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WHY 'HEALTH' SEND IN THE ACCOUNTS OF THE RED REGIONS

In the hours in which the Region of Puglia is in the eye of the cyclone to media inquiries related to the alleged relationship between politics and health, which involved the addition of Nichi Vendola, we tried to understand a bit 'more about the structural reasons that characterize the nature of this relationship.
And the circles close to the junta Vendola someone points out that should probably be claimed by the junta itself that during the term there were very few cases of involvement in criminal investigations of politicians or administrators of ASL and ongoing investigations are at an early stage. Nothing to do with the flurry of arrests and indictments of the past legislature's center-right. Here too, the health management is not a paradise but it is seriously difficult to speak of widespread moral issue in health Puglia. But why then
health becomes the black hole for many Italian regions? And because every now and check out some Lady Asl, or alleged?
answers to our questions Francesco Saporito, professor of organizational design and quality systems at the University of Bari, and former Councillor of the Region Report Vnedola until October 2008. "Health care, as everyone knows, is 80% of the budget of all regions. This flood of public money but is not handled directly by the regions, but from companies they controlled and that the filiate Asl. "There is a second and a third node, defined by structural Professor Saponaro. "The first is the corporatization of health care began with the 1992 reform. From this arises the figure of the reform of local health managers. These figures, which have the task of managing the huge river of resources from the regions, are appointed by a political body which is the region itself. We are therefore faced with an uncertain process of corporatization that does not help the system to function properly. "But there is also another node, said Saporito, who is just as important and determines that one of the phenomena that most contributes to the" red "Standing in the accounts of the regions, namely the number of operators that act, and direct spending account of the ASL. "Only in Puglia - Saponaro continues - are present among general practitioners, specialists, pediatricians, and so much more than 6000 professionals. Each of these requires daily care, appliances, medical treatment, medication, hospitalization and so forth, without having actually the real constraints and spending limits. It's like if a business owner would give thousands of employees of the books of blank checks, it is obvious that the accounts of this company that may not be perpetually in the red. "The last point, not insignificant, as indicated by 'Former Minister for the Budget of the junta Vendola, is related to the training of local health managers. "They find it difficult to extrapolate the data and give a correct reading from the perspective of effective control in order to verify prescriptions requested using what statisticians call indicator or sentinel or warning threshold. As just one example, in the report that I played by Councillor Budget in December of 2007, I had pulled out of the data on the excessive increase in spending on so-called prosthetic (+12%). This figure of course could also be the result of particularly zealous or orthopedic requirements of a change in the epidemiological or fraud or embezzlement or "combine." It 'clear that some phenomena can be discovered only by the criminal court (ASL leaders do not make the interception ...) but surely the local health authorities are completely lacking in professionalism able to transform that data into information and information systems in decision support. Indeed, in the same report of December 2007 I suggested that even the CEOs of the ASL had the cognitive tools to assess the trends. "But how to identify fraud and embezzlement Saponaro has no doubt the professor and said:" This is a very serious because any irregularities are not self-evident, and clearly are the tools that are available only to those investigative bodies. In my statement on the increase in spending for hearing also notes that the local health authorities were not able to verify that data, and thus engage functionally correct and control the task entrusted to them. "
Among the roads to be taken to correct a course of undefined Francesco Saporito indicates two: the first is a proposal already made at the time of Livia Turkish, and is that relating to the establishment of a national register of the top managers of local health services, and its establishment of the state and training linked to it. The second involves the other hand experts and persons engaged in the performance of control systems. On this staff, which is of great importance within the system, and should preferably come from the same medical world, we must invest in training and transparency, making public the dossier analysis and evaluation of products in the local health spending. Only then can put in more security or less insicurezzale resources for our health.

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Nicolini: "All the ttre Applicants have realized that we need a new beginning "

Interview with Renato Nicolini

is not known whether the late former Councillor for Culture in Rome, Renato Nicolini, will be whether or not the match in the race for secretary of the Democratic Party. Former member of the Constituent Assembly of the Democratic Party, and affiliated in 2009 to attend the Congress, however al'Altro Nicolini explains how they envision the new Democratic Party and the positive qualities of such carriers are candidates running for office.

What news regarding his application?

"It seems difficult to be able to collect 2000 signatures and deliver them tonight (Yesterday ed) in Sant'Andrea delle Frate. I know that in Gela, Sicily, have signed my application for a hundred people. Certainly, the Garibaldi we did with 1000 I need little more. "

What is wrong with the Democratic Party?

