EUHealthGov with Julidè Mayer: Mapping EU health policy relations with neighbouring third countries
On 06 November 2025, EUHealthGov hosted Julidè Mayer for a webinar exploring the EU relations with neighbouring third countries in the area of health. Julidè Mayer is a second-year MPH student in Global Health Management and Policy at the University of Michigan School of Public Health, and has been researching EU cross-border regional cooperation in health. Over the summer 2025, she held a visiting researcher position at City St George’s, University of London, where she was co-hosted at the Department of International Politics and the Law School.
In her talk, Julidè presented the findings of the research project. The aim of the project was, first, to map EU relations with different types of third countries (selected EFTA members and accession states, as well as the UK) using the WHO health systems building blocks framework to assess different areas of health governance and identify distinct cooperation models. Secondly, the instruments characterising those models were analysed along a set of criteria developed by Dayan and Hervey (2024): the extent to which they are formal or informal; narrow or broad; technical or political; and whether they are oriented towards trade or security.
The findings highlight the multifaceted nature of EU relations with third countries, challenging assumptions of homogeneity in external relations, and underscoring the complexity of health and healthcare governance. As a common thread, we could see that relations with EEA countries (Iceland and Norway) showed the deepest level of integration, with broad, formal and technical cooperation covering both trade and security elements. Relations with accession states were marked by a clear power asymmetry, wherein the EU plays a capacity-building role intended to support the aspiring member to meet the EU’s requirement in a highly formalised setting. The relation between the EU and Switzerland, as well as EU-UK relations on the other hand, are much more reflective of the outcomes of political negotiations relating to narrowly delimited issues, with the emergence of what Mayer described as a UK-EU ‘legacy model’ and Switzerland’s relationship reflecting specific and bespoke outcomes of decades of negotiations.
Of particular interest in the Q&A discussion was the ‘health data and information’ category, which was an outline where no clear cooperation model could be identified. Several points were raised, both by Julidè and audience members, on why establishing systematised cooperation in health data may be more difficult than in other areas such as health workforce or service delivery. Data protection is a particularly politically sensitive area at domestic levels in many member states, and one in which the EU has always tended towards a precautionary approach. Sensitivities may be exacerbated in the context of the rising prominence of generative AI. Health data is also of particular relevance to health security, notably through epidemiological surveillance and preparedness monitoring. With each health crisis, the EU is becoming more and more involved in health security governance, while at the same time, the securitisation of health in a geopolitically unstable global context also represents a barrier to cooperation.