Anniek de Ruijter

@deruijter.bsky.social

Professor of Health Law & Policy @AmsterdamLawSchool | & Law for Health and Life | Board Member @Bureau Clara Wichmann genderequality & strategic litigation | Academic Council @Amsterdam Institute for Global Health

🌿new publication! 20 years after all EU health ministers adopted a resolution on the Common values of EU health systems, we ask for their reiteration and renewal in @thelancetregionaleurope🌻🌻🌻

Markus Frischhut@mrfrischhut.bsky.social · 8mo ago

Frischhut, M., Prainsack, B., Hervey, T., Ruijter, A. de, Sokol, T., Guldemond, N., Cayon-De las Cuevas, J., Exter, A. den, Fahy, N., & Oscar Fares, G. M. (2026). 20 Years of EU #healthvalues (2006–2026): four proposals for the future. @thelancet.com Regional Health - Europe. doi.org/10.1016/j.la...

After 2 years into our existence, and proud to share our Biannual Report 2022–2024 🎉 👉 170+ publications 👉 €2.4M research funding 👉 Innovated our Master in Health Law & started a Minor in Bioethics & Law 👉 Service to society Read more: lhl.uva.nl/en/content/n... #HealthLaw #Impact #UvA

First biannual Report | Law for Health and Life (2022–2024) - LHL

Two years ago, the Law for Health and Life officially began its work as a research centre at the University of Amsterdam. We are proud to now share our first Report.

lhl.uva.nl

With @PramitiParwani & @katperehudoff.bsky.social, we explored EU pharma regulators’ role in access to medicines in low-income countries. Trust remains one-way, reinforcing dependencies; building regional regulatory capacity is key for global health 💫

The Journal of Law, Medicine and Ethics@jlme-journal.bsky.social · last yr.

New open access on FirstView: "Trust Beyond Borders: European External Regulatory Influence on Access to Medicines" by Pramiti Parwani, ‪@katperehudoff.bsky.social‬, and @deruijter.bsky.social from the upcoming fall special issue "Public Health, Markets, and Law." www.cambridge.org/core/journal...

Symposium Articles
Trust Beyond Borders: European External Regulatory Influence on
Access to Medicines
Pramiti Parwani1,2,3 , Katrina Perehudoff1,2,3 and Anniek de Ruijter1,2
1University of Amsterdam, Amsterdam Law School, Law for Health and Life, Netherlands; 2Amsterdam Institute for Global Health and Development, Netherlands and
3Amsterdam Centre for European Law and Governance, University of Amsterdam, Netherlands
Abstract
European institutions are widely recognized as wielding regulatory power in a globalized market, exporting its standards across borders and
between sectors. This paper asks what institutional dynamics catalyze European external regulatory impact on pharmaceutical governance in
low- and middle-income countries (LMICs). The research focuses on two European regulatory bodies, the European Medicines Agency (EMA)
and the European Patent Office (EPO), and explores the dynamics of their technocratic outreach beyond European borders. We find that trust
is a key underlying institutional dynamic facilitating some forms of European external relations. The agencies extend their influence through
technical assistance, collaboration, and work-sharing with LMIC regulators, fostering a one-sided relationship of“technocratic trust.” This
trust, reinforced by international regulatory frameworks that position the EMA and EPO as“trustworthy” regulators, enables these agencies to
expand their regulatory influence beyond Europe. By critically examining the impact of this trust-building on LMICs’ regulatory autonomy,
this research contributes to the broader discourse on European regulatory power in global health governance and highlights potential
implications for pharmaceutical markets and access in LMICs.
Keywords: European Regulatory Bodies; Pharmaceuticals Access; European Medicines Agency (EMA); European Patent Office (EPO); Trust