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EHRA Summit 2014

The end of the European welfare state


The EHRA Summit was held on the 25 - 26 March 2014 at the European Heart House in Sophia Antipolis (FR).

The Spring Summit was specifically dedicated to the 56 European ESC Countries.
The Affiliated Societies of the ESC will have their own dedicated Summit in 2015 and will be kept updated in due time. 


Report from Professor Richard Sutton

The EHRA Summit of 2014, on March 25th and 26th, has addressed 'The end of the welfare state' and the future of funding healthcare, medical research and medical education.

Professor Karl-Heinz Kuck, President of EHRA, and Professor Christophe Leclercq, Secretary of EHRA, brought together a unique group of prominent speakers on the subject including a British parliamentarian, a hospital administrator from France, a leader of a physician group which owns and runs two hospitals in Germany, a physician hospital administrator from Spain, a Greek healthcare economist, a German Health Insurance Company spokesman, the Chief Executive Officer of the ESC, many representatives of device manufacturers and a substantial number of interested physicians with in-depth knowledge of these subjects.

The fourteen hours of presentation, discussion and debate were very informative.
The assembled group concluded that the welfare state is not at an end but that vast changes are affecting our patient care, research and the education of our trainees and will continue for the foreseeable years.

We must adapt the conduct of our affairs in order to survive. We learnt that physicians in Sweden have been excluded from participating in the planning of the future of healthcare in that country.
In order to protect ourselves we will need better representation and we will be obliged to employ lobbying to present our views and ultimately to preserve patient care in the ethical way we wish to deliver it.

The new laws affecting involvement of the Industry in training and education will be very prejudicial to what we have constructed together with them. Governments must be persuaded that there has been much good in this cooperation and if it is to be destroyed new funds and processes must be found to replace it.

We will achieve more by cooperation than confrontation. It was clear that the changes in the welfare state are very different from one European state to another but there is a common theme and a strong role for EHRA in the future must be to provide an umbrella for physicians in each country by means of which negotiation can take place.

This Summit has for the first time brought all stakeholders in the welfare state together to debate freely, thus offering a platform for further development of the way we physicians must cope with the on-coming changes affecting us all.

As Professor Kuck, himself, concluded medicine is fun because it is an intellectual challenge that results in being able to help suffering people. We must always remember this in our practice of medicine however it is influenced by bureaucracy.

A report on the 2014 Summit was published in EP Europace.

The end of the European welfare state

Day 1: 25 March 2014  

13:45 Welcome and Presentation of the board and the different committees Karl Heinz Kuck
14:00 Review of EHRA activities Angelo Auricchio
14:15 Agenda and objectives of the EHRA Summit Christophe Leclercq
The Sunshine act : Moderators : Tom de Potter - J.Luis Merino

14:25 Necessity or witch-hunt? Aline Lautenberg
14:45 Round Table Moderators, Ms Aline Lautenberg, Mr Chauvineau (Boston), Ms Isabelle Richard Lordereau (BMS)


The end of the welfare state: Is is a reality in European countries? 

Moderators: G. Boriani - H. Puererfellner

The view of the physicians:

15:00 Germany Christopher Piorkowski
15:05 Spain Jose Luis Merino
15:10 England John Camm
15:15  Poland Andrzej Lubinski
15:20  Sweden Carina Blomström-Lundqvist 
15:25    Discussion


The end of the welfare state: The view of non-care professionals.
Moderators : Christian Elsner  -  Prof Gregory Lip
15:40 The end of the welfare state: The view of the economist Nikos Maniadakis
16:00 The end of the welfare state: The view of the health insurance system  Christian Wehner
16:40  Round Table with the moderators, the speakers, Prof. Bela Merkely, Prof Jean-Claude Deharo (President of the French Working Group)  


The end of the welfare state: The view of non-care professionals.
Moderators: G. Hindricks - Karl Heinz Kuck
17:30 The end of the welfare state: The view of the European manufacturers Dr Böhmer
17:45 The end of the welfare state: The view of the American manufacturers
 18:00 Round Table with the moderators, the speakers, Mr De Lullo (Sorin), Ms Thomitzek (Bayer)  


The end of the welfare state: Education & Research
Moderators: Marek Malek - Haran Burri

18:15 Education: A new area? Gerhard Hindricks
18:30 Research: Endangered species?

Cecilia Linde
Paul Volders
19:10 Roundtable Moderators & speakers: Barbara Casadei,  Geneviève Derumeaux & Mr Jorge Caria (Boehringer)


Day 2: 26 March 2014

The end of the Welfare state: Which impact on the relationships between physicians and hospital administrations?
Moderators : Angelo Auricchio,
08:45 Public Hospital Veronique Anatole-Touzet
09:00  Private Hospital

Francisco Javier Parra Jimenez
Round table 2 Moderators, 3 Speakers, Alpons Vincent (Medtronic), Greet Vanden Eyde (Biosense),

Moderator : Karl-Heinz Kuck
10:10 Reforming the welfare state: The Parliamentarians view Lord Kakkar

Our investments in scientific societies: Still free of charge?
Moderators: Geneviève Derumeaux- Katja Zeppenfeld

10:30 Example of Germany Christopher Piorkowski
10:40 Example of Switzerland Christian Sticherling 
10:50 Example of Slovakia Robert Hatala
11:00 The View of the CEO  Isabel Bardinet
11:20 Round table with the moderators and the speakers   
11:40 ICD for Life Robert Hatala
12:00 EHRA EUROPACE Cardiostim 2015 Cecilia Linde
12:15 Closing Remarks Karl Heinz Kuck