and catch the eye. Thank you.
Tomislav Sokol
Poštovani potpredsjedniče, povjereniče, kolegice i kolege. Prekogranični prijevoz ilegalnog otpada hrvatski je, ali i europski problem i zato mu se mora pristupiti i s europske razine. Otpadna mafija ne poznaje državne granice i građani imaju pravo na zabrinutost. Zato naš odgovor mora biti zajednički, brz i učinkovit. Predlažem tri konkretna koraka.
Prvo, Europol treba dobiti stalnu specijaliziranu operativnu skupinu koja će povezati policiju, carinu, okolišna i financijska tijela, provoditi zajedničke istrage, razbijati kriminalne mreže i pratiti njihov novac. Drugo, kada ilegalno odloženi otpad ugrožava zdravlje ljudi i okoliš, Europa mora moći odmah reagirati i pomoći u sanaciji putem Mehanizma Unije za civilnu zaštitu.
Trošak sanacije pritom ne smiju platiti građani, nego oni koji su štetu prouzročili. K tome, europski digitalni sustav praćenja pošiljaka otpada moramo povezati s nacionalnim podacima kako bismo na vrijeme otkrili sumnjive tokove i spriječili ilegalno odlaganje. I treće, građanima koji pretrpe štetu moramo omogućiti kolektivnu pravnu zaštitu i pravednu naknadu. Europa mora stati na kraj kriminalcima koji na ilegalnom otpadu zarađuju, a posljedice zagađenja ostavljaju našim građanima. Zato nam trebaju bolja kontrola, brža reakcija i zajednička borba protiv otpadne mafije.
Hvala lijepa.
Romana Jerković
Kolega Sokol, lijepo je čuti i vaše preporuke, međutim nekako su zakasnile i teško da mogu osloboditi hrvatsku državu njezine odgovornosti. Jer otpad je godinama ulazio u Hrvatsku bez ikakve kontrole, završio je gdje nije smio i izazvao posljedice koje nije smio. Dakle, međunarodni kriminal ne može biti alibi za nefunkcioniranje hrvatskih i državnih institucija. Ako vi tu ne vidite političku odgovornost hrvatske Vlade i premijera, onda stvarno imate vrlo čudno razumijevanje političke odgovornosti.
Tomislav Sokol
Kolegice Jerković, dakle, prvo, ovdje se radi o ovom slučaju, ali i mnogim drugim slučajevima i treba se prilagoditi sustav i poboljšati sustav da se takve stvari više ne dogode. I tu doista postoje rupe na europskoj razini koje se trebaju riješiti, tako da moramo razmišljati o budućnosti, a ne samo pokušati na neki način poentirati na ovome. Što se tiče hrvatske Vlade, hrvatska Vlada, kao što su i drugi kolege ovdje rekli, radi, radi na sanaciji. Krivci, potencijalni krivci će se sankcionirati, to je sigurno, postupci su u tijeku i siguran sam da će na kraju krajeva cijela situacija biti, biti sanirana, mada mi je jasno da su građani zabrinuti, oni imaju pravo na, pravo na tu zabrinutost, ali mislim da itekako Vlada radi svoj posao i da će se problem riješiti.
Günther Sidl
Geschätzter Herr Kommissar, sehr geehrter Herr Präsident, heute geht es um den Schutz der Menschen in Europa vor giftigen Stoffen, das ist ein Thema, über das wir öfters hier reden sollten. Denn eines ist klar: Europa hat hier ein gravierendes Problem, oder besser gesagt, Europa schafft sich hier selbst ein gravierendes Problem. Denn Problemstoffe wie Ewigkeitschemikalien und Co. kommen erst durch menschliches Zutun in den natürlichen Kreislauf, durch mangelnde Klärung der Abwässer, durch falsche Entsorgung von Problemstoffen, wie wir heute schon gehört haben, oder um einen sehr gängigen Fall zu nennen, durch das Ausbringen von Pestiziden auf unsere Felder. In einigen Fällen hat die Europäische Union schon die notwendigen Maßnahmen gesetzt, damit es zu keinen Auswirkungen dieser Chemikalien auf unsere Natur und unsere Gesundheit kommt. In anderen Fällen schaut die EU-Kommission offensichtlich zu lange weg und verschleppt die dringend notwendigen Reformen.
