ROMA (ITALPRESS) – Next March 14th, at the Brancaccio Theatre in Rome, the National Union of Ambulators, Poliambulators, Entities and Private Hospitality (UAP), in the presence of all the national presidents of the associations of category, will promote a national event dedicated to the protection of equity, quality and universalism of the National Health Service.
The initiative does not arise from a category claim, nor a political manifestation, but from the desire to re-call the attention of public opinion and institutions on some dynamics that risk weakening the principles on which the SSN is founded.
Alessandro Cecchi Paone, with the intervention, among others, of Monsignor Paglia, of Professor Francesco Vaia and the President of the Order of the Medici of Rome, Antonio Magi, with the greetings of President FNOMCEO Filippo Anelli. The National Health Service, as provided for in Article 32 of the Constitution, guarantees the right to health through a regulated mixed model: public structures and accredited private structures, both included in public programming and subject to common rules.
“The SSN is not a monopoly, but it is not even a free market: it is a regulated system that only works if the rules are equal to all and if the quality of care is not compressible”, says Mariastella Giorlandino, President UAP.
The event arises from the concern that in recent months conditions are being determined that risk to produce a health system at different speeds, with concrete effects on citizens. Three, in particular, the nodes that will be brought to public attention. The first, we read in the UAP note, concerns the national tariff nomenclature, which determines how much the Health Service recognizes for each performance. Rates lower than real costs – already subject to different pronunciations of the TAR Lazio – risk compressing the sa-nitaria offer, extending the waiting lists and making it increasingly difficult to support adequate levels of quality and safety, as well as demonstrated by the tragic death of the little Domenico.
When remuneration is under the cost, in fact, the pressure to return to the margins can result in a reduction of the organizational and technological standards necessary to ensure safe and quality performance. If the geopolitical moment we are living is con sidered, it is evident that the situation will continue further.
The second node concerns the pharmacy of services and the consistency of the rules in the health system. Diagnostic benefits such as ECG, screening or telemedicine services, which in accredited public and private health care facilities are subject to a strict system of health authorization, structural requirements, health management, regional checks provided by Legislative Decree 502/1992 and obligation to protect data in accordance with the NIS2 Directive on cybersecurity, can now be carried out in pharmacy under a discipline that does not express the same authorization regime. It’s not a contrast between operators. It is a question of regulatory asymmetry: if the performance is the same, it is legitimate to wonder why safety requirements and rules are not homogeneous.
The third node concerns the transformation of the territorial network. The reorganization of the labs network and the proprietary concentration processes – which involve both healthy structures and pharmacies – are changing the morphology of the health offer, with the risk of weakening the health of proximity and reducing the pluralism of the system.
“The point is not to defend a sector – says Mariastella Giorlandino, President of UAP – but to prevent the national health service from losing consistency. If the same performance follows different rules or if access to care becomes unequal, the principle of universalism is weakened.”.
-Photo IPA Agency-
(ITALPRESS).
