Note on Lancet’s pro­po­sal to make health­ca­re fit for war at EU level

Note on Lancet’s pro­po­sal to make health­ca­re fit for war at EU level

04.03.2026 – The Bri­tish medi­cal jour­nal ‘The Lan­cet’ has been in exis­tence for more than 200 years. It is con­side­red a repu­ta­ble publi­ca­ti­on and claims to offer ‘the best sci­ence for bet­ter lives’. 

Howe­ver, in the 30 Janu­ary issue of this year, we find an alle­ged jus­ti­fi­ca­ti­on for the imme­dia­te crea­ti­on of a ‘Euro­pean Defence Health Agen­cy’ (EDHA), writ­ten by Ste­fa­no Olgia­ti, Nima Heida­ri and Ales­san­dro Dano­vi from the uni­ver­si­ties of Fer­ra­ra and Ber­ga­mo in Ita­ly and Târ­gu Mureș in Roma­nia.

Accor­ding to the aut­hors, this agen­cy is to be model­led on the US Defence Health Agen­cy. The US Defence Health Agen­cy is an inte­gra­ted sys­tem that pro­vi­des medi­cal ser­vices for US sol­diers, reti­rees and their fami­lies, ope­ra­tes mili­ta­ry hos­pi­tals, cli­nics, etc., and aims to ensu­re a medi­cal­ly ope­ra­tio­nal armed force. 

The mis­si­on and focus of the EDHA should be to coor­di­na­te health­ca­re, medi­cal trai­ning, public health, part­ner­ships with the pri­va­te sec­tor, rese­arch and deve­lo­p­ment, as well as the direct pro­vi­si­on of care to mili­ta­ry hos­pi­tals and cli­nics and the pro­vi­si­on of care in the pri­va­te sec­tor. In order to achie­ve the­se goals, inte­gra­ti­on bet­ween the natio­nal health ser­vices and the defence estab­lish­ments of the Mem­ber Sta­tes is neces­sa­ry.

The aut­hors see the ‘ratio­na­le’ for this pro­po­sal sim­ply as the fact that the EU fol­lo­wing war­nings from Mark Rut­te and pres­su­re from the US, is incre­asing­ly coor­di­na­ting the defence efforts of its 27 Mem­ber Sta­tes by adop­ting the ReArm Euro­pe Plan/Readiness 2030, the Euro­pean Defence Indus­try Stra­tegy and the Euro­pean Defence Indus­try Pro­gram­me. 

Ins­tead of exer­cis­ing scep­ti­cism as sci­en­tists and medi­cal pro­fes­sio­nals and rigo­rous­ly and tho­rough­ly exami­ning the jus­ti­fi­ca­ti­ons for all the­se plans – and offe­ring well-foun­ded cri­ti­cism – the aut­hors of this paper seem sim­ply to want to go along with the cour­se of mili­ta­ri­sa­ti­on in order to be at the fore­front.

‘In indi­vi­du­al EU count­ries – abo­ve all in Ger­ma­ny – we are alre­a­dy see­ing a mas­si­ve mili­ta­ri­sa­ti­on of socie­ty and the health care sys­tem, which can be imple­men­ted lar­ge­ly uncri­ti­cal­ly,’ says Juli­us Pop­pel, co-chair of the vdää*. “Now we are con­fron­ted with the next level of this poli­cy, with the demand for EU-wide mili­ta­ry coor­di­na­ti­on of the health care sys­tem. Ins­tead of using its 200 years of expe­ri­ence and sci­en­ti­fic exper­ti­se to expo­se the­se efforts as obvious­ly eco­no­mic­al­ly moti­va­ted and to rai­se its voice for diplo­ma­cy, dis­ar­ma­ment and peace, The Lan­cet is making its­elf the lackey of the war­mon­gers,” Pop­pel con­tin­ued.

We, on the other hand, must inten­si­fy our anti-war acti­vi­ties and work with our col­le­agues in Euro­pe to do ever­y­thing we can to pre­vent fur­ther escala­ti­on and stop the cur­rent wars.

Dr. Nad­ja Rako­witz, Press spo­kesper­son for the vdää*

×