Wie kann es sonst sein, dass die Europäische Chemikalienagentur empfiehlt, Ewigkeitschemikalien konsequent aus dem Verkehr zu ziehen, und es geht hier nur schleppend bis gar nicht voran? Der Zustand unserer Böden und unserer Gewässer ist schon in einem sehr bedenklichen Zustand und auch die Zahl der Krebserkrankungen in Europa steigt, dass wir bei Umweltfaktoren dringend nachbessern müssen. Kurz gesagt: Es ist schon Feuer am Dach und da reicht es nicht, etwa den Keller alleine zu löschen. Die Menschen in Europa haben es verdient, dass sie von der Europäischen Union und ihren Institutionen vor giftigen Stoffen geschützt werden und genau das muss hier in allen Bereichen endlich klargestellt werden. Herzlichen Dank.
Dear President, dear Commissioner, in yesterday's State of the Union, President von der Leyen told us about how precious water is and that leaks need to be fixed.
Tilly Metz
Precious? But precious for whom? For the industry, for the farmers, for food security? Yes, but she did not speak about people's fundamental right to have access to clean, toxic-free water. Look, yes, at Gospić in Croatia, thousands of tons of hazardous waste containing PFAS were illegally imported there and dumped there, yes, also directly then connected also to the drinking water supply.
Citizens, they called alarm, but yet institutions failed to react. This is what is happening when safeguards fall, fail. But Europe is moving into the wrong direction. By weakening in the omnibus, under the banner of simplification, we are weakening the protection of the citizens. We are weakening vital protections against toxic substances.
People, I tell you, colleagues, that protecting the people is not bureaucracy. Clean water is not a burden, it's a right. And our health should never be the price of deregulation.
András Tivadar Kulja
Köszönöm szépen, elnök úr, biztos úr, képviselőtársaim. Nyugat-Magyarországon idén több mint 300 olyan helyszínt azonosítottak, ahol Ausztriából származó azbeszttel szennyezett kőzúzalékkal burkolták le az utakat és közterületeket. Olyan helyeken terítették le ezt a rákkeltő anyagot, ahol magyar családok élik mindennapjaikat, ahol gyermekek játszanak. Orvosként pontosan tudom, hogy mit jelent ez. Az azbeszt egészségkárosító hatása felporzással, belégzéssel, a tüdőbe kerülve alakul ki.
Nem most, nem egy hét múlva, hanem 20-30 év múlva, ráadásul igen agresszív tüdődaganat, mezotelióma formájában. A probléma egy része, hogy az uniós és tagállami szabályozásokban hiányosságok vannak, ezeket a hiányosságokat pedig a cégek nem átallanak kihasználni a profit érdekében. A rákkeltő anyagok pedig legkevésbé sem veszik figyelembe a jogi hézagokat. Az EU rengeteget tett az uniós polgárok egészségének védelmében, azonban a fenti példa is mutatja, hogy még mindig vannak joghézagok, amiket mind uniós, mind tagállami szinten meg kell oldanunk, hiszen az emberi egészség nem lehet alkutárgya. Köszönöm szépen.
Laura Ballarín Cereza
Thank you, Chair. Colleagues, today I want to speak to you about Gospić in Croatia, where citizens have been living for far too long next to illegally abandoned and buried waste. Tens of thousands of tons of potentially hazardous waste still need to be removed, while additional quantities remain buried at the site. And citizens learn about the scale of this problem not because the system worked, but because it had already failed them. This is simply not good enough.
People should not have to wait until contamination is detected before authorities act. The precautionary principle is about preventing harm before it happens, not offering reassurance only after a hazardous waste has already been illegally dumped and buried. Let the case of Gospić serve as a reminder that citizens have the right to know who allowed this to happen, who failed to prevent them, and who will be held accountable. Thank you so much.
Thank you, President, Commissioner. An apple a day keeps the doctor away. This is what we're telling our children every day.
Thomas Waitz
And actually, vegetables and fruits should be a healthy choice. But unfortunately, more and more residues and PFAS are found on vegetables and fruits. And in fact, we are using these substances in agriculture with pesticides, and we are contaminating not just our children, but our whole population. PFAS, the so-called forever chemicals, are linked to cancer, they're linked to liver disease, they're linked to reduced fertility. This is the reality that also science will prove to you.
