by Angelo Minghetti and Gennaro Sorrentino
24 JUN – Dear Director,
as the Migep-States General Federation we wish to express our concern about what may happen with the “Differentiated Autonomy” reform. In our opinion, this measure will deprive the regions that are not in step with the richer ones of social guarantees and essential assistance services, thus representing yet another obstacle to the fight against poverty and inequality.
The lack of tax revenue from the richer regions will increase the gap that already exists between North and South in an irrecoverable manner, extending to professional training, competitive rankings, staff salaries and even employment contracts. In this way, a secession will take place which will break the constitution and social cohesion and will cripple the quality of healthcare due to the repercussions of an anomalous healthcare geography.
At the same time, it will be very difficult to intervene to bridge the differences in healthcare due to the ancestral economic difficulties of the southern regions which will be forced to increase costs to ensure minimum standards and guarantee the new LEPs.
At this point a reflection is urgently needed: what will happen to OSS training? the “Differentiated autonomy” bill presents numerous risks on the issue. Our concern is that series A and series B figures will be formed with serious inequalities towards citizens and above all on salaries.
As states general oss-migep we will be at the forefront in defending fair training for operators and for healthcare accessible to all. We do not want and cannot accept that the country is divided into many small parts (21 regions with 21 different healthcare systems), we need to build a strong Italy and a healthcare system that guarantees the same quality levels of care for everyone.
We cannot afford training with 21 different OSS qualifications and with different salary values. This profession already suffers from significant skill imbalances and differentiated autonomy could further strengthen them also due to the problem of shortage of nursing staff, thus undermining the right to professional protection and that of citizens’ health.
We cannot have a country split in two and 21 new obs profiles. Today the OSS profession must be at the forefront to relaunch itself by making its voice heard loudly before it’s too late! We cannot hide the great concern for the consequences that could fall like rocks on this already fragile profession. The valorisation of these professionals, the need to limit the workload, the discrimination they suffer at the suffocating game of nurses, can no longer wait.
This figure is a heritage of inestimable value, we need a concrete health policy that is capable of dictating guidelines to protect the health of frail citizens, the chronically ill, the disabled, children, the elderly and professionals. “United to unite” must be a common objective without divisions, without internal struggles, in light of an increasingly specialized defense of the healthcare system. The country must offer citizens and its professionals from north to south the same possibility in the care and training of its health workers without distinction since they represent an enormous resource that must be counted on.
Angelo Minghetti
Migep Federation
Gennaro Sorrentino
States General Obs
June 24, 2024
© All rights reserved
Other articles in Letters to the editor
