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Calabria cardiac surgery: the junta appointed general manager Guerzoni health department

(ASCA) - Catanzaro, 28 July - The Regional Council of Calabria, held at Palazzo Alemanni of Catanzaro, under the chairmanship of Agazio Loiero, appointed, he said in a statement, Andrea Guerzoni, from about seven months of the provincial health director general of Crotone, Director General of the Department of Health Protection. Guerzoni will 'be replaced at the top of the ASP crotonese by Domenico Scuteri.

''The choice he made the executive - said the Department of Health 'Vincenzo Spaziante - and' was addressed to a person who, when he was appointed director general of the ASP of Crotone, boasted an excellent job profile.

The time has passed to the head of the company has allowed us to verify, in the field, the professionalism that 'already' known has had a positive feedback operating.''

''Dr. Guerzoni - added Spaziante - was able to demonstrate, in practice, as well as his professional merits, is a great ability 'of inclusion in a context unknown to him and has great qualities of balance, serenity' and independence trial. What the Government has just made, then, and 'choice carefully thought out and built on a proven ability to' operational. His appointment is confirmation of the validity 'of choice seven months ago and we are sure that the quality' already 'proved to be of great use' in the performance of a commitment to even more 'high responsibility'''.

E 'was precisely the quality' of work done by Dr. Crotone Guerzoni to lead the regional government is not depleted in the direction of the ASP, where he wanted to maintain continuity 'and a high level of professionalism'. To this end, the choice and 'fall on Dr Dominic Scuteri which were tested in the three months when he directed the administrative sector of the Regional, the actual experience and concrete pre-'to know how to manage roles enormous delicacy. Again''- claimed the commissioner Spaziante - and is' a decision that preceded by a period of trial production. Precisely in order to maintain the necessary continuity ', the new general manager will be able Scuteri' properly rely on the cooperation of the managing director and health director who worked with Guerzoni in Crotone and that he had made a great team effort.''

''It seems to me that the choices made by the Government - said Spaziante - respond to a method that rewards productive capacity 'experience and that game team which is a prerequisite for restarting effective organization and management of our regional health system that is based on the quality 'of people and their ability to' work, leaving out the door every different kind of motivation.''

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Lawyers lane

Even lawyers get in the lane. In Turin, just as lawyers in the United States come into the hospital to offer assistance or to promise compensation. It 'as reported by La Stampa telling what "happens to Molinette the third hospital in Italy, where is' appearance for the first time (and carpet) publication' of a law firm." The famous Turin newspaper says in his service that "several days ago on boards at the main entrance and the corridors were nailed re'clame of a group practice: The transaction, via San Secondo 5 / G". "In our shop is legal and law-Advertisement and you will find lawyers in separation, divorce, claims ...". Although there is no reference to issues of poor health care, the site seems to have been chosen at random. "From November to present the two-account holders - we already have 'followed a dozen cases of alleged malpractice.' The citizen who thinks he subi'to harm from health care 'is often left to fend for itself." The initiative is not liked by the doctors at the hospital in Turin which have removed from all boards. The re'clame however, is re-awakening of the main entrance corridor.

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Wastes and scandals in the ward: a cake from 100 billion

contracts, kickbacks and subdivisions:
over three thousand
administrators accused of corruption

PAOLO BARONI

ROME
turn More money, more power is to be shared and more Crime goes crazy. Bribery, kickbacks, political scandals, the Camorra mafia infiltration and health are on the agenda. And together the growing inefficiency and waste, patronage hiring practices are the rights and favors between criminal organizations become and politicians are born (or consolidate) new links. The magistrates, on several occasions, this exchange ratio they call "cohabitation." A cake

100 billion
Among hospitals, tests, treatments and various therapies, the business today is worth EUR 100 billion, almost 7% of the wealth of the country, an average of 53% of spending in regions with peaks of 70-80%. In short it is the natural breeding ground for corruption. "Contracts and agreements - Teresa Petrangolini complaint, general secretary of Active Citizenship - unleash incredible appetites." It will be a chance but the photograph of the regions where the health accounts are in red, with few exceptions, is virtually identical that where there has been the most shameful scandals. Bribes and waste, waste and kickbacks are almost hand in hand. The lace is combined with the recommendation, and is one with an excess of beds and the abuse of wards. Sicily Totò Cuffaro, who lost again last year half a billion euro, Campania hospitals controlled by the Camorra (-697 million), Lazio of "Lady Asl '(-1.4 billion, on a budget of 9 , 3), obviously the Abruzzo where it just broke the case with the Turkish (-117 million), in the front row.

The reign of corruption
According to the report presented in late 2007 by the Anti-Corruption Commissioner between 2006 and 2007, 6,752 people complained about corruption in government 3219 operated well in the health field. The record belongs to Calabria with 1,491 complaints about 1,759, and a share of 22% of all reports collected by the Guardia di Finanza. The region where they still remember the murder Francesco Fortugno, the investigations linking the interests of local crime to the business of health, spends approximately € 3.1 billion with a deficit of 24 million.

completely different situation in Lombardy, where the health budget exceeded € 16.1 billion out of a total of 40 and the accounts are in surplus (+9 million): Despite this, however, as many as 83% of reported (622 people out of 745) has committed crimes in the health sector. And the scandals continue to occur here: from the town of Poggi Longostrevi, the former 'King Midas' clinics in Milan, which involved 300 people in '97, that a few weeks ago that saw the main clinic Santa Rita ( 14 arrests in 90 suspicious transactions and 5 patients died).

