Taking the Temperature: A Survey of the EU Law on Competition and State Aid in the Healthcare Sector
Tilburg Law and Economics Center (TILEC); Dutch Healthcare Authority; Tilburg Law School
Johan van de Gronden
Radboud University Nijmegen
November 4, 2010
TILEC Discussion Paper No. 2010-038
Tilburg Law School Research Paper No. 05/2011
As the healthcare sector grows in significance due to social and technical developments the EU competition rules are likely to be more frequently applied to healthcare both as a result of the broad interpretation of the concept of undertaking and because the applicable antitrust rules are since modernisation also applied at Member State level. At the same time there is so far little guidance regarding the manner in which the substantive rules must be applied. This problem is less serious concerning state aid where the beginnings of a framework exist, in particular in the form of the Altmark test and the services of general economic interest (SGEI) concept, and where enforcement remains largely centralised in the hands of the Commission. We plead for a broader application of SGEI and of the legitimate objective test that is found in Wouters and Meca-Medina. In particular we advocate providing guidance by means of a soft law approach within the European competition network (ECN).
Number of Pages in PDF File: 35
Keywords: EU competition law, healthcare; healthcare and EU law, case law, Court of Justice, General Court, antitrust, merger control, state aid, services of general economic interest, SGEI, internal market
JEL Classification: I0, I1, K 21, K32, L4
Date posted: November 5, 2010 ; Last revised: April 19, 2011
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