And what are we doing here in the European Parliament? We're reducing the safeguards for pesticides in the Food and Feed Omnibus. And we're undermining the precautionary principle. And by the way, when we talk about agriculture, there's a solution. Let's go organic, friends, because organic agriculture does not use highly toxic substances.
So for me, I really want to make clear: the health of children and citizens comes before profit. Thank you.
Nikolina Brnjac
Thank you, Chair. Slučaj ilegalnog otpada u Gospiću ozbiljan je oblik prekograničnog okolišnog kriminala i to treba svima biti jasno. Hrvatska vlada i nadležne institucije poduzimaju sve potrebne korake. Pokrenut je postupak sanacije. Pokrenute su istrage, a krivci će biti kažnjeni.
Europol je upravo u ovom parlamentu upozorio da kriminalne mreže iskorištavaju razlike između država članica, nedostatnu koordinaciju između država članica. Pa kako je moguće da ilegalni otpad prođe kroz nekoliko granica, a da ga nijedna država članica ne zaustavi niti detektira? Iz Italije smo imali problem, Italija, Španjolska, Francuska, a iz Italije u Španjolsku prevezeno je oko 35.000 tona ilegalno opasnog otpada. Europa danas govori o sigurnosti svojih granica, ali sigurnost nije samo pitanje vojske i granica. Sigurnost je kad znamo gdje završava opasni otpad, tko ga je prevezao, tko ga je proizveo i tko ga je platio.
I tko je odgovoran. Ovo je zato europski problem koji traži europski odgovor, a to je stroži prekogranični nadzor, sljedivost otpada i borba zajednička protiv organiziranog kriminala. I zato moramo osigurati u sljedećem proračunu sredstva, jer kad su ugroženi zdravlje i sigurnost svih nas, politička prepucavanja nikoga ne zanimaju, a ljudi očekuju zajednička rješenja. Danas je to Hrvatska, a sutra neka druga država članica.
Mrs. Brnjac, there is a blue card from Mr. Vladimir Prebilič. Do you accept?
Vladimir Prebilič
Dober dan vsem skupaj, najprej hvala za razpravo. Zdaj tukaj seveda imamo smeti pa odpadke dveh porekel. Eno je ilegalno, eno je legalno. Tisto o ilegalnem se vsi strinjamo, da je pač potrebno nekaj narediti, pa vendar imamo tudi legalno migriranje smeti. In kolikor razumem, je Hrvaška v zadnjem času kar veliko smeti tudi uvozila, če prav nima dovolj kapacitet za ravnanje z njimi.
Ali se vam ne zdi, da to lahko odpira vrata dogodkom, katerim smo priča tudi v primeru Gospića? Hvala.
Koliko je... hvala puno na vašem pitanju. Koliko je meni poznato, od 2019. do 2024. Hrvatska je izvezla 522.000 tona više nego što je uvezla otpada, a više od 99% otpada uvezenog 2024. godine nije bio opasni otpad. Hvala.
Nicolae Ștefănuță
Mrs. Brnjac, do you still have patience for two more blue cards or one at least? Okay, good. Let's make it a good debate. Ms. Jerković and then Mr. Bosanac.
Romana Jerković
Kolegice, ne može odgovor na pitanje tko je zakazao da 37.000 tona otpada završi u Gospiću biti samo kriminalci. Jer kriminalci postoje u svakoj državi, ali odgovornost države je da kriminalce otkrije i da ih spriječi. Ovdje se radi o tome da su prekršena načela iz ugovora o funkcioniranju Europske unije, da je prekršena direktiva o pristupu informacijama, okvirna direktiva o otpadu, uredba o pošiljkama otpada, direktiva o vodama, direktiva o kaznenopravnoj zaštiti okoliša, a o konvencijama niti da ne govorim.
Kolegice Jerković, upravo zato govorimo o prekograničnom okolišnom kriminalu. Mogli ste čuti iz mog govora, ako ste dobro slušali, a vjerujem da jeste, da je upravo iz Italije u Španjolsku također prevezeno 35.000 opasnog otpada. Da Italija, Francuska, Španjolska, a nedavno i prošle godine su u odboru ja mislim bili čak građani Grčke razgovarali također o opasnom otpadu. Hvala.
Gordan Bosanac
Zahvaljujem. Kolegice Brnjac, slažem se djelomično s vama. I ja sam si postavio to pitanje kako taj otpad plovi više Schengenom da ga nitko nije zaustavio. Ali i veći dio odgovora imamo. Pa znači, mi smo do sada istraga lijepo pokazala da se ukinula ona zakonska odredba najave, trodnevne najave unaprijed dolaska pošiljke.
