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Ways Ethical Refugee Policy in Europe Is Resisting Politicization

Ethical Refugee PolicyIn recent years, the link between migration and political agendas has intensified across the European Union (EU). However, humanitarian organizations and public institutions are increasingly defending ethical refugee policy in Europe. While several political parties frame migration as a security threat or economic burden, a growing coalition of NGOs, civil society actors and EU bodies are working to ensure that refugee protection and global development remain grounded in human rights and solidarity. Their efforts challenge the politicization of asylum and reinforce Europe’s longstanding commitment to ethical international cooperation.

NGOs Defending Asylum Rights

Organizations like Sea-Watch have taken a frontline role in rescuing migrants at sea and advocating for their rights. Based in Germany, Sea-Watch conducts search-and-rescue operations in the Mediterranean and has consistently opposed efforts to criminalize such missions. The organization has also filed legal actions and partnered with legal advocacy groups to challenge EU migration policies undermining asylum rights. Its operations saved more than 1,400 people in 2023 alone, underlining the continuing need for humanitarian intervention at sea. Sea-Watch’s operations exemplify how ethical refugee policy in Europe is practiced on the ground.

Another prominent group, Caritas Europa, represents a wide network of Catholic charities and operates in 46 European countries. Caritas advocates for fair and well-funded asylum systems and recently launched campaigns urging the EU to safeguard refugee services amid budget reallocations. In its 2024 statement, Caritas emphasized the need for migration policies that are “humane, sustainable and based on solidarity.” The organization also directly serves, offering shelter, education and mental health support to asylum seekers across Europe.

The European Council on Refugees and Exiles (ECRE) also plays a key advocacy role at the institutional level. The organization releases policy papers and legal analyses to influence EU asylum directives and budget allocations. ECRE’s 2023–25 Strategic Plan openly criticizes EU externalization policies, which aim to outsource asylum responsibilities. It argues that these efforts are attempts to evade legal obligations under EU and international law. This position is reaffirmed in its 2024 Annual Report, which urges full compliance with the new Asylum Pact while firmly rejecting externalization schemes.

Parliamentary Oversight and Ethical Review

Beyond civil society, EU institutions have played a growing role in reviewing the ethical use of aid in migration deals. In late 2023, the European Ombudsman opened an inquiry into the European Commission’s agreement with Tunisia, which allocated more than $1 billion to limit departures from North Africa. The investigation was launched in response to concerns raised by rights groups about the treatment of sub-Saharan migrants under this deal.

Human Rights Watch and Médecins Sans Frontières reported widespread abuse at Tunisia’s southern borders, including forced expulsions and denial of humanitarian assistance. The Ombudsman called for greater transparency in how development funds are used. It emphasized that EU values must be upheld even in external partnerships. The European Parliament has also debated the appropriateness of tying foreign aid to migration control. Several Members of the European Parliament (MEPs) have called for preserving aid’s primary purpose: supporting health, education and poverty reduction in developing nations.

This debate intensified after reports from organizations like Statewatch and ECRE raised alarms about the growing share of development funding being diverted toward border control efforts. Although no formal resolution has been adopted recently, parliamentary discussions have increasingly highlighted the need for aid transparency, ethical oversight and alignment with the EU’s human rights obligations. Such institutional pushback reflects the importance of maintaining ethical refugee policy in Europe amid rising populism.

National Models for Ethical Refugee Policy

Some EU member states have adopted policy approaches that maintain a humanitarian lens on refugee issues. These country-specific efforts highlight how ethical refugee policy in Europe can be implemented at the national level despite broader EU political tensions. Portugal, for example, significantly increased its resettlement quota under the EU Resettlement Program, welcoming more than 1,000 refugees in 2019 alone.

Unlike other member states, Portugal has not made refugee intake conditional on repatriation agreements or aid cuts. The government has invested in long-term integration, offering language training, job placement services and access to public education for all registered asylum seekers. Sweden and Finland have also introduced digital literacy and mental health support into their refugee resettlement programs, recognizing the importance of holistic approaches to integration.

In Sweden, asylum seekers are granted early access to psychological services and school enrollment even while awaiting case decisions, a model praised by the UNHCR for reducing long-term dependency.

Restoring the Purpose of Development Aid

Critics of the politicization of aid argue that diverting funds from poverty alleviation to border enforcement undermines long-term global development goals. According to the Statewatch NGO, as of 2025, 14% of the EU’s NDICI-Global Europe budget (worth more than $80 billion) is allocated to migration and border management, well above the initial 10% target. This shift risks deprioritizing sectors like health care, climate resilience and education, foundational to reducing poverty.

