But these chapters will forcibly enter the economic planning document.
The public accounts are worse than those of 1992. The statement made by Economy Minister Tommaso Padoa-Schioppa does not leave much room for interpretation. With these premises, the announcement of an additional maneuver was inevitable, the amount of which is estimated at half a percentage point of GDP, ie about 7 billion euros; however, says the Minister, "it will not contain cuts to local authorities, or pensions, or public employment or health care", but will be based on the fight against tax evasion. This does not mean, however, that Healthcare will not be affected. According to rumors filtered while the meeting was still in progress, the DPEF will indicate which structural measures to implement to reduce spending by local authorities, public employment and health; any measures relating to the pension system will also be referred to the same document. The redefinition of these items of expenditure appears necessary if one considers that an additional and forthcoming budget maneuver requires a reduction in public expenditure equal to 3 points of GDP.
It is obviously too early to say whether it will be a question of cuts or the recovery of resources, through the fight against any waste. In this regard, it is worth recalling the recent statements by Sergio Licheri, director general of the Istituto Superiore di Sanità. According to Licheri, there is a significant share of undeclared money (estimated at around 25%) in health expenditure, funds that are spent without however being able to establish how, due to the absence of effective control systems. The measures proposed by the Turkish Minister also go in this direction, i.e. the reduction of waste, such as the establishment of a "punitive" ticket for those who book services and do not show up on the day of the appointment or those who undergo diagnostic tests and then fail to collect the report. Some, such as the president of the Federation of Doctors' Orders, Amedeo Bianco, have also pointed out that public health expenditure fell as a percentage of GDP (from 6.3% to 5.6% in the period between 1993 and 1996). Moreover, OECD reports have also indicated that Italian public health expenditure is now below the average of industrialized countries.
The public accounts are worse than those of 1992. The statement made by Economy Minister Tommaso Padoa-Schioppa does not leave much room for interpretation. With these premises, the announcement of an additional maneuver was inevitable, the amount of which is estimated at half a percentage point of GDP, ie about 7 billion euros; however, says the Minister, "it will not contain cuts to local authorities, or pensions, or public employment or health care", but will be based on the fight against tax evasion. This does not mean, however, that Healthcare will not be affected. According to rumors filtered while the meeting was still in progress, the DPEF will indicate which structural measures to implement to reduce spending by local authorities, public employment and health; any measures relating to the pension system will also be referred to the same document. The redefinition of these items of expenditure appears necessary if one considers that an additional and forthcoming budget maneuver requires a reduction in public expenditure equal to 3 points of GDP.
It is obviously too early to say whether it will be a question of cuts or the recovery of resources, through the fight against any waste. In this regard, it is worth recalling the recent statements by Sergio Licheri, director general of the Istituto Superiore di Sanità. According to Licheri, there is a significant share of undeclared money (estimated at around 25%) in health expenditure, funds that are spent without however being able to establish how, due to the absence of effective control systems. The measures proposed by the Turkish Minister also go in this direction, i.e. the reduction of waste, such as the establishment of a "punitive" ticket for those who book services and do not show up on the day of the appointment or those who undergo diagnostic tests and then fail to collect the report. Some, such as the president of the Federation of Doctors' Orders, Amedeo Bianco, have also pointed out that public health expenditure fell as a percentage of GDP (from 6.3% to 5.6% in the period between 1993 and 1996). Moreover, OECD reports have also indicated that Italian public health expenditure is now below the average of industrialized countries.
From Doctornews33
