In my opinion, the electoral results have a decisive influence on future health policies. Three combined elements. First: today about three-quarters of the total finances of each Region is absorbed by health expenditure. Second: real fiscal federalism is coming as the primary reform of the governing League. Third: the Ministry of Health disappears, probably absorbed by Welfare. Putting the three factors together, the equation that derives from it on health care is more than ever consistent. A true federalist tax reform will allow each Region to make real use of the wealth it generates. Resources that go above all to health care, the main expenditure item, 70-80%, of the regional budgets. Thus, in Regions capable of generating greater wealth, there will be more resources for visits, analyzes and treatments. A substantial difference compared to today, with the national health fund fed by general taxation and divided in the State-Regions Conference among the latter on the basis of their respective number of inhabitants (capita quota), regardless of how much each of them has contributed to feed it with their own taxes and duties. In addition, the disappearance of the Ministry of Health will inevitably lighten its central "power" (among other things by making explicit the futility of those who heat up comfortable armchairs for free only for the merits of affiliation). The role and responsibility, honors and duties of governors and co. will thus be further increased, both in the richest regions and above all in the less well-off ones, where they can really be judged on a primary issue such as health. Especially when, when those providential central funds no longer arrive on the shelf of mismanagement and malfeasance, the poor quality of services will weigh even more heavily on the citizens' skin. And the abilities or incapacities, honesty or dishonesty of the directors are even more evident. Free Market of 04/16/2008, article by FABRIZIO GIANFRATE p. 11