In contrast, organizations like Oxfam and the International Rescue Committee (IRC) have advocated for aid that addresses the root causes of displacement, such as conflict and inequality. In its 2024 position paper, IRC recommended rechanneling funds toward early warning systems, peace-building initiatives and local economic development programs.

The Development Assistance Committee (DAC) of the Organization for Economic Cooperation and Development (OECD) also warned that conditioning aid on migration cooperation could erode donor credibility and weaken global solidarity. In a 2025 advisory, the DAC urged donor countries to recommit to aid effectiveness principles that prioritize need over negotiation.

Maintaining a Humanitarian Vision

As debates around refugees and European politics continue, the work of NGOs, oversight institutions and reform-minded governments illustrates a counter-current to the politicization of aid. Their efforts demonstrate that development funds can remain focused on poverty alleviation, rather than becoming bargaining chips in migration negotiations.

Challenges persist, including rising anti-immigrant sentiment and electoral pressures. Nonetheless, defenders of ethical refugee policy in Europe continue to offer a roadmap for preserving the integrity of refugee protection and sustainable development. In doing so, they reinforce the principle that support for displaced people should not be dictated by political cycles, but by shared commitments to human dignity and international solidarity.

Continued advocacy, public education and cross-border collaboration will ensure that European policies align with the continent’s humanitarian values.

– Ray Bechara

Ray is based in Glasgow, Scotland and focuses on Politics for The Borgen Project.

Photo: Pexels

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Catalonia’s UBI Program: A Bold Strategy for Poverty Reduction

Catalonia’s UBI ProgramIn 2024, Catalonia launched one of Europe’s most ambitious Universal Basic Income (UBI) initiatives. The year 2025 marks the first full year of its UBI pilot program, with 5,000 residents receiving unconditional monthly payments of $906 for adults and $400 for children. Catalonia’s UBI program reflects a growing interest in new economic security solutions across Europe. It aims to reduce poverty while improving mental health and employment flexibility.

The Government of Catalonia tasked the Office of the Pilot Plan for UBI with managing the two-year experiment. The team selected the 5,000 participants from two groups: 2,500 randomly chosen across Catalonia and 2,500 residents of two lower-income villages. The pilot aims to assess the effects of unconditional cash distributions on various social and economic outcomes, which do not replace any existing benefits. This approach allows for a comparative analysis to determine the true efficacy of unconditional income in improving social and economic conditions.

Results Are Yet To Be Seen

The Catalan government has not released any official outcome data. A comprehensive evaluation of Catalonia’s UBI program will occur in 2026 when researchers assess income changes, employment, health and well-being across recipients and a designated control group. Sociologist Sergi Raventós, who initially implemented the program, emphasized, “This is the first time something like this has been done anywhere in the world.”

In an interview with InfoLibre, Raventós spoke about his belief that UBI should serve as a central redistributive tool for the 21st-century welfare state. He has also previously stated that recipients of UBI often report lower stress and greater freedom to make meaningful life decisions. Results from other UBI programs back up this assertion. However, given the novelty of Catalonia’s pilot program, such results remain impossible to predict before the release of official data.

Learning From Global Examples

Catalonia’s UBI program builds on lessons from earlier UBI trials around the world. From 2017 to 2018, Finland tested a UBI pilot that gave 2,000 unemployed people $635 monthly. Although the funds didn’t significantly impact employment rates, participants experienced reduced anxiety, higher life satisfaction and increased confidence. Many used the income to invest in personal projects, such as starting businesses, volunteering or focusing on education.

Similarly, in the United States, the SEED program in Stockton, California, gave 125 people $500 per month for two years. Recipients found full-time jobs at double the rate of non-recipients and reported improved emotional health. These findings suggest that UBI can enhance well-being, even without major effects on employment outcomes.

However, Catalonia’s pilot program is unique in its effort’s scale and duration. The program includes a larger sample size, higher monthly payments and a design that reaches urban and rural communities. The Catalan team is also collaborating with academics to ensure rigorous evaluation to help determine whether UBI improves recipients’ quality of life across various metrics.

Implications for Global Poverty Strategy

The results of Catalonia’s UBI program may likely influence poverty policy across the globe. Governments in South Korea, Kenya and Brazil have also explored unconditional payments, though few programs match Catalonia’s scope.

The Catalan program’s results will provide more substantive data on whether direct cash support helps people escape cycles of low-income instability. As cost-of-living crises grow worldwide, Catalonia’s experiment could change how countries think about poverty, security and the role of government in economic planning and dignity.