Over the past six years the regional budgets have produced at least 30 billion deficit only because of the waste generated in hospitals and clinics, virtually the entire financial value. Last year only eight regions have managed to close with accounts in surplus: the most virtuous are Lombardy, Veneto, Emilia and Tuscany. All the others are finished in red. Between 2004 and 2007, the Lazio has accumulated debt of 7.5 billion, 4.5 Bassolino of Campania, Sicily Cuffaro's 3 now and Lombardo. That's no accident as the Health Department in the past week it was decided by a judge, the former pm Massimo Russo.

In 2007, the Region of Sicily's beauty has spent € 8.5 billion for health care (a total of 14.6), one billion more than the year before. In practice, € 1,711 per capita, € 6,850 per family. 'It is embarrassing to note that 30% more than it spends in Finland, one of Italy's largest state and a public health system the most efficient in the world " reported last week the Attorney General of the Court of Accounts, John Coppola. A budget should provide for a quality service in Switzerland, whereas the money is scattered in a thousand streams: they maintain an army of employees (47,970, of which 12,800 officers and 11 employees for each of the 269 ambulances in service) and feed a particular tide of external conventions: 1844, at a cost to the public purse of 1 billion and 100 million euro.

The Mafia and clinics
island dates back to the Eighties "strategic decision" of Cosa Nostra to direct their attention increasingly to the health sector. Countless doctors involved in investigations of any kind until you reach the limit case, the former chairman of the Executive Totò Cuffaro sentenced to 5 years for aiding and abetting aggravated in the investigation that has seen starring Michael Aiello, branch construction contractor suspected of being the nominee of the boss Provenzano, owner of the clinic and Santa Teresa. The trial of "moles" Aiello revealed that Cuffaro and met in a back room of Bagheria to agree with the tables of reimbursement for different types of performance.

Between 2003 and 2006 were 15 municipal councils and local health authorities dissolved in Sicily for Mafia infiltration, 12 and 14 in Calabria Campania. Region which boasts the absolute primacy: as was the Asl4 Pomigliano to be beheaded first in late 2005. The same fate has befallen the Asl9 of Locri in Calabria. Of scandal in the scandal to get to Puglia, where the former president Raffaele Lease is investigated with the editor of 'Free' and 'reform' Gianpaolo Angelucci for an alleged bribe from € 500 000 paid by the group in exchange for a contract Tosinvest € 55 million and where a general manager of ASL to Taranto, was recently sentenced in first instance for a procurement scandal.

Environmental issues
"It 's a question of environment: the use of the private becomes public - says Petrangolini -. It is often said that the greatest effort to obtain an official makes the assumption, from then on no longer works, he works to fill their pockets. The case of Lady ASL is significant: the bribes was enriched with the individual officer and was then funded a whole system of power. " The years pass, the change came, but the ill repute continues in the same time as in Abruzzo Del Turkish arrested in the capital Monday ended up in handcuffs 5 between entrepreneurs and officials from AslRmC, the one where in 2006 he hit just Anna Joseph Iannuzzi. Then it was false performance, today the investigation is a 21 million contract from the computer department.

(He has worked Giulia Palmieri)

Source: Lastampa.it

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sick system of patronage and waste common

Just a month ago, the "clinic of horrors" in Milan. Yesterday came the news of Abruzzo beheaded by the prosecution for alleged bribery health. But also, in close coincidence of timing, that of a tender in Rome with a roaring trade for managers, officials and entrepreneurs. In the midst of a Region (Lazio) Commissioner even if "only" at the hands of her own governor. And yet Campania, Sicily and Calabria between accounts in the red and hospitals and local health underworld connections, are a serious candidate default announced.

seem more and more a war report reports of the National Health Service. Of course not everywhere and not always with the same seriousness and intensity. But those are the news: financial statements (not everywhere) are likely to collapse or fall rapidly, dishonesty and corruption widespread failures of governance, a system of power that does not want to pull the plug on the generator that formidable business and potential customers represented by 100 billion of public spending on health and at least another 30 billion that come directly from the pockets of citizens.

that what is happening under the sky of the NHS is a 'new Tangentopoli "(Di Pietro) or a new" theorem "of the judiciary (Berlusconi), we'll know when Justice (hopefully soon) will definitely run its course. But it is not (only) issue of secured or unsecured. When symptoms recur and spread, a good doctor can not close our eyes need a diagnosis and therapy. And for that patient's medical condition which now threatens to become our health, diagnosis and its treatment have become a matter of urgency. Aware that this precious commodity that is known is not always deserved, "universalism health," the son of a welfare of other times, it should be defended tooth and nail from abuse and adjusted for what you need. Otherwise there will be that the "lack of healthcare" U.S. model.
The feeling is rather that in Italy the solutions are taken out of time. And in defending the 'universality' of the NHS, too many times we end up releasing the pass to everything and everyone. Change to not change, the ocelots that never die.

You take the free tickets from: real tax evaders, hidden behind false self-certifications. So, who do not pay taxes, pay for everything else to the public solidarity. Well, it is said that 50-60% of Italians are somehow ticket-free, yet very little has been done to counter the usual crafty of the no-tax area. An amendment of the Government now seeks to tighten the circle, thanks to the medical card and the more information you have, but we wanted really hard to get this solution? And again, as he discovered the gay reimbursements to private hospitals for services ghost, no one had raised the issue of missing checks in the chain of command of the overall management of the NHS. Now (well being) it was discovered that the checks were legally and practically no one wants to take at least 10 per cent.

Now, it is clear that nobody likes the ticket: the citizen who pays them and administrator who is afraid of paying a political price. But to avoid them, the ticket is in any case management above all suspicion. The only way to salvage of the 'universality' of our public health. Why then begin dances of fiscal federalism and then ensure that the challenge of 'universalism' in danger of being lost. Definitely.

Source: the sole24ore.it