Da je to bilo na snazi, možda stvari u Gospiću bi izgledale drugačije.
Dakle, kolega Bosanac, nije ukinuta kontrola otpada. Kontrola otpada postoji. Postoji digitalni sustav koji bilježi kakva vrsta otpada, količina, podrijetlo, odredište. Međutim, postoje kriminalci i kriminalne organizacije koje ne unose ispravne i točne podatke.
Sunčana Glavak
Hvala vam lijepa, kolegice i kolege, poštovani povjereniče. Na početku želim reći, razumijem zabrinutost građana. No danas na ovoj temi neki žele doprano politički profitirati. Kada govorimo o zdravlju ljudi, tu nema mjesta političkom nadmetanju. Kada govorimo o Gospiću, držimo se činjenica.
Vlada Republike Hrvatske problem rješava. Osigurana su sredstva, pokrenuta je sanacija nezakonito odloženog otpada i uvedeno kazneno djelo ekocida. Želim poslati jasnu poruku političarima koji ne razmišljaju o posljedicama lažnih narativa. Ne stigmatizirajte poljoprivrednike, stočare, OPG-ove, proizvođače u Lici. Hrana kao i proizvodi nije zaražena.
Proizvodi su sigurni. Jasno poručujem, kaznena odgovornost mora biti utvrđena, otpad uklonjen, a monitoring nastavljen i nakon sanacije. To mora vrijediti svugdje u Europi. Onečišćivač plaća, počinitelj odgovara, a građani moraju biti zaštićeni. Zato ovo ima i europsku dimenziju.
Ako otpad prelazi granice država članica, moramo moći pratiti gdje je nastao, tko ga je preuzeo i gdje je konačno završio. I na kraju, zato i od Komisije očekujem jači sustav sljedivosti prekograničnog otpada i bolju razmjenu podataka između država članica. Hvala lijepa.
Nicolae Ștefănuță
Ms. Glavak, there is a blue card from Mr. Sieper, do you accept?
Lukas Sieper
Frau Kollegin, vielen lieben Dank, dass Sie die blaue Karte akzeptiert haben. Sie haben richtigerweise gesagt, man darf aus solchen Vorfällen wie nun in Kroatien kein politisches Kapital schlagen. Glauben Sie denn nicht vielleicht, dass es besser wäre, wenn wir im Europäischen Parlament hier bei solchen Fällen uns nicht in der ganzen Debatte um die Ereignisse in einem bestimmten Mitgliedstaat bei einem bestimmten Fall drehen würden, sondern wenn wir uns wirklich in dieser Debatte auf die Folgen für ganz Europa konzentrieren würden, anstatt das in eine innenpolitische Auseinandersetzung zu verwandeln? Danke schön.
Hab doch gar nichts gesagt, Herr Dröse, aber schön, dass Sie sich schon amüsieren.
Sunčana Glavak
Hvala lijepa, kolega na pitanju, ne uopće nisam rekla da ne biste trebali, ali voljela bih vas pitati jel znate gdje je Gospić? Jel znate gdje je Gospić? E ja znam. Znate, ne znate, da. Znate što se događa u Hrvatskoj.
Politizira se na ovoj temi, na zdravlju ljudi. To nije dobro. U cijeloj Europskoj uniji, svi mi, bez obzira na političke boje, moramo imati isti nazivnik, a to je zaštititi zdravlje ljudi. I ne širiti dezinformacije, nego ljudima pomoći, a pomoći i gospodarstvu, poljoprivredi, da u tim krajevima ostane, a ne da im to onemogućujemo. Hvala vam lijepa.
Nicolae Ștefănuță
Dear colleagues, dear colleagues, now I have four colleagues on the catch-the-eye list and I give immediately the word to Manuela Ripa for one minute.
Manuela Ripa
Herzlichen Dank, weiten wir die Debatte ein bisschen aus. PFAS sind überall, in unserer Umwelt, in unseren Alltagsprodukten. Sie sind gesundheitsschädlich, sie beeinträchtigen gar die Fruchtbarkeit und sie bauen sich in der Umwelt praktisch nicht ab. Die Folgen sehen wir längst vor Ort. Gemeinde und Regionen in ganz Europa haben kontaminiertes Wasser und Böden und wissen teilweise kaum noch, wie sie dieses Problem bewältigen und die enormen Kosten stemmen können.
