Francesco Provenzano
   Italian
 
 
 It recurs the twenty years of the pontificate of Karol Woytila and, concomitantly , the first post-communist government is formed, supported by deputies elected in the opposite coalition. 
The executive presided over by D'Alema will be compelled  to turn a triple somersault among the thorny measures it must adopt, among which school parity and pensions, being the most troubled measures that concerning health. 
With regard to this matter we have interviewed Senator Carla Castellani, member of the Health Committee of the Senate.

Senator, what do you think about the D.D.L. 3299, just passed at the Senate with a scanty majority?

This bill will open the way to a the return to the past, proposing again, besides the declarations of purposes, a centralism and an extremely politicised and controlled  dirigisme,  fatally destined to increase the inefficacy of the public health, enlarging this way the gap between more affluent who will appeal to private health increasingly and the no well-off who will settle for the services supplied by a Public service more and more bureaucratic, featured by  patronage, demotivated and since that, inefficient.
 

 

Which could be the alternatives?

On our opinion the crux for the good functioning of the Health Service was and still is the valorization of human resources, throughout an authentic investment with responsibility, not merely imposed, and a real attribution of functions and autonomy - those are principles absent at all in this bill (it does not surprise  us  because in fact they are absent in the genetic patrimony of the Left), and without which the public health will not work in a really competitive context, denying this way citizens the possibility of an effective free choose.

Which are on you opinion the bill most negative aspects? 

The abolition of the review of the D.R.G., the employer-employee relation exclusiveness that, even mitigated by option, and not being supported by structural, time and incentive presuppositions, will risk to make the same “flop” than the incompatibilities, the interference of town mayors in the annulment of the appointed general managers; the turning of the Regional Health Services Agency, from a technical support to Regions, into the 'longa manus' of the Minister toward those politically nonaligned Health councillorship; the individuation of the assistance essential level, instead of assistance optimal  levels to be supplied to citizens; the same physicians “scrapping” will make our Health get more and more far from the European one to detriment of citizens and the same health operators.

We thank the Senator for this flying interview.
 

 
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