The Italian Health System: Cost Containment, Mismanagement, and Politicization

in Italian Politics
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A year ago, assessing the health-care situation, Enza Caruso and Nerina

Dirindin wrote: “The year 2007 can only be described as a positive one

for health in terms of planning, given the great number of programs

launched, commissions and councils put in place, and protocols of

agreement signed by the Ministry of Health. Finance within the health

sector was also notable for complying with the health pact and the rigorous

control of public accounts backed up by deficit reduction plans,

which regions under financial warning had to observe scrupulously or

be put under compulsory administration.” The year 2008, however,

began and then continued with a shocking series of health-care mismanagement

cases, including the controversy over the appointment

procedure for general managers and chief medical officers of health-care

providers, the question of controlling health expenses, and the possible

compulsory administration of regions that are unable to meet deficit

reduction plans.