– Kelsey Eisen

Kelsey is based in San Francisco, CA, USA and focuses on Business and Politics for The Borgen Project.

Photo: Flickr

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The Impact of Losing Third Places in Europe

Third Places in EuropeThird places are vital social spaces between work and home – offering individuals a sense of engagement, interaction and community. The popularity and availability of third places in Europe have faded with the rise of social media and the gentrification of inner-city neighborhoods. As one of the key frontiers providing local community touchpoints, third places support the well-being of individuals, especially those living or at risk of being near the poverty line.

A Recent History of Third Places in Europe

Third places are social sites such as cafes, community centers and neighborhood environments, including local parks, sports grounds and places of worship. They have existed for centuries in human populations and the rise of the coffee house during the 17th Century is a popular example of third places in Europe. The COVID-19 pandemic saw the closure of local hang-out spots and widespread social distancing measures. The closures led to the permanent shutting of many local small businesses and a loss of community centers hit by significant funding cuts. As a result, critical spaces where people could engage in social interaction were lost.

Moreover, gentrification has only exacerbated a loss of inclusive third places in Europe. The process of gentrification in popular tourist and financial cities is transforming once-vibrant community areas into spaces of exclusion. For example, tourism-driven gentrification in Barcelona’s El Raval and Barceloneta neighborhoods led to increased rents, pushing out established local businesses or forcing them to adapt to tourist preferences. The accompanying social networks fostered in these spaces quickly dissolved.

Similarly, gentrification in Stockholm created “filter bubbles” and left low-income neighborhoods, often plagued by high levels of youth gang violence, without sufficient investment in social spaces for youth to develop away from the influence of gang activity and recruitment. While co-working spaces as “third places” in Mediterranean countries are on the rise, these are artificial spaces prioritizing productivity and professional networking rather than fostering meaningful, work-free social interactions. Co-working space identification as “third places” may be a more prominent symptom of a growing societal tendency to value individuals based on economic contribution rather than emotional well-being.

Social Media and the Cost of Third Places

The rise of virtual third places, especially social media, has contributed to the erosion of physical third places and the developmental process of learning social interaction. While social media platforms have created virtual connection spaces, they cannot replace the face-to-face interactions essential for community engagement and mental health. According to the Cigna Loneliness Index, Gen-Z, despite being the most digitally connected generation, reports the highest levels of loneliness.

Additionally, many third places are becoming increasingly expensive to frequent. For example, in London (U.K.), coffee prices have surpassed $6 in many establishments, making cafes and paid social spaces too expensive for regular visits in times of falling disposable incomes.

Mental and Physical Health Impacts

The role of third places in Europe is essential. The spaces are associated with improving quality of life, well-being and health. Third places provide crucial opportunities for social interaction. For instance, using third places (such as cafes) has been shown through multiple studies to improve how older adults can participate in society by providing informal support networks and social relationship-building to help combat cognitive decline and symptoms of depression later in life. The role of third places in combating loneliness is vital – with loneliness potentially cutting lives short by 15 years.

Third places in Europe also play a key role in helping mitigate poverty. Poverty is a multidimensional issue; however, social exclusion is both a determinant and by-product of some people’s realities of living in poverty. Without accessible third places, individuals living in poverty are more vulnerable to social exclusion, which further exacerbates their economic and mental health challenges.

Future Cities

For those living near the poverty line, access to these third places remains crucial for mental and physical health, as well as for preventing social exclusion. In the face of gentrification, digital spaces and rising costs, there is a pressing need for policies that prioritize creating and preserving accessible third places in Europe and its cities.

– Autumn Joseph

Autumn is based in London, UK and focuses on Business and Global Health for The Borgen Project.

Photo: Pixabay

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Europe’s Efforts on Heat Wave Crisis

Europe's efforts on heat wave crisisSince July 2022, Europe has been going through severe heat waves. In the United Kingdom, temperatures hit over 40 degrees Celsius, leading to at least 1,500 heat-related deaths and becoming the highest recorded in the country’s history. Europe’s efforts in the heat wave crisis are tackling devastating fires and negative impacts on the health, energy and economy sectors. In addition to the war in Ukraine and subsequent global economic crisis, heat waves most affect low-income populations.

Economic Impact of Heat Waves in Europe

Europe’s heat waves are occurring in a tense time: The world is still experiencing the coronavirus’ hit to the economy and the ongoing Russia-Ukraine conflict. Europe saw a devaluation in the euro for the first time in 20 years along with skyrocketing inflation.

