In some realities of our country the essential levels of assistance (Lea) have begun to be cut to transfer the most difficult skills, such as those relating to drug addicts, the disabled and the chronically ill, to the voluntary sector and the no-profit sector. This practice was denounced by Domenico Iscaro, president of Anaao-Assomed, the union of hospital managers, citing a figure that emerged from a recent study presented by Confindustria. ”It is an operation that must absolutely be unmasked – said Iscaro on the sidelines of a conference of medical unions on the no to devolution – and which some regions are carrying out to balance the accounts of their budgets. Even if the no wins, we will commit ourselves to counterinformation, because there are a lot of things that need to be changed and improved in the current health system". According to Iscaro, the gap in healthcare accounts depends on the growth in spending, which does not correspond to adequate funding. ”This causes the gap to continue to widen – he continued – without allowing us to implement a real programming policy, even in hospitals. We therefore need to review the organizational system of healthcare companies, which are unable to function and save money as hoped, involving professionals in their management. Therefore, it can no longer be only the manager of the company who reports to the regional governor who can decide the diagnostic-therapeutic pathways, but he must also be supported by a medical professional and by the departments".