Damit dürfen wir unsere Kommunen, Städte und Regionen nicht alleine lassen. Und wir müssen endlich handeln. Wo brauchen wir PFAS wirklich? In Zahnseide, Kosmetik oder Alltagsprodukten sicher nicht, dort müssen diese Stoffe raus. Wo PFAS in der Industrie tatsächlich unverzichtbar ist, muss es am Ende des Lebenszyklus sicher zerstört werden, etwa durch geeignete Hochtemperaturverfahren.
Das Gleiche gilt für endokrine Disruptoren. Diese Chemikalien können in unser Hormonsystem eingreifen, sowas brauchen wir nicht, etwa als Weichmacher in Zahnpasta. Wir brauchen keine gefährlichen Chemikalien, nur weil wir uns an sie gewöhnt haben. Wir brauchen mehr gesunden Menschenverstand. Was gefährlich und verzichtbar ist, muss raus aus den Produkten.
Bogdan Rzońca
Dziękuję, panie przewodniczący. Chciałem się wszystkich państwa tu spytać, obecnych i nieobecnych, jak państwo się czujecie z tym faktem, że w Unii Europejskiej, o czym wiadomo, produkowane są substancje chemiczne, które są zakazane w użyciu w Unii Europejskiej, ale są sprzedawane do Ameryki Południowej, Argentyny, Brazylii i tak dalej? Jak państwo się czujecie z tym dzisiaj, kiedy mówimy o tym, iż substancje chemiczne są w właśnie mięsie, w kurczakach i tak dalej i podpisali i głosowaliście państwo za umową z Mercosurem? Czy to wam nie przeszkadza, że to nie jest sprzeczne z logiką naszą Unii Europejskiej, że zgodziliśmy się na coś, co z góry wiadomo było, że będzie szkodliwe dla przeciętnego mieszkańca, konsumenta Unii Europejskiej?
Bo państwo wiecie, że umowa z Mercosurem sama się nie przegłosowała, a dziś mamy z tym wielki problem. Podnieście głowę do góry i popatrzcie co zrobiliście.
Lukas Sieper
Liebe Menschen Europas, trotz der Frage, die ich gerade aufgeworfen habe, erlaube ich mir direkt auf etwas einzugehen, was hier in der Debatte gesagt wurde. Herr Bausemer, ich habe mich so gefreut, Sie wiederzusehen nach dem Sommer, das können Sie sich gar nicht vorstellen. Sie haben fast schon eine vernünftige Rede gehalten. Sie sagten, die Handlungen von Politikern dürften keine Gefahren für die körperliche Unversehrtheit von Bürgerinnen und Bürgern hervorbringen. Ich hoffe, Sie denken daran, wenn Sie das nächste Mal wie mutmaßlich jetzt im Sommer mit einem Baseballschläger 14-jährigen Jungen hinterherjagen.
Von Ihrer mutmaßlichen Trunkenheitsfahrt einen Tag später möchte ich gar nicht erst anfangen. Sie und ich werden dazu aber auch noch einen konstruktiven Ausschuss im Justizausschuss Austausch im Justizausschuss haben, denke ich. Ein Punkt zum Nachdenken möchte ich Ihnen auch mitgeben. Sie sagten, Ökonomie und Ökologie dürften nicht als schwarz und weiß betrachtet werden. Vielleicht ist das für Sie ein Anlass in der Zukunft positiver über die ökologische Transformation unserer Industrie, die Elektrifizierung des Individualverkehrs, den Ausbau der erneuerbaren Energieproduktion nachzudenken und über das Verbot von PFAS und die grenzüberschreitende Zusammenarbeit innerhalb der Europäischen Union bei der Müllentsorgung.
Vielen lieben Dank.
Nicolae Ștefănuță
According to the rules, you have the right for a personal statement because your name was invoked.
