Точно преди една година Съдът на ЕС (СЕС) се произнесе и потвърди досегашната дефиниция за „публичноправна организация“ в българското законодателство. В резултат на това европейското законодателство не изисква включване на частните лечебни заведения в обхвата на режима за обществени поръчки. Вместо да се вслушат в мъдрото решение на СЕС, Европейската комисия …
More »Как Швеция надвива проблемите на тютюнопушенето
Тютюнът остава водеща причина за предотвратими смъртни случаи, както и за години живот с влошено здраве и загубени години поради преждевревенна смърт (DALY), в световен мащаб. Въпреки че в глобален мащаб нивата на употреба на тютюневи изделия намаляват, между държавите в ЕС има съществени разлики. През 2019 г. процентът на …
More »Populism is attacking: what else can we nationalize to make it (slower) for us?*
It is not private hospitals that need the reins of the Public Procurement Act, but state hospitals that need the freedom of the market. "The more the state 'plans', the more difficult it becomes for the individual to plan." Friedrich Hayek The Court of Justice of the European Union (CJEU) has now finally decided the question of the scope of the Public Procurement Directive and the definition of "public law ...
More »Guns vs. Oil: Balancing Defense and Healthcare Spending Since 1945
In the area of public finances, the classic "guns versus oil" dilemma - choosing between military might and social welfare - has long been at the heart of budget debates. Over the past 80 years, governments around the world have allocated trillions to both defense and health, but not always to the same extent. In …
More »Opinion on proposals for the nationalization of private medical institutions
In connection with the political attempts to nationalize private entities in the face of private medical institutions in Bulgaria, the EKIP submitted a statement regarding a draft law that aims to oblige private hospitals to hold tenders for medicinal products within the meaning of the Public Procurement Act. The amendments proposed by a group of MPs in …
More »Is our market crooked, are our hospitals "state-owned"? How the IME fact check misses the practice of the CJEU and the analysis of the EKIP
In an attempt to viciously defend the thesis that private hospitals must conduct public procurement because they are “public law organizations” according to the Public Procurement Act and Directive 2014/24, the IME misinterprets the practice of the CJEU and conveniently omits the only comprehensive analysis of its kind in Bulgaria by the EKIP on the topic. We cut stones because we build, …
More »The new decision of the Court of Justice of the EU is a victory for private hospitals in Bulgaria
The Court of Justice of the European Union (CJEU) confirms the current definition of a “public body” in Bulgarian law. As a result, European law does not require the inclusion of private medical institutions in the scope of the public procurement regime. The reasoned ruling of the CJEU emphasizes the right of Bulgaria to adapt its legislation to its needs and local specificities. …
More »Patient access to antirheumatic medicinal products
|Read the full text of the analysis at this link| The analysis examines the challenges of access to medicines for the treatment of rheumatic diseases and the associated socio-economic consequences in Bulgaria. Based on data on the number of health insured persons, the costs of outpatient and clinical procedures, as well as the number of lost working days, we highlight …
More »Does the European Commission measure Bulgaria with double standards?
Recently, the topic of public procurement of medicines at private medical institutions has once again gained media coverage. With the start of the new political season, internal pressure for action has increased, and the influence of the European Commission remains unsubstantiated and creates the feeling of dubious goals and double standards. This naturally leaves an interesting aftertaste …
More »Private medical institutions in Bulgaria and Directive 2014/24
|Full text of the analysis| EKIP prepared the first of its kind in Bulgaria public comparative legal analysis and impact assessment in relation to the transposition of Directive 2014/24 on public procurement in relation to private healthcare institutions in Bulgaria and the EC's criminal procedure against Bulgaria on this occasion. Here is part …
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EKIP– Expert Club for Economics and Politics A Different Opinion