In Italy, farmers state that they are seeing the worst drought in 70 years. In Germany, a major transportation river’s water level has dropped so low that slow shipping is stalling the supply chain. In France, a major utility company stated that three power reactors could not run at total capacity due to the high water temperatures of surrounding rivers.

Extreme temperatures are leading to wildfires all over the continent and are becoming expensive. In 2019, the World Wildlife Fund reported that Mediterranean countries spend more than $2 million yearly on fire management, about 80% on suppression and only 20% on prevention. The report also notes that growing wildfires negatively impact workers in forestry and land cultivation, and tourism.

Poverty and Heat Waves in Europe

The heat wave, drought and wildfires in Europe have also severely impacted the economy for daily living. Prices soared for basic commodities like wheat, rice, maize, potatoes and beets, which need much water for production. Allianz, a financial services company, reports that food and drink prices have risen by about 14% in European countries since 2021. Calling it “heatflation,” Allianz estimates Europeans will soon pay about $243 more per grocery trip.

Heat waves are exacerbating energy poverty. Skyrocketing costs in energy products and bills most affect low-income households. They often contend with poorly insulated homes, unshaded neighborhoods and a lack of air conditioning access. Consequently, heat waves negatively impact their health.

Europe’s Efforts on Heat Wave Crisis

To combat the heat wave, European countries undertook various actions. In southern France, firefighters are evacuating residents from critical areas and creating fire buffer zones by preemptively burning terrain and cutting down trees.

Portugal asked for European Union assistance, calling on the EU Civil Protection Mechanism, which delivered emergency help for its wildfires. Other nations are working on financial relief plans to help people with rising inflation. In France, the parliament approved a $20 billion relief package, and nongovernment organizations are aiding vulnerable people who lack access to heat-relief facilities.

Despite the scorching temperatures and related deaths, Europe continues these efforts on the heat wave crisis at local and international levels.

– Youssef Yazbek
Photo: Flickr

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Migration to Portugal

Migration to PortugalPortugal, a coastal country known for its colorfully-tiled sunny beach towns, is increasingly gaining a reputation as a destination for migrants looking to work in the European Union. In fact, over the last five years, Portugal’s immigrant population has increased by nearly 70%. In 2020, the number of people that acquired Portuguese citizenship stood at nearly twice that of the previous year. This increase in migration to Portugal stems from the needs of both the country as a whole and the migrants themselves.

The Benefits that Migrants Bring to Portugal

Portuguese citizens, as EU members, have the legal right to both live and work in other European Union countries. This includes countries like Germany and France, which have higher wages and better living conditions than Portugal. As a result, Portugal has a high rate of citizens that emigrate outside of the country, leaving the economy with a need for a replacement labor force.

Not only do migrants remedy the country’s labor shortage but they also bring in tax revenue and contribute to Portugal’s Social Security. Migrants even create jobs by starting businesses of their own, opening grocery stores foreign cuisine restaurants, hair salons and more. This enriches the diversity and vibrancy of the country while stimulating the economy.

What Brings Migrants to Portugal?

To fulfill that basic economic need for labor, Portugal has constructed a legal framework for immigration that is highly beneficial to incoming migrants. In June 2022, Portugal’s minister of foreign and parliamentary affairs announced that the nation would dissolve the quota regime and provide for a six-month work-seeking visa.

Even those without a visa, undocumented migrants, are permitted to apply for work. Once they have secured a job, they can apply for residency. Even “proof of legal entry” requirements in applying for residency status within the country are typically informally lax. Once a resident, migrants can have their families join them and enjoy the same legal status of residency. After five years, a resident can “qualify for a Portuguese passport of their own.” This ease on the path to a passport is a primary perk of migration to Portugal, alluring enough to make up for the relatively low wages offered in the country.

The largest group of migrants in the country are Brazilians, followed by another Portuguese-speaking country, Cape Verde. Both are steeped in poverty, with the most recent estimates of Cabo Verde’s national poverty rate standing at 35% as of 2015. In Brazil, about 27 million people lived under the national poverty line in 2021. With a national poverty rate of 16.2% as of 2019, Portugal offers a gateway out of deeply impoverished communities.

Once a migrant secures a European Union passport, they are free to move toward the wealthy economic core of Europe that draws Portuguese nationals as well, with the promise of higher wages. This allows migrants and their families to pursue opportunities to move toward the higher quality of life they imagined when they chose to leave their homelands.

