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Opportunities for Cooperation between Estonia and ... - Valitsus

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APPENDIX 11<br />

COOPERATION IN SOCIAL WELFARE AND HEALTH CARE<br />

In order to respond to the challenges presented by globalization, we need a<br />

competitive economy <strong>and</strong> a healthy <strong>and</strong> caring society. High-st<strong>and</strong>ard social<br />

<strong>and</strong> health care services may well offer a significant regional edge in worldwide<br />

competition. The lowering of borders <strong>between</strong> <strong>Estonia</strong> <strong>and</strong> Finl<strong>and</strong> will continue<br />

to increase the mobility of labour, migration <strong>and</strong> other interaction. As the<br />

nation state in the strict sense of the word no longer exists, the challenges <strong>and</strong><br />

problems concern us all.<br />

<strong>Cooperation</strong> in social <strong>and</strong> health care services is important to <strong>Estonia</strong>n-Finnish<br />

integration. Joint projects to prevent <strong>and</strong> treat the common national diseases<br />

(such as cardiovascular diseases) would benefit both parties. Additionally,<br />

specialization in the treatment of rare diseases should be considered. There<br />

is a clear need <strong>for</strong> closer cooperation in the prevention of communicable<br />

diseases. Also, cooperation <strong>between</strong> NGOs across the Gulf of Finl<strong>and</strong> is of<br />

great importance.<br />

To respond to the problems caused by alcohol, tobacco <strong>and</strong> drugs, <strong>Estonia</strong><br />

<strong>and</strong> Finl<strong>and</strong> have harmonized their practices <strong>and</strong> looked <strong>for</strong> ways of managing<br />

the problems together. Positive results have been achieved through these<br />

ef<strong>for</strong>ts, such as the suppression of the illegal trade in Subutex pills. This area<br />

of cooperation is of a permanent nature <strong>and</strong> needs to be intensified on an ongoing<br />

basis.<br />

As far as health care training is concerned, <strong>Estonia</strong> <strong>and</strong> Finl<strong>and</strong> have relied on<br />

each other <strong>for</strong> a long time. Unharnessed potential most likely exists both in this<br />

area <strong>and</strong> in medical research. Health care personnel should be encouraged to<br />

learn the language of the neighbouring country. It would facilitate the mobility<br />

of labour <strong>and</strong> help transfer best practices across the Gulf of Finl<strong>and</strong>.<br />

Problems in the social <strong>and</strong> health care sectors are increasingly international in<br />

nature. Adopting a common policy within the European Union in this area is of<br />

great importance. <strong>Estonia</strong> <strong>and</strong> Finl<strong>and</strong> could together place greater emphasis<br />

on the Northern Dimension Partnership in Social Wellbeing <strong>and</strong> Health.<br />

A common challenge facing European societies is the ageing of the population<br />

due to increased life expectation <strong>and</strong> low birth rates. The natural increase in<br />

Finl<strong>and</strong>’s population will come to a halt in the 2020s. The economic dependency<br />

ratio has already started deteriorating. The share of people 65 or older, currently<br />

55

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