In a significant step forward for the European health, prevention, and longevity sectors, President Assoc. Prof. Dr. Siyka Katsarova PhD met for a strategic high-level exchange with Ekaterina Zaharieva, European Commissioner for Startups, Research and Innovation.
On behalf of the European Spas Association (ESPA) and the broader health tourism community, we express our sincere gratitude to Commissioner Zaharieva for providing the opportunity for such an open, constructive, and forward-looking discussion.
Bridging European Heritage and Modern Healthcare
The dialogue focused on the central role that medical spas, natural healing resources, and climate-health resorts play in Europe’s broader health ecosystem. Europe stands as the only continent rich in historic spa towns and centuries-old therapeutic traditions – a unique heritage that combines natural remedies with modern medical science and sustainable regional development.
During the meeting, Dr. Katsarova highlighted the unique value proposition (USP) and core DNA of European health resorts:
- Holistic & Evidence-Based Care: Integrating natural remedies, medical expertise, and microclimate environments into preventive and restorative medicine.
- Preventive Health Strategy: Supporting healthy and dignified aging while shifting the healthcare paradigm from disease treatment to early prevention and longevity.
- Sustainable Regional Ecosystems: Boosting local economies and regional development through sustainable health and wellness infrastructure.
“This exchange was promising and very important, a clear opportunity to showcase the vast portfolio where medical spas and climate-health resorts can be seamlessly integrated into key EU strategies. I am proud to initiate such a positive conversation at this high level within the European Commission.”
— Assoc. Prof. Dr. Siyka Katsarova PhD, President of ESPA
A Shared Vision for Prevention and Innovation
This high-level meeting builds upon an established foundation of dialogue between Commissioner Zaharieva and ESPA.
Earlier this year, Commissioner Zaharieva addressed participants at ESPA’s flagship HEALTHXCHANGE Summit 2026 via a special video address. In her message to leaders across the health and longevity sectors, she emphasized that up to 80% of major chronic diseases can be prevented, underscoring the vital contribution of European spa resorts to health prevention, quality of life, and sustainable innovation.
About Commissioner Ekaterina Zaharieva
As European Commissioner for Startups, Research and Innovation, Ekaterina Zaharieva brings a wealth of legal expertise and high-level governance experience to her mandate. A lawyer by training with specialized education from institutions such as the ENA in Paris and the Venice Commission, she previously served in major governmental roles in Bulgaria – including Deputy Prime Minister, Minister of Foreign Affairs, Minister of Justice, and Minister of Regional Development.
Her comprehensive background across regional development, environment, and international policy provides a valuable perspective for advancing research, innovation, and sustainable ecosystems across the European Union. Her focus on fostering research, innovation, and startup ecosystems aligns naturally with the modernization of traditional medical spa sciences and sustainable health tourism.
Looking Ahead
We extend our heartfelt appreciation to Commissioner Zaharieva and her team for fostering an open dialogue grounded in shared European values, scientific research, and sustainable development. ESPA looks forward to continuing this constructive collaboration as we work to integrate natural therapeutic resources into broader EU strategies for health, innovation, and longevity.