– Grace Ramsey
Photo: Flickr

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Health Care in Luxembourg

Health Care in LuxembourgLandlocked and located in Europe, the small country of Luxembourg features beautiful landscapes and diverse intercontinental ties. Amidst these features, health care in Luxembourg has been established so there is a plan for all citizens to access the needed tools to stay healthy.

The National Health Fund

Prior to 2008, Luxembourg retained separate health insurance in various sectors as well as the Union of Health Insurance Funds. However, in 2008, these separate institutions joined to create the National Health Fund.

The National Health Fund coordinates the health care system and social security provides funding. People apply for reimbursements for their medical bills after seeking medical care. In other instances, such as prescriptions or charges from the hospital, third parties provide insurance and coordinate directly with the National Health Fund. The individual pays for the remainder of the bill that insurance does not cover. Citizens additionally have the option of private insurance, often offered through employers.

COVID-19 Health Care Response

An evaluation of health care in Luxembourg must include an assessment of the country’s response to the COVID-19 pandemic. This crisis naturally tests the system’s response. Efforts to combat the pandemic included a task force, named Research Luxembourg, that coordinated communication of health information between various research institutions. The Luxembourg Institute of Health also focused on educating the public about ongoing research.

Similarly, Luxembourg remains a member of The Global Fund, which contributes to battling diseases such as AIDS, tuberculosis (TB) and malaria. During the pandemic, Luxembourg donated to the fund to lessen the impact of COVID-19 on already existing programs for AIDS, TB and malaria. Particularly important is the donation’s impact on low-income countries in fighting both COVID-19 and the organization’s prior infectious disease focuses.

Caritas Luxembourg works to reach vulnerable members of the community including youth, migrants and those without a home. During the COVID-19 pandemic, a group of nurses alongside others in the medical network created a program to provide hygiene and health care to Luxembourg’s homeless. These are individuals that might not have access to health care in Luxembourg in the traditional ways.

Current Efforts

Luxembourg fights poverty by making commitments to improve the health of mothers and adolescents. For example, the government offers a birth allowance that mothers apply for after the birth of their child. To receive the allowance, mothers must attend medical examinations for themselves and the child before and after birth.

Furthermore, Luxembourg is a key contributor to the World Health Organization (WHO), ranking seventh in the years 2020-2021. It is a supporter of the WHO Health Emergencies Programme and the Contingency Fund for Emergencies. Finally, Luxembourg provides funding for “Healthier Kosovo” in an endeavor to improve health issues related to air pollution in the environment.

International Health Cooperation

In addition to improvements to health care in Luxembourg, the country prioritizes health in other contexts. The Small Countries Initiative includes Luxembourg. The WHO created this group in 2013 between eight European countries to facilitate communication on reporting health information within their systems and to the public. The members periodically attend meetings to discuss the United Nations Sustainable Development Goals.

Luxembourg also partnered with the United Nations Population Fund (UNFPA), United Nations Children’s Fund (UNICEF) and the WHO to create a program for Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH) in Lao People’s Democratic Republic (PDR). The program aims to improve the health of those listed in its title with the goal to reduce poverty within the country. The program began the third phase in 2022.

In addition to their partnership with Laos PDR, Luxembourg also partners with Burkina Faso, Cabo Verde, Mali, Niger and Senegal in the Universal Health Coverage (UHC) Partnership, according to WHO.

Initiated in 2011, the UHC Partnership connects Luxembourg with a variety of global actors including the WHO, the European Union, Japan and Canada. The organization works to provide assistance in planning systems to facilitate access to health care. It ensures that people receive health care at both an individual and community level. Thus far, the partnership has impacted 115 countries. It also incorporated more than 120 advisors to engage in the dialogue necessary to implement these systems.

For example, in Rwanda, the addition of health posts improved access to health care by decreasing travel time from an average of 95 minutes to 47 minutes to receive services with future goals to further decrease this time.

Luxembourg continues to provide innovative solutions to domestic health care systems as well as improve health abroad. Its solutions contribute to progress in decreasing global poverty through the medium of health.

– Kaylee Messick
Photo: Flickr

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The Untold Story of Russia’s AIDS Epidemic

Russia’s AIDS EpidemicAmid a global pandemic, Russia is fighting a medical war on two fronts; as Russia deals with the spread of COVID-19, Russia’s AIDS epidemic is worsening. As the HIV  infection rate continues to decline in the rest of Europe, the transmission rate of HIV in Russia has been increasing by 10 to 15% yearly. This increase in transmission is comparable to the yearly increase in transmission of HIV in the United States in the 1980s at the height of the AIDS epidemic.

