Once the electoral season is over, the majority and the opposition must work together because healthcare is made up of communicating vessels, from Goro to Cento; when a person is in need, he presents his tax code, not party cards.
Management can be “right” or “left”, with few differences. The ability of the “universalist national health system” to limit its transformation weighs heavily, so that health aspects are secondary to financial ones.
In recent months, the Emilia-Romagna Region has urgently moved money to reduce waiting lists. Which is good and right, but tactical. The strategy, for years, has been to weaken, for political and budgetary reasons: to take money away from peripheral areas and hospitals throughout the region, to favor some of them. The Delta-Lagosanto hospital, also a reference point for the capital, without transversal political support and which is 40 kilometers from its competitors in Ravenna, Ferrara, Adria and Porto Viro (Veneto), is predestined for requiem. After the summer reduction of beds, surgery and urology, it is possible to limit orthopedic surgery. The Delta has a catchment area of 70/90 thousand people, plus the summer one; Since 1 December Orthopedics has 7 units, including the head doctor, while in Cento there are 10 in a hospital for 60 thousand people.
ASL, after eliminating oncological surgery and diverting urology robotics to Cona, could make “production cuts” starting from orthopedics because the money for overtime on Saturdays, Sundays and holidays has run out.
Reducing weekly activities to make up for hours and cover guards, previously overtime, is a false solution because the department – for years – has been understaffed.
If the Local Health Authority does not guarantee resources for “ready availability”, fearing closures, it puts the Management in difficulty and raises questions. Moving the decision to cease activity to the department is legally questionable, with a moral shadow because it would seem that the activities are closing only because doctors are no longer paid. An eventuality foreign to the style of the department due to the respect given to collaborators and patients, and because the doctors will continue with their usual dedication and time.
ASL should take documents, propose them and agree on the decision with the Territorial Social and Health Conference and Mayors, because they are changes to programming; otherwise, behind a contractual aspect, the incorrect evaluation of the resources necessary to guarantee the services would be hidden.
Problems are not solved by reducing, but by entering “into the merits and skills”. The consequences would be: new waiting lists, patients going elsewhere; professionally mortified health workers; doctors pushed to other locations; increase in passive mobility and extra regional costs. By limiting budgets, services are closed, a war starts between the “healthcare poor” and the resigned detachment from institutions increases.
Riccardo Forni, journalist
Ferrara Violated Rights Committee
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