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There's nothing to do:
the Bindi disaster is going on affecting even after the going off of
the Minister. As we have widely foreseen and highlighted in the previous
issues of “Leadership”, the Administrative Magistracy, the labour one
and, for the end, even the State Auditors' Department, are raging with
very heavy strokes over those regulations that surely, beside being
harassing against the physician's professionalism, are also questionable
by a legitimacy viewpoint. The last two sentences, that of the Court
of Pistoia and that of the State Auditors' Department, seems to integrate
each other and highlight even more the hardness of the ministerial imposition.
While the Court of
Pistoia declares illegitimate the expiring date on March 14th 2000 regarding
the obligation to choose about the exclusive relationship, the State
Auditors' Department declares illegitimate the payment of both the schedule
rates and increases according to career, because lacking a specific
financial covering.
It's evident that the
decision of the State Auditors' Department prevents in fact the publication
on the Official Bulletin of the Decree, whereas physicians instead have
been formerly and already compelled to make a choice by a Minister that
evidently deemed to be the Law and that the entire procedures, foreseen
to put in act her Legislative Decree, were an optional.
The most serious fact
is that the choice concerning the exclusive relationship was imposed
to physicians by only making shining the reflected light of coins that
instead kept in hands of the Minister till the publication of the Agreement.
However, till this moment, the State Auditors' Department has limited
itself to examine the economic involvements of the incentive to physicians;
it has not examined yet the expenditures that Hospital Enterprises must
afford to equip themselves with new structures and new personnel to
carry on the intra-moenia 'free' profession. There are in Italy several
thousands of private practices autonomously managed, which, by the means
of the imposition of the exclusive relationship, physicians are compelled
to dispose of.
It concerns thousand
billions of expenditures that nowadays are on charge of physicians and
that in fact will be moved to Hospital Enterprises' charge. Without
mentioning the personnel that work with physicians and that will join
the mass of jobless. It remains anyhow the chaos where the Italian Health
has been thrown by the politicians that did not have any scruple to
give it the coup de grâce without sharing the human aspect of whom lives
every day the experience of both living and curing a disease, and that
deserved to be considered with the highest respect by whom deals with
the common weal.
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