The AIDS Epidemic in Russia

Among other factors, the erosion of effective sexual health education and a rise in the use of opioids has led to a stark increase in the transmission of HIV/AIDS in Russia. The epidemic of AIDS in Russia has received little attention from the Russian Government and the international community, partly because of the nation’s social orthodoxy and the stigma surrounding drug use and HIV/AIDS.

The Silent Spread of HIV

A significant number of Russians infected with HIV are those who inject drugs. Roughly 2.3% (1.8 million) of Russian adults inject drugs, making Russia the nation in Eastern Europe with the highest population of those who inject drugs. Due to the stigma associated with drug use as well as the threat of harsh criminal punishment, few drug users who have been affected by HIV seek treatment. A study from the Society for the Study of Addiction found that in St. Petersburg only one in 10 Russians who inject drugs and are living with HIV currently access treatment.

A large part of the stigma surrounding AIDS in Russia comes from the return of traditionalism to the Russian government following the election of Vladamir Putin in 2012 and the strong connection between the traditionalist Russian Orthodox Church and the Russian Government. The Orthodox Church, in particular, has blocked efforts to instate sex education programs in schools and campaigns to give easier access to safe sex tools like condoms. While methadone is used worldwide to treat opioid addiction to lower the use of drug injection and therefore HIV transmission, the Russian Government has banned methadone. Any person caught supplying methadone faces up to 20 years in prison.

HIV During the COVID-19 Pandemic

Studies conducted during 2020 have shown that Russians living with HIV and AIDS have faced difficulties in accessing treatment. According to UNAIDS, 4% of Russians living with HIV reported missing medical treatment due to the pandemic and roughly 30% of respondents reported that their treatment was somehow impacted by the pandemic.

The same study found that HIV-positive Russians had a positive COVID-19 diagnosis at a rate four times higher than HIV-negative Russians. However, HIV-positive Russians were less likely to seek medical attention for COVID-19 despite the high health risks, such as a weaker immune system that can accompany HIV. More Russians are contracting HIV yearly but the stigma of living with HIV is preventing HIV-positive Russians from seeking medical treatment.

Destigmatizing HIV/AIDs in Russia

With little national attention paid to the epidemic of AIDS in Russia, the movement for change has come from individuals looking to give visibility to and destigmatize HIV/AIDS. In 2015, after television news anchor, Pavel Lobkov, announced on-air that he had been living with AIDS since 2003, Russian doctors including Lobkov’s own doctor, saw a surge in people seeking HIV tests and treatment. In a nation where AIDS is highly stigmatized, a national celebrity showing that one can live a normal life with AIDS brought comfort to many Russians living with HIV/AIDS.

More Russians living with HIV/AIDS have made efforts to shed light on Russia’s HIV epidemic and destigmatize HIV to the public as well as in the medical community. Patients in Control, a nongovernmental organization run by two HIV-positive Russians, Tatiana Vinogradova and Andrey Skvortsov, set up posters around St. Petersburg that read “People with HIV are just like you and me,” and encourage HIV-positive Russians to seek antiretroviral treatment. HIV-positive Russians like Skvortsov and Vinogradova are trying to bring national attention to a health crisis that is seldom discussed, hoping to create a national conversation and put pressure on Russian officials to take action on the worsening epidemic.

A Call for Urgent Action

HIV-positive Russians and AIDS activists like Skvortsov have argued that until the Russian Government puts forth an “urgent, full forced response” to Russia’s AIDS epidemic, the rate of transmission will continue to climb. Many Russians on the ground are making public campaigns to destigmatize and normalize living with HIV, hoping to persuade the government to take action.

In 2018 alone, AIDS took the lives of 37,000 people across Russia. As of May 2020, more than 340,000 Russians have died of AIDS. While the social atmosphere of Russia, influenced by Putin’s government and the Orthodox Church, has created a shroud of secrecy and shame surrounding the AIDS epidemic, many HIV-positive Russians hope that the intensity of the epidemic will force the Russian Government to make a concerted effort to address Russia’s AIDS epidemic.

– Kieran Graulich
Photo: Flickr

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The People of Slovakia’s Lunik IX Slum

lunik IXAn uncomfortable reality is that there are many children in the world who do not have essentials such as food, water, electricity and a safe, sheltered home. This is the reality for the people living in Lunik IX in Slovakia.

Roma People in Lunik IX

There a several reasons why Lunik IX is an area that is neglected and overlooked by Slovakia. One is due to the large population of Roma people, a minority group unfairly discriminated against and long labeled as a reason for many problems in the country. The slum mostly consists of Roma people who lack the very things they need to rise out of poverty. The Roma population’s 97% unemployment rate is the biggest reason for poverty in the area. Many try to get jobs but are denied them purely based on their ethnicity.

