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Health ‘Brexternalities’: The Brexit effect on health and health care outside the UK

Hervey, T. ORCID: 0000-0002-8310-9022, Antova, I., Flear, M. , McHale, J., Speakman, E. & Matthew, W. (2021). Health ‘Brexternalities’: The Brexit effect on health and health care outside the UK (City Law School research paper 2021/04). London, UK: The City Law School.


The principal effects of Brexit on health and health care will fall within the United Kingdom, and all forms of Brexit have overwhelmingly negative implications for health care and health within the UK. This article focuses on the external effects of Brexit (‘Brexternalities’) for health and health care. The EU is a particularly powerful institutional and legal arrangement for managing economic and political externalities, in health policy as in any other policy. Equally, when a state leaves the EU, the manner of leaving will result in better or worse management of relevant externalities. ‘Brexternalities’ thus involve questions about policy legitimacy and accountability. Health ‘Brexternalities’ do not fall equally in all EU countries. They are felt more distinctly in the context of those elements of health policy that are most closely entwined with the UK’s health policy: for instance, on the island of Ireland; certain areas of Spain and other parts of southern Europe. Some health ‘Brexternalities’, such as in medicines safety, will be imposed on the whole population of the EU. And some health ‘Brexternalities’, such as communicable disease control, will be felt globally.

Publication Type: Monograph (Working Paper)
Additional Information: Copyright: The Author (2021)
Publisher Keywords: European Union, health policy, Brexit, health and trade, health staffing, Northern Ireland, Malta
Subjects: K Law
R Medicine > RA Public aspects of medicine
Departments: The City Law School > Academic Programmes
The City Law School > CLS Working Paper Series
The City Law School > Institute for the Study of European Laws
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