Appointed to a senior lecturer post in 1989 with responsibility for developing a program of research in Europe, he was immediately confronted with two major changes: the collapse of the communist regimes in central and eastern Europe and, later, in the USSR, and the removal of borders within the expanding European Union. He has led major programs on both issues. With his colleagues Professor David Leon and Vladimir Shkolnikov, he has contributed important new insights into the adverse health consequences of rapid social and political transition, the entry of the international tobacco corporations into these new markets, and the role of alcohol, and especially substances such as aftershaves in the high levels of premature mortality seen in this region. More recently, his work on social change has extended into a large body of research on the health effects of the post-2007 financial crisis, jointly with Dr David Stuckler. His research on the European Union has included books and articles on the impact of European law on health and health policy, European research policy, and cross-border mobility of patients. In 2013 he led a Lancet series on health in Europe. In 2016 he co-founded Healthier IN the EU, a grassroots campaign making the health case for continued UK membership of the European Union. With colleagues Josep Figueras, Elias Mossialos, and Richard Saltman, he established the European Observatory on Health Systems and Policies.
Policy involvement
When Lord Darzi proposed the establishment of Polyclinics in England McKee wrote a paper with Bernd Rechel of the London School of Hygiene and Tropical Medicine in which they observed: His involvement in the article Why has mortality in England and Wales been increasing?, written with Danny Dorling and others generated considerable publicity. The article suggested that the most likely reason for increased mortality among old people in England and Wales in 2015 was the application of austerity policies, saying that “the evidence points to a major failure of the health system, possibly exacerbated by failings in social care”. He has been a critic of the NHS reforms introduced by the UK's coalition government in 2012, arguing that they were unworkable and would lead to fragmentation and confusion. In January 2014 he said that continuing health inequalities among London boroughs was a scandal and that coalition reforms had left it unclear who was supposed to analyse health data and tackle the problems highlighted.