"The mistake was made at the start. We are always merging the DS and the Margherita. The cocktail is not well managed. Just look at the final number of subscribers. If the result is less than the sum of the parts in question then it means that the operation failed. Data provided by Pd we have read in the newspapers that talk about a number of Final members coming to 700,000 are well below the amount of members that Ds and Margaret had at the time of dissolution, a million if I remember correctly. Even in the rush to office showed again that this merger failed in the race exemplifies a former Democrats and former Margaret. And then there's this strange desire to want to look like agtli United States even in the graphics and the use of words such as 'Democratic Party'. "

What are the references that he would like for the new party?

"I think it would just read a reference to America down and that Hollywood really able to tell what was the United States. But even the great season of the democratic struggle of the 60 'and 70' in Italy, the works councils, the revolution of 30 and honors and employment of Architecture of the 63 '. There is a statement asking different, better. Another important reference is the concept of freedom expressed by the Communist Galvano della Volpe. "

Why did not prevail and that left those cultural references?

"68 'from a certain point of view has been signed for the student protests of the 60s (and perhaps not at the top) and the beginning of something that went beyond politics in the rejection of collective organizations that lasted then for all 70 'and that still survives today.
In essence, the movement to be imputed to the PCI anachronistic well before the collapse of the Berlin Wall. The PCI then acted opportunistically in first and then with the closing of the ecumenical group, which resulted in the expulsion of the poster. This was the moment of the birth of a large extra-parliamentary left. "

What do you expect from the congress of the Democratic Party?

"In Italy today opened a major issue of democracy which is represented by the attack to all the self: the judiciary, the University, the Theatre, Film, Rai, intellectual work. All these areas are treated according to the motto Reagan "Starve the beast until it's tame." As just one example, after an article like the one published by the Corriere della Sera Giavazzi, which states that if you close 20% of Italian universities is good news, a major party would have to take to the streets. I know what I would do in place of the leaders of the Democratic Party? "

What?

"If I become secretary of the Democratic Party today, immediately organized a general strike of Culture. I'd cross my arms to all those who work in Rai, in film, theater, schools and universities. But I would also strike the workers of archaeological sites. I would do this to let you know how it compares and what it means to interact with culture. In 2011, just to go on concrete, the Ministry of Culture will no longer have the funds to do anything if you do not pay salaries to its employees. It takes a great choice for independence and if we start from here then federalism takes on a meaning, otherwise the key in the League is only the rejection of the prior relationship with their defects. "

To speak to large groups of people is not enough culture. What should the Democratic Party for being a great people's party?

"Again, I think a great example of local government are the experiences of 70 '. A Maxentius to see the films of the great auteur Cinephile would meet the boy and the township. Each of these masterpieces took something which then had left. And 'This is the function of Art, the ability to generate many different models. "

What do you think of the other candidates in the field?

"First I want to say that in a competition for the national secretariat of the Democratic Party there must always be a bond of brotherhood. Marino seems to me an interesting candidate because it is not enough evidence that the component ex-Ds and the former Margaret to represent the entire Democratic field, but need some libertarian and secular. But everyone understood that the Democratic Party is a bad start. Bersani gave a different perspective on alliances me seems more convincing than the majority of vocation Veltroni. Franceschini but I have a fond memory as Head of Culture of the Municipality of Ferrara. "

After 15 Berlusconi's idea that she has made about what should be the Democratic Party and the center in the future.

"Although there is much to be done. Berlusconi is still prime minister and there is already talk of post Berlusconi. Rather than envisage a cultural feel different names that could happen from Dragons to Fini. The left or the center but do not seem to have a clear vision on the future of the country. Berlusconi won, ricordiamocelo forever, who has made political use of its television and culture easy, superficial and hedonistic that was able to represent. E 'on the cultural terrain we have to fight the challenge and also in our country has perhaps given a bit' annoyed by the fact that it is not abused too at times of political and cultural initiatives. Head of Culture from the City of Rome have never climbed on a stage, yet it is not that I was not able to speak in public. "

Metods Of Masterbation

Turkish:" Olive Tree is not an experience to be thrown "

This is my first interview for the newspaper to the Other. It 'been a pleasure for me to make a very interesting chat with former Health Minister Prodi's last government, Livia Turkish. The theme was of course that the congress of the Democratic Party. I hope you like it.



On Turkish, what is the task of the congress of the Democratic Party? What do you expect?

"From this first conference, I expect to be filled that void created by his birth, namely the lack of a clear policy debate on the foundations. At stake here is not the quality of the candidate but a political platform. "

Veltroni described the platform Bersani" in the evolution of the PCI-PDS-DS. "

"It seems to me a comfortable reading this. If that were the accessions such as Enrico Letta, Rosy Bindi, Marco Follini, can not be explained. No, this reading actually evades a question, namely, that this great project represented by the intuition of the PD, namely the contamination of cultures, the creation of a new reformist political thought and popular participation, has not been achieved. The Pd in \u200b\u200bthese 20 months has made three errors: the declination of democratic thought exclusively in Newly key, the concept of vocation as a vocation bipartisan majority. Last error, that of a unanimous view of participation, a kind of plebiscite on the left.

