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248 Economic <strong>crisis</strong>, <strong>health</strong> <strong>systems</strong> <strong>and</strong> <strong>health</strong> in Europe: country experience<br />

in 2002–2003. Some of the downturn was attributable to the downturn in the<br />

global <strong>economic</strong> cycle <strong>and</strong> much lower rates of export growth in 2001–2003<br />

(exports accounted for 70% of GDP in the Netherl<strong>and</strong>s in 2000). Private<br />

consumption fell in real terms in 2003 <strong>and</strong> investment fell in both 2002 <strong>and</strong><br />

2003 (Economist Intelligence Unit, 2008). From 2005, the <strong>economic</strong> recovery<br />

gathered pace until the start of the global <strong>economic</strong> <strong>crisis</strong> in 2008 (Schäfer<br />

et al., 2010). Most of the acceleration between 2005 <strong>and</strong> 2008 resulted from<br />

increased domestic dem<strong>and</strong> (Economist Intelligence Unit, 2008). Growth in<br />

GDP became negative in the fourth quarter of 2008 <strong>and</strong> this trend continued<br />

until the end of 2009 (Table 8.1).<br />

In 2009, exports declined sharply (Table 8.1) as the transport <strong>and</strong> trade services<br />

sectors, the main pillars of Dutch exports, were harmed by the global <strong>economic</strong><br />

slowdown. The housing market collapsed as banks tightened their lending<br />

criteria for new mortgages, <strong>and</strong> households postponed or cancelled buying new<br />

homes. With falling house prices, many households found themselves with<br />

mortgages exceeding the value of their houses <strong>and</strong> decreased their consumption<br />

(individual savings have been negative since 2003). Almost half of the decrease<br />

in private consumption can be attributed to the effect of falling house prices<br />

(Social <strong>and</strong> Economic Council, 2013). It is worth noting here that since the<br />

early 2000s, as a consequence of very lax mortgage lending since the 1990s,<br />

Dutch households had the highest level of long-term debt in the Eurozone<br />

(Social <strong>and</strong> Economic Council, 2013). Households were also affected by the<br />

decline in real wages (since 2010) <strong>and</strong> an increase in unemployment (during<br />

2009 <strong>and</strong> from mid-2011 onwards). Business investments declined not only<br />

because of reduced (re)export volumes, but also as a consequence of political<br />

measures, such as cuts to government spending on defence <strong>and</strong> the arts <strong>and</strong><br />

in the budgets of municipalities <strong>and</strong> provinces (from 2010). Later, in 2012,<br />

measures such as the so-called <strong>crisis</strong> levy applied to incomes over €150 000 per<br />

year <strong>and</strong> an increase in VAT suppressed <strong>economic</strong> activity further.<br />

1.2 Government responses to the <strong>crisis</strong><br />

Between 2008 <strong>and</strong> 2011, the government took special measures to support<br />

businesses <strong>and</strong> the banking sector struggling with the fallout of the financial<br />

<strong>crisis</strong>. Almost €6 billion was provided by the central government <strong>and</strong> a further<br />

€1.5 billion by the provinces <strong>and</strong> municipalities to enable businesses to reduce<br />

the working hours of their employees (shift to part-time employment), avoid<br />

lay-offs <strong>and</strong> retain skilled workers (with the idea of employing them again fulltime<br />

when the <strong>economic</strong> situation improved). In 2008, the government took<br />

over Fortis Bank Nederl<strong>and</strong>, including parts of ABN AMRO. It also allocated<br />

€20 billion to strengthening capital reserves in the banking <strong>and</strong> insurance<br />

sectors, with the ING Group being the first bank to receive such a capital

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