Arno Bausemer
Ja, vielen Dank, Herr Sieper, dass Sie das Thema hier auch ansprechen. Also eine Trunkenheitsfahrt, Sie haben das mutmaßlich reingebaut, gab's in der Form nicht, wie es kolportiert wurde. Und ich sage Ihnen das eine, wenn Jugendliche es für richtig halten, nachts um elf mit Messern bewaffnet durch Städte zu fahren, um mit Messern Wahlbanner zu zerschlitzen, dann ist es das gute Recht, sich dagegen auch zu verteidigen. Und Sie werden sehen, dass das auch im Zweifel vor einem Gericht, wenn es dazu überhaupt kommt, in einer Notwehr enden wird, denn man darf sich nicht alles gefallen lassen. Zerstörung, Sachbeschädigung ist nicht in Ordnung.
Und wenn Menschen meinen, mit Messern loszuziehen und Sachen zu zerstören, ist der Schritt nicht mehr weit, auch Menschen anzugreifen. Befassen Sie sich ein bisschen mit der Geschichte, 70er Jahre, da hatten wir eine Entwicklung, sowas wollen wir nicht wieder in den 20er, 30er Jahren dieses Jahrhunderts, das gilt es zu verhindern. Vielen Dank.
Nicolae Ștefănuță
I'm sorry, colleagues, but this has got nothing to do with the very important topic of the debate. Let's come back to the story and the toxic chemicals because citizens are suffering, so please relate to that topic. Arkadiusz Mularczyk is the next speaker.
Arkadiusz Mularczyk
Panie komisarzu, szanowni koledzy, koleżanki, chcę zwrócić uwagę na bardzo istotny problem zielonej transformacji Unii Europejskiej, która niesie ze sobą bardzo wiele zagrożeń. Otóż Unia Europejska finansuje i promuje budowę wielkich farm fotowoltaicznych, ale również magazynów energii. Chcę zwrócić uwagę na problem, który polega na braku zarówno unijnych, ale też krajowych regulacji, które dotyczyłyby bliskości tych inwestycji koło domostw, koło osiedli mieszkalnych. Na ten problem zwracają uwagę w moim okręgu wyborczym mieszkańcy, którzy protestują budowie wielkich magazynów energii wokół ich domostw. Unia Europejska nie reguluje tych kwestii odległości ani warunków technicznych.
Drugi problem dotyczy pożarów magazynów energii, które się zdarzają. O takich sytuacjach słyszymy, wielkie toksyczne pożary magazynów energii, które są nie do ugaszenia przez strażaków przez wiele, wiele godzin. Jaka jest odpowiedź Unii Europejskiej na te problemy i wyzwania, bo na dzień dzisiejszy Unia promuje zieloną energię, natomiast nie ma odpowiedzi na to, co zrobić z zagrożeniami oraz jak utylizować te wielkie inwestycje, które już tracą swoją przydatność do użytku.
Nicolae Ștefănuță
Dziękuję. Biztos úr, Mr. Commissioner, we would like to hear your answers to the debate.
Olivér Várhelyi
Dear President, honorable members, first of all, thank you very much for all the contributions to this debate. I have listened very carefully to the different perspectives how we can best protect people's health from toxic substances. Because I think that doing this effectively requires sustained joint action across a range of policy areas. As regards the case in point that was raised the most today, it is very clear that illegal waste shipment is an abuse of the internal market. And therefore the Commission stands ready to work with any Member State affected by such practices.
Now turning to PFAS, as I already mentioned, ECHA is finalizing its socio-economic analysis now, and after that the Commission will determine the course of action to follow. At the same time, I would like to join the comment which was made that it is extremely important that we pay due consideration for critical applications, such as in health, so that, for example, the patients will not be faced with shortages of medical devices where these materials are indispensable. So we have to strengthen prevention. I think this is one conclusion to be drawn from this debate. Also that we need to address environmental and occupational risks early on and base our policies on reliable evidence.
We pay very close attention of course to the safety of food on our plates, whether that food is produced here in Europe or if it is imported from elsewhere. Now remarks were made regarding as regards to the Omnibus proposal of the Commission, but I want to confirm you here again that we have not changed the approval criteria for the pesticides. It is also very clear that the proposal promotes the use of biopesticides that are representing a clearer lowering of the negative impact on the environment of any pesticides. Thank you very much for your attention.
Nicolae Ștefănuță
Thank you, Commissioner, and thanks to all the politicians who have participated in this debate. The debate is now closed and we have one more item. Următorul punct de pe ordinea de zi este explicații privind voturile, so vote explanations, and we start with the report of Loucas Fourlas and Ruggero Razza, an EU health workforce crisis plan, sustainability of healthcare systems and employment and working conditions in the healthcare sector. I do not see in the room Mr. Nikolaou-Alavanos, so I give the floor to Siedl Günther.