So what?

should revive the Democratic Party from its original mission, that of cultural contamination and the creation of a new reformist political thought. It should not be throw away the experience of the Olive. So how to conceive the idea of \u200b\u200ba party rooted in the territory is not to propose a scrap. Means but to return to practice a certain idea of \u200b\u200bpolitical participation as a time for change. Just to put it as Amartya Sen conceive an idea of \u200b\u200bpolitics as "government by discussion".
To do this, however, need the balance of power. We need people to change society. Just to get on concrete issues to me it seems incredibly modern vision of Bersani that you exit from the crisis by creating opportunities for all through systems of social mobility. It 's so that fight inequalities and that's how Barck Obama is trying to do in the United States. "

How do you imagine the new Democratic Party?

"I think in general in Italy, is necessary in a democracy that gives institutions more efficient and representative face live all the values \u200b\u200bof the Constitution. I also believe it is necessary in today's world, raise a leading role in the world of work. This idea, however, takes no great collective subjects. Our democracy must come to promote the world of work as a ruling class, and recover a relationship with those fields made of social insecurity and fragility, too often left on the sidelines.
"I see an approach Bersani fruitful in the phrase that 'we must build a new party with 150 years of history'. E 'right, is that kind of spirit and practice that should be allocated. The problem of democracy today is precisely to adopt the point of view of the weakest and those most socially vulnerable. Many studied political science, also show that it is precisely the world of work to be difficult to be represented by the policy and it is difficult even for the latter to give political weight to the same labor market. As it is very complex in modern democracies represent the extremes is the weakest, as often happens to immigrants, is the most innovative, just by virtue of their status as cutting-edge manufacturing and technology, the experts think of new technologies and the Internet, you do not feel represented by the policy for different reasons. "

What should be the relationship between members and voters of the Democratic Party?

"I think the PD should be made a party of members and militants. It seems pointless to distinguish with the voters, or those who vote in the primaries, or those who participate via the Internet. Any form of participation should be valued. I believe these are organizational problems solved once it has defined its mission, and the plot of values \u200b\u200bof the Democratic Party. The substance policy is that to meet the challenges that before we are organized collective subjects. "

We come to another point. The ethical issues. We need a clearer line on many issues by the Democratic Party or not?

"On many issues need to be a discussion leading to an accurate summary, in a position to put forward proposals. The PD will be a party of secularism ages in a position to define a pattern of values. Let me give an example the other day Buttiglione during the vote on the moratorium on abortion as a means of population control, voted a motion of the device made by me that it recognized the "freedom of choice for women, protection of health and maternity , the road to a balanced population policy and respects the dignity of persons. " I'm sorry that that motion is not passed but I find it important to the choice of Buttiglione and I think this is an example of how to build the plot of values \u200b\u200bwhich must be done in the Democratic Party spoke to her before.
do not agree with secularism rather defeatist hidden behind freedom of conscience, because it means giving up the role of politics which is that of synthesis. "

After 15 years of Berlusconi, who sees the country?

I see a country which has won all along the line on ethical relativism. Indeed, the Berlusconi was the highest of ethical relativism in all fields and the case that Naomi and Patrick D'Addario are nothing more than the epiphenomena. In Italy he won in recent years, under the pressure of Berlusconi, a culture of breaking the rules, individualism, hedonism, consumerism too. Again, Noemi and D'Addario are nothing but the absolute number of examples of the trivialization of sexual freedom which then brings with it a conception of the use of the female body, very degrading. Like this story is degrading in the conception of the relationship between man and woman. All this is inside a trivial and superficial view of life. Should be put in place an alternative cultural seriously able to challenge this world view.

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The PD and the alleged serial rapist.

No you can not make a bundle of grass. 'S why I feel a little out of place to say the words of Senator Ignazio Marino on the link between this "a huge moral issue in the Democratic Party" emerged after the capture of alleged serial rapist, Luca Bianchini. Which as reported in the previous post I got to know personally, like many others besides, because of the position of coordinator of the club he Torrino Pd coated. In PD there are many volunteers who provide their free time to devote to the common good. And it may have happened that someone has abused his power for personal this has nothing to do with the crimes he is accused Luca Bianchini. The profile of this person, if they were to be confirmed the allegations, part of the all-time classic divisions of personality. In short, another case to the Dr. Jeckyll and Mr. Hyde. That's why the words of Marino, person I have known personally and who has the highest regard, are totally inappropriate. Certainly the conviction from 1997 for attempted rape and injury could trigger some alarm bells. However, even in the most important and tough challenges Congress should keep that sense of proportion who have long been calling for all but no one really seems to look. Understandable and even predictable then condemnations in the words of Senator surgeon from many members of the Democratic Party.