Tag Archives: Italian healthcare

How does the Italian health system work?

5 Lug

The issue of regional health does not touch the regional electoral campaign at all nor is it investigated in the media, despite the great attention aroused by the Covid-19 pandemic.


About our specific, Health in Italy was protected as any country by two articles of the Constitution

  • 32 – public health for the most deprived
  • 38 – workers’ mutual funds

Otherwise it is until 1974 when Mutual Insurances crashed for lotting and all Healthcare system went under political regional management.

In practice, the workers’ mutuals have since been canceled, and the health care that was sufficient for the poor has been extended as’ universal ‘.

Here, the State and the Region determine how much to withdraw from my income and also by paying a lot the Constitutional treatment ‘for the poor’ of mine undergoes continuous cuts.

The emergency became the norm, replacing the free consociative system with one under political control, so tracing a long shrine of corruption scandals and regional waste and debt far greater than Greece. 

I mean you remember the collapse of our parties of the First Republic (1992), breakthrough of state budgetary and liquidity ceilings  of State (2010), conflicts (2020 Covid) on accountability and tasks between the State (money lender) and regions (money spender).


As you have to know also that the first mafia infiltration known today in the social-health sector dates back to 1946, when Dr. Navarra killed the director of the hospital of Corleone (Sicily) to take his place and start the chain of underworld and crime from which was born the gang of the two bosses Riina-Provenzano.

In 1988 most of the public health professionals of two Calabrian provinces were arrested or removed for mafia investigations. Over the past 19 years, the municipalities commissioned for Mafia connections are over 200.

In this contest, Italy (central State) advocated in 2001 reforming our Constitution and now no longer has its own health skills.

General safety of public health is shared with the Regions, everything else is not even mentioned.


In short, the Italian state has been trying for years to intervene for chronic and / or rare diseases, given that it cannot impose its own rules, but finances our personal care in toto, so the National regulation of Healt-care System provides good rules:

– Interregional centers and facilities for rare diseases if equipped with medical specialties, experience in a suitable number of cases, structural performance capacity  (the Regions have vice versa set up the ‘reference’ centers, bypassing these parameters)

Diagnostic Therapeutic Assistance Paths (PDTA) for rare diseases that define the performance and accessibility to which the patient is entitled 
(rarely adopted by Regions)

Essential Care Levels (LEA) for the most common chronic diseases as hypertension 
(in many regions the benefit consists of a mere exemption from payment)

– Priority destination for services in the patient’s territory (ASL or AST)
(regional political governance concentrates services for rare or chronic diseases in a few huge hospitals, what has given and is giving enormous problems for the Covid-19 to millions of people remained without cares)

Healtcare electronic cloud folder
(which not only regional services fail to acquire, but also large university polyclinics )

Home or proximity nursing services

Jurisdiction of the Centers for all certifications and prescriptions relating to rare diseases, including other specialist consultations, occupational medicine, assistance and welfare 
(no omogeneity between different regions and in same center by patients)


Please note:

  • Healthcare professionals, including medical faculties, and associations each refer to the rules of their own regions, often proposed or shared by themselves. They do not necessarily also refer to state regulations, which are not ‘mandatory’ as mentioned
  • Official statistics are in the EU / OECD average, but about half of the structures are unresponsive by ever. If the efficiency of these structures that do not confirm the standards were half of the others, the overall Italian average could be lower than Western standards.
  • We have no data on the ‘no profit’ even if it absorbs the 5×1000 of the taxes, besides donations and sponsors.

Some days ago Cittadinanzattiva National Secretary intervened in the Parliamentary Commission to ask – in a European nation that is considered ‘advanced’ – elementary things such as:

territorial assistance, with the recognition of a more central role to family doctors, pediatricians and pharmacies, as well as the homogeneous adoption throughout the territory of the distribution on behalf of drugs and the electronic health record ”.

Even for the large masses of chronically ill patients with essential levels of care, the situation is such that even today “it is necessary to encourage, after evaluation by the specialist doctor, the administration of drugs outside hospitals, using the territorial branches of the ASL / ASST or the patient’s home.

It is also necessary to provide for the possibility of longer-term therapeutic renewals or to be carried out using alternative channels such as telemedicine or through the electronic transmission of clinical documents useful for re-evaluation, also avoiding the repetition of tests already carried out in another region to obtain them renewal.

Clarify who is the risk certification competence deriving from immunosuppression or from results from oncological pathologies or from carrying out life-saving therapies, in order to stay at home and with what timeframe it must be certified, so as not to put at risk large categories of fragile workers”.

The issue of regional health does not touch the regional electoral campaign at all nor is it investigated in the media, despite the great attention aroused by the Covid-19 pandemic.

Without rehabilitating healthcare and freeing workers’ mutual resources, Italy will not be able to reduce debt or corruption.


Medical malpractice and healtcare waste in Italy

8 Gen

One of the basic requirements of a democracy is that to propose rules and make the decisions are the politicians elected by the people, the technicians are allowed to be minister, stop.
One of the requirements of good administration is to not put in the role of decision-makers who are in clear conflict of interest.

medico_della_mutua_alberto_sordi_luigi_zampa_007_jpg_vgcdThe Italian healthcare is plagued by hundreds of thousands per year medical malpractices reported by the insurance companies and, at least from Rome to South, services are often inefficient, ineffective if not random.

Soo, it will not seem incredible, if the Health Commission of the Italian Senate is composed almost entirely by ‘technical’ and ‘political’: on 28 members 13 are doctors, other 5 are biologists, pharmacologists or nurses and another 6 are employees of local healthcare /welfare authorities . Just two representatives of the parties and two economists.

Zero representatives of associations (patients and / or consumers). Zero representation for the research (science) and the civilized world (ethics). Citizens zero, just zero. Zero, even, the omnipotent pharmaceutical companies.

Meanwhile, the Italian Healthcare spends nearly 10% of our GDP,  rare patients are at least four millions, invalids not minus than 6 millions, one third of over 55 y.o. workers are in ‘not good state of health’ (according officil datas), the monopoly of State on insurance system (INPS) conditions the existence of those who are elderly, those who are sick and those without work. Pratically, every ‘real’ person.
Today, in the middle of the Italian regions residents will pay taxes and increased tickets for services well below those of the other half of the regions, where residents pay less for more.

But the Parliament leaves our Healt(care) in the same hands that have built this crazy and expensive game: Health and Hygiene are off limits for mere mortals, so to limit the cost (and the rights of the sick and disabled) … there is on purpose ‘Pantalon ‘Monti.

It’s Italy and this is just one example about the will of Italian Establishment to repair anything and to re-start the nation.

originale postato su demata