
Impact of Time-to-Furosemide Treatment on Mortality in Heart Failure
Acute heart failure presents a significant public health challenge with high morbidity and mortality rates. The REALITY-AHF study in Japan investigated the prognostic implications of early vs. delayed furosemide treatment in acute heart failure patients, shedding light on factors influencing in-hospital mortality. This observational cohort study enrolled over 1,700 patients and analyzed the association between door-to-furosemide time and all-cause in-hospital mortality, providing valuable insights for optimizing treatment strategies in acute heart failure.
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Presentation Transcript
ETUC STRATEGY FOR A NEW ECONOMIC GOVERNANCE OF THE EU INPUTS FOR DISCUSSION AT THE TUSLO MEETING 12 DECEMBER 2022
CHALLENGES The legislative framework remains unchanged and so the Stability and Growth Pact? A new make-up: changing the guidance but not the substance of the governance. (Ex. National plan). The Commission is testing the acceptance of a new threshold DEBT/GDP (a more realistic 90% DEBT/GDP). Debt Sustainability Analysis must be detailed, old uncheckebale variables could be back into the picture, no climate related fiscal risks included. Cost of ageing is still alive and kicking . Deficit rule back to 3% of headline deficit/GDP, but is it really so? Investments may lag behind without a real Investment Golden Rule
DEBT Is Debt Consolidation more affordable for countries with high debt? In the old governance countries had to converge over 2 deacdes toward the 60% threshold. Now, a stricter interpretation means that the debt reducion should happen in 4(plus) + 10 years . Toward what threshold? There is no investment rule, only a net expenditure rule for both current and investment expenditure A stronger MIP has to be avoided it will kill social expenditure Sanctions make of the European Commisison the bad (very bad) cop with huge consequences on the reputation of the EU
ACTION BASED ON OUR ETUC RESOLUTIONS BASED ON OUR 4 BUILDING BLOCK STRATEGY (SEE EST WEBSITE) MAKING REFERENCE TO THE MOST RECENT DEVELOPMENTs STRONG POLITICAL REFERENCES: VERASILLE S DECLARATION PORTO S DECLARATION
END AUSTERITY (FOREVER) REMOVE THE FISCAL COMPACT OPEN A DEBATE TO AMEND THE STABILITY AND GROWTH PACT ALSO REVISITING THE SECONDARY LEGISLATION CLAIMING FOR A NEW STRONG ENGAGEMENT OF MEMBER STATES TO PURSUE EMPLOYMENT AND INVESTMENT OBJECTIVES AND GIVE MANDATE TO THE EU COMMISSION TO TAKE ACTION
INVESTMENTS 1. achievement of the Sustainable Development Goals. Adopt a benchmark for public investment that keeps Europe ahead of key global competitors and at least above the OECD average (3%). Making the European investment instruments permanent, on the model of the Recovery and Resilience Facility but for cross-border strategic projects Formulate a golden rule for public investment in defining medium-term public finance objectives (and constraints). Complete the taxonomy of sustainable investments, with an extension of the companies covered by the overall framework of sustainable finance, also in order to facilitate access to non-speculative capital for small and medium-sized enterprises. Permanently insert a chapter in national plans that reports the progress made, through investments, towards the SDGs 2. 3. 4. 5.
EMPLOYMENT 1. 2. Emboding benchmarks for employment and poverty, as already established in Porto in May 2021. Elevate the Porto Declaration of the European Council of 8 May 2021 to a Decision of the EU Council, including the implementation of the text of the social partners relating to a series of indicators that allow the identification of suitable measures to guarantee progress towards the social, economic and environmental objectives of the EU (point 13 of the Declaration). Making the European Pillar of Social Rights, with its action plan and social scoreboard, a vector of social policies, particularly in the context of the European Semester, also through the valorisation of the Employment Guidelines as an operational arm of the Pillar European Social Rights Activate a procedure for the removal of social imbalances, to integrate or support the procedure for macroeconomic imbalances, undertaking to make the proposal already in the preparation phase in the Council bodies (EMCO and SPC) effective and operational. List, in agreement or on proposal of the European social partners, minimum qualitative and procedural criteria for the involvement of the social partners in economic governance to be defined in a Council Recommendation. A just transition guarantee, ensuring that for each euro invested in digital and green transformation, 30 cents are invested in skills and active labour market policies , including the committment to introduce a permanent employment stabilistion mechanisms such as the SURE 3. 4. 5. 6.
A PACT FOR EMPLOYMENT AND INVESTMENT? THE ETUC PROPOSALS COULD BE DIVIDED IN AMENDMENTS TO FISCAL AND MACROECONOMIC FRAMEWORK FOR THE PREVENTIVE AND CORRECTIVE ARM A SET OF MEASURES FOR INVESTMENT AND EMPLOYMENT THAT COULD BE SYMBOLICALLY GATHERED IN A EUROPEAN PACT FOR EMPLOYMENT AND INVESTMENTS
ROADMAP FOR TUSLO 12 DECEMBER FIRST EXCHANGE ON ETUC REACTION TO THE EU COMMISSION PROPOSAL FOR A REVISION OF THE ECONOMIC GOVERNANCE AND IDENTIFYING BROAD FIELDS OF ACTION 24 26 JANUARY IN-DEPTH ANALYSIS OF THE REFORMED ECONOMIC GOVERNANCE FROM TECHNICAL POINT OF VIEW AND ITS POLITICAL IMPLICATIONS 10 FEBRUARY (THE LATEST) ETUC SECRETARIAT PRESENTS AN ETUC RESOLUTION SUBMITTED TO THE ASSESSMENT OF TUSLO AND ECONOMIC COMMITTEE END FEBRUARY ANALYSIS OF THE DRAFT RESOLUTION WITH THE ECONOMIC COMMITTEE SUBMISSION OT THE EXECUTIVE COMMITTEE IN THE MEANTIME THE ETUC LOBBY CAN COUNT ON A DETAILED SET OF DOCUMENTS ADOPTED BY OUR EXECUTIVE COMMITTEE https://est.etuc.org/?page_id=1139(opens%20in%20a%20new%20tab