This, as a result, heavily impacts children in Lunik IX. Their parents cannot provide for them, forcing them to live in a rundown area where there is little to no electricity and basic needs go unfulfilled. There is also little opportunity for them to break the cycle of poverty. All these issues have made the area a seemingly hopeless place for many of the children who live there.

Recreational Developments in Lunik IX

In the past few years, significant progress has been made in Lunik IX to improve living conditions for people. For one, there have been a lot of projects built purely for the purpose of giving children safe spaces to play in instead of playing in garbage and rubble. A gym, ping pong tables, a playground and a park have all been built, giving the residents safe recreational spaces. While these seem like small solutions to big problems, these spaces allow kids to be kids. The children of Lunik IX do not live typical childhoods and these projects allow them to engage in children’s play activities.

Other Key Developments in Lunik IX

Three important new developments in the area are the implementation of regular garbage disposal, the establishment of clean drinking water facilities and new construction projects. Lunik IX has been long plagued with poorly disposed of trash and a regular garbage disposal system eliminates this problem entirely. This alone can improve the health of people tenfold, as many of the diseases they face arise from unsanitary living conditions.

Clean drinking water is a necessity and it is something that Lunik IX lacks. There are plans for the reconstruction of water pipes with a prepaid system, which will ensure nobody accumulates debt from water payments.

Newer construction efforts are on track to solve the decay of many buildings and the lack of employment opportunities. Many of the newer buildings can be worked by residents, allowing them to have jobs they have previously been denied based on ethnicity.

Despite Lunik IX’s reputation as on of Europe’s worst slums, efforts are being made to change this and improve living conditions for the people.

– Remy Desai-Patel
Photo: Flickr

How Air Pollution Affects Poverty in Europe

How Air Pollution Affects Poverty in EuropeAir pollution is disproportionately affecting the health and well-being of people living in poverty, according to a recent report by the European Environment Agency. The report titled “Healthy environment, healthy lives: how the environment influences health and well-being in Europe,” calls for improving air quality in Europe by decreasing emissions and adding green spaces. Many consider air pollution to be an environmental issue or a global health concern that affects us all equally. However, the report makes the case that impoverished communities face a higher burden of air pollution and other environmental stressors.

The Link Between Air Pollution and Poverty

The Borgen Project held an interview with Catherine Ganzleben, head of the air pollution and environmental health groups at the European Environment Agency (EEA). She said, “Pollution hits poorer communities harder than affluent communities because of lack of access to medical care and exposure to the byproducts of climate change.”

As the climate crisis continues to worsen so does air pollution and extreme weather, disproportionately affecting those living in poverty. “In large parts of Europe, [vulnerable communities] are more likely to live next to busy roads or industrial areas,” Ganzleben said. “[They] face higher levels of exposure to air pollution.”

Even when both affluent and impoverished people experience the same exposure, air pollution affects the health of the impoverished more. Ganzlebe continued, “People living in lower-income regions [were found] to be more susceptible to the health effects of [pollutants] than wealthier people living in polluted areas.” Additionally, families with lower socio-economic status face more significant negative effects of pollution. Several factors could contribute to the disproportionate effects of air pollution. These include access to healthcare, underlying conditions and poor housing situations.

The Struggle for Clean Air in Poland

Traffic and industrial pollution are two of the main factors contributing to air pollution in Europe. But, in some countries, like Poland, the largest contributor to air pollution is burning coal to heat single-family households.

Poland is infamous for having one of the worst levels of air pollution in the European Union, according to K. Max Zhang in his interview with The Borgen Project. Zhang is a professor of energy and the environment at Cornell University. Poland still generates electricity and heat using coal, one of the most polluting forms of energy.

Poland’s reliance on coal can mainly be attributed to its abundance of old, single-family houses built in the 1970s. In an interview with The Borgen Project, Magdalena Kozlowska claimed that these homes remain unrenovated. She is the project coordinator of Polish Smog Alert. She also added that the most impoverished populations in Poland are less able to update their energy sources.

Polish Smog Alert is an organization that is committed to cleaning Poland’s air and meeting the European air quality standards through advocacy and mobilization. It also works to inform the public and help people make their houses more energy-efficient, Kozłowska said. The organization formed in 2013 when they started working to ban the burning of solid fuels in Krakow.