Günther Sidl
Sehr geehrter Herr Präsident, unser Gesundheitswesen braucht dringend Hilfe. Quer über ganz Europa gibt es Engpässe bei Ärztinnen und Ärzten genauso wie beim Pflegepersonal.
Dazu kommt, dass ein Drittel dieser dringend benötigten Fachkräfte in absehbarer Zeit in Pension gehen wird. Gleichzeitig werden die Herausforderungen im Gesundheitsbereich durch steigende Zahlen etwa bei Krebs oder Herz-Kreislauf-Erkrankungen immer größer. Dazu trägt auch die Hitze bei, die wir beispielsweise in diesem Sommer erlebt haben und die besonders für ältere Menschen eine große Gefahr darstellt. Es ist höchste Zeit, dass wir hier zu einer Trendwende kommen und die EU zeigt, wie sie für die Menschen in Europa da ist. Einerseits, indem wir unser Gesundheitssystem wieder auf gesunde Füße stellen und für genug Nachwuchs im ärztlichen und pflegerischen Bereich sorgen, andererseits, indem wir endlich den Ursachen für Krebs und andere Erkrankungen auf den Grund gehen und versuchen, Erkrankungen zu verhindern, bevor sie entstehen.
Herzlichen Dank.
Bogdan Rzońca
Dziękuję bardzo. Krótko, nasza grupa polityczna EKR głosowała za w tym file'u, dlatego że służby medyczne, kadry medyczne są bardzo istotne dla Unii Europejskiej i widzimy wielki problem w obszarze ilości lekarzy, personelu medycznego i ten jeszcze jeden problem, iż niestety bywa tak, że bogatsze kraje kupują, podkupują lekarzy biedniejszym krajom. No więc problem jest bardzo ważny i taka transparentność między krajami też byłaby tu niezbędna i potrzebna, żeby można było świadczyć usługi, żeby usługi medyczne były świadczone i dostępne dla każdego obywatela Unii Europejskiej. Dziękuję bardzo.
Nicolae Ștefănuță
Dziękuję bardzo. The next report is motion for resolution, evaluation of the Common Fisheries Policy and follow-up, and the speaker is Günther Sidl.
Günther Sidl
Herzlichen Dank nochmals, Herr Präsident. Im Bereich der Fischereipolitik sieht die Europäische Union wirklich großen Herausforderungen bevor. Es geht darum, die inzwischen 13 Jahre alte Verordnung zu modernisieren und dabei auf die geänderten Voraussetzungen für alle Beschäftigten in diesem Sektor einzugehen, ohne den Fokus auf die Nachhaltigkeit aus den Augen zu verlieren. Das ist umso wichtiger vor dem Hintergrund, dass wir uns erst vor zwei Jahren zu einem Aktionsplan für den Schutz und Wiederherstellung von Meeresökosystemen und für eine nachhaltige und widerstandsfähige Fischerei positioniert haben. Genau das muss der Rahmen für die zukünftige Fischereipolitik sein: gezielte Überarbeitung für mehr fairen Wettbewerb, um die tatsächlichen Probleme der europäischen Fischer zu verringern, ohne die Fangkapazitäten auszuweiten und damit neue Probleme im Umwelt- und Artenschutz auszulösen.
Herzlichen Dank.
Nicolae Ștefănuță
Herzlichen Dank. The next report is on narco-trafficking in Europe's waters, protecting our borders and supporting our law enforcement officers. The first speaker is Lukas Sieper.
Lukas Sieper
Thank you, Mr. President. Vielen Dank. Ich würde gerne einen Satz, wenn Sie erlauben, zu dem Ordnungsruf sagen, den Sie uns gerade erteilt haben. Ich glaube, wir befinden uns in einer politischen Situation, in der es nicht mehr nur darum geht, worüber gesprochen wird, sondern auch wer es sagt. Und wir haben es hier meiner Meinung nach mit Menschen zu tun, die Gewalt in den politischen Diskurs hineinbringen, und ich finde, man muss sie in der Diskussion auch dahingehend stellen können, weil dadurch, dass sie diesen demokratischen Boden verlassen, sie die Diskussion auch prägen.
