This report developed by HEAL aims to provide: – An overview of the scientific evidence on how air pollution impacts health and how emissions from coal power plants are implicated in this; – The first ever economic assessment of the health costs associated with air pollution from coal power plants in Europe; – Testimonies from leading health advocates, medical experts, and policy makers on why they are concerned about coal, and ; – Recommendations for policy-makers and the health community on how to address the unpaid health bill.