This ban on burning solid fuels came to fruition in 2019, when Polish Smog Alert worked with local and national governments to enact “changes in the national law [and the] city had to cooperate and offer money to exchange the boilers and help people experiencing poverty to pay the difference in bills,” Kozlowska continued. “And still, the city is doing that.”

Goals of the European Environment Agency’s Report

The attention to air quality around the world has been increasing in recent years. However, the EEA wants to see more policy changes and tangible action from the European government, Ganzleben said. These policies should also not have the sole aim of protecting the environment. In addition to environmental efforts, these policies should protect communities that are feeling the brunt of climate change’s effects. “Policies to deliver high environmental quality should be aimed at preventing and reducing the unequal distribution of environmental health risks, ensuring fair access to environmental resources and enabling sustainable choices,” said Ganzleben.

The report also explains the benefits of green spaces, even within polluted city environments. Green spaces, like parks and lakes, can benefit people’s well-being. “Mental and physical [health] are linked,” said Michael Brauer, professor of environmental health at the University of British Columbia, in an interview with The Borgen Project.

Reports like this one from the EEA, Brauer said, are a result of a growing urgency related to air pollution. In recent years, there has been much more attention globally to the issue, “[As a] response to increasing awareness of air pollution and the problem,” Brauer continued. “There is really no evidence of a safe level of air pollution.”

Combating Air Pollution’s Disproportionate Effect on the Poor

There need to be policy changes that address the socio-economic effects of climate change. This will alleviate the burden of air pollution on those living in poverty. “At the local level, integrating environmental health concerns into welfare policies, health policies and urban planning and housing policies can help to reduce the vulnerability and exposure of the population,” the report read. “Air pollution not only hurts the environment, but it also exacerbates poverty, and worsens the living conditions for the poor.” While humanitarian organizations like the Polish Smog Alert are working to alleviate pollution in Europe, there is still much to be done to eradicate air pollution and help those disproportionately experiencing the consequences of climate change.

– Laney Pope
Photo: Flickr 

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Commendable Healthcare in Monaco

Healthcare in MonacoWith nearly 40,000 people, Monaco is one of five European micro-states and is located on the northern coast of the Mediterranean Sea. According to the Organisation for Economic Co-operation and Development (OECD), Monaco has one of the best global healthcare schemes. The World Health Organization established that an individual born in 2003 can expect to have, on average, the longest lifespan in Europe. The country also has the third-highest proportion of doctors for its population in Europe.

Healthcare Education in Monaco

Leaders in Monaco believe that prevention and screening are essential to maintaining health and it is customary for young people to access comprehensive health education. This education aims to promote high-quality lifestyles and prevent early-risk behavior, such as tobacco use, drug addictions and sexually transmitted diseases.

Caisses Sociales de Monaco (CSM)

The Caisses Sociales de Monaco (CSM) is the official agency responsible for supervising Monaco’s public health service. Public healthcare automatically covers all citizens and long-term residents who contribute to the agency. French and Italian citizens may also access public health facilities in Monaco upon evidence of regular contributions to their home country’s state healthcare scheme. Foreign visitors can receive health treatment at all public hospitals and clinics. However, without state insurance contributions, travelers and expatriates will be forced to pay for all healthcare expenses accrued from treatment.

Public Healthcare Coverage

Public healthcare insurance operates through reimbursements, so an individual who plans on using coverage provided by the CSM will be required to make up-front payments and then claim costs back. After joining the public healthcare system, an individual receives a card that provides access to medical and dental care. The card contains administrative information necessary to refund medical care.

The public healthcare system provides coverage for inpatient and outpatient hospitalization, prescribed medications, treatment by specialists, pregnancy and childbirth and rehabilitation. Some prescription drugs are also reimbursed through the CSM and emergency care is available to everyone at Princess Grace Hospital, one of three public hospitals. The hospital will be reconstructed to strengthen the complementary nature of all the hospitals in Monoco.

Out-of-Pocket Healthcare Costs

Out-of-pocket healthcare costs in Monaco are high and if the CSM fails to provide sufficient coverage, an individual may supplement with private insurance. Private health insurance is a tool for individuals who want to cover medical services and fees not paid for by the public healthcare system. Doctors fund privately-paid equipment and staff through private contributions. According to an article from Hello Monaco, most Monaco citizens take out extra private insurance to cover ancillary services and unpaid rates.

A Commendable Healthcare System in Monaco

Every resident in Monaco is eligible for public health insurance but private health insurance remains an option for those interested in more coverage. Healthcare in Monaco earned outstanding reviews from the OECD and officials continue to seek improvements by reconstructing medical buildings and providing health education for young people.

– Rachel Durling
Photo: Flickr