Deswegen habe ich das getan. Ich respektiere natürlich, dass Sie die Ordnung des Hauses wahren. Dear people of Europe, drug trafficking is a serious threat to European citizens, our security and the rule of law. Criminal networks are increasingly exploiting Europe's waters and ports, making stronger European cooperation essential. That's why I supported this resolution.
It calls for better cooperation between national and European authorities, stronger intelligence sharing and increased maritime capabilities in the Mediterranean, the Atlantic and particularly our outermost regions. It is one step forward to preserve the agreement reached between the political groups without adding amendments on the further topic of security of the European Union. Thank you very much.
Nicolae Ștefănuță
Thank you, Mr. Sieper.
Point taken. Ms. Jovanović is not in the room, so the next one is Mr. Bogdan Rzońca.
Bogdan Rzońca
Byłem z Komisją Petycji w Hiszpanii. Usłyszeliśmy tam, że przemytnicy narkotyków strzelają do policjantów, zabijają policjantów. To jest coś nieprawdopodobnego. I ci, którzy zabili policjantów w Hiszpanii, broniących Hiszpanię przed szmuglem narkotyków, otrzymali bardzo niski wymiar kary. I w zasadzie po dwóch, po trzech latach mordercy wychodzą z więzień.
A więc w tym wypadku absolutnie nasz głos był jako EKR-u za tym, żeby wzmocnić wszystkie służby, które ścigają morderców, przestępców i szmuglerów narkotyków. Dziękuję bardzo.
Nicolae Ștefănuță
Dziękuję bardzo. The next explanation of vote relates to the motion for resolution on the recent hybrid attacks and instrumentalisation of migrants in Ceuta and the need for a coordinated response to protect EU's external borders. Mr. Ziper, you have the floor.
Lukas Sieper
Liebe Menschen Europas, ich hoffe sehr, dass wir eines Tages zu dem Moment kommen, wo wenn Menschen sterben, die unseren Institutionen, die unseren Staaten dienen, die unsere Bürgerinnen und Bürger sind, wenn Menschen sterben, die sich ein besseres Leben erhoffen, die offensichtlich ausgenutzt werden von feindseligen Mächten, um Chaos innerhalb der Grenzen unserer Organisation zu stiften, dass dieses Haus dies nicht zum Anlass nimmt, ein politisches Theater aufzuführen, in dem es nur darum geht, das eigene elektorale Lager zu befriedigen, sondern dass wir uns wirklich dahin bewegen, dass wir Kompromisse finden. Das ist heute nicht passiert. Dieser Report wurde ausschließlich dafür benutzt, sich gegenseitig in die Pfanne zu hauen, gegenseitig dem anderen zu sagen, dass er die Menschen in Europa verrät und sich hier als die Retter der europäischen Zivilisation und Werte darzustellen. Deswegen habe ich diesen Bericht schweren Herzens nicht unterstützt. Dankeschön.
Dankeschön. I do not see Diana Jovanović in the room, and the last speaker is Bogdan Rzońca.
Bogdan Rzońca
Wszyscy jesteśmy solidarni z mieszkańcami Ceuty. Doskonale rozumiemy dramat tych mieszkańców, którzy zostali zaatakowani przez uchodźców. Jesteśmy przeciwni szmuglerom uchodźców, bo niestety firmy, właściciele statków i różnego rodzaju fałszywe organizacje namawiają ludzi do migracji i powodują dramaty. Dlatego rozumiemy sytuację mieszkańców Ceuty i oby jak najmniej było takich wydarzeń, zdarzeń, gwałtów, morderstw, których ofiarami są mieszkańcy, niewinni mieszkańcy, a do których przybyli w sposób niezgodny z prawem migranci.
Nicolae Ștefănuță
Dziękuję. Procesul-verbal al acestei reuniuni va fi înaintat Parlamentului spre aprobare la începutul viitoarei sale ședințe. Dacă nu există obiecții, voi transmite rezoluțiile adoptate în cadrul ședinței de astăzi persoanelor și organismelor menționate în rezoluții. Următoarea perioadă de sesiune va avea loc între 5 și 8 octombrie 2026 la Strasbourg. I want to thank all the parliament staff, interpreters, ushers, workers, assistants, officials, parliamentarians, down to everyone making this parliament work, and really thank you for your work.
Sesiunea Parlamentului European se suspendă. Ședința este închisă.