PESCARA. Yellow traffic light from Rome. The Abruzzo Region avoids the administration of health care but the issue of the deficits of the four local health authorities is not over.
The inter-ministerial technical monitoring table that took place two days ago in Rome has in fact set a new meeting with the director of the regional Department of Health for May 27th, Claudio D’Amariowhich, by that date, must have already prepared further corrective measures to balance the accounts.
LESS THAN HALF
The sum to be compensated is around 60 million euros, therefore less than half of the 129 million beyond which the Region would have fallen into the abyss of health commissionership. And it is a figure significantly lower than the overall deficit of the four local health authorities, which is around 122 million euros by 2023.
CORRECTIVE MANEUVER
But what has just been said is not enough to make the center-right regional government breathe a sigh of relief that the danger has averted. So much so that the technical apparatus of the Marsilio bis administration has already put in place a corrective measure based, almost certainly, on the approval in the Council of an ad hoc law which remodulates the regional Irpef and Irap surcharges, while trying not to affect on the pockets of Abruzzo taxpayers.
The rescue operation is conducted in synergy by the Health Department, which reports to the reappointed councilor, Nicoletta Verìand by the General Accounting Service, directed by Fabrizio Giannangelipresent at the Roman Monitoring Table made up of the Ministries of Health and Finance.
WHAT THE LAW SAYS
The technical key to understanding what happened at the Monitoring Table is, in short, in a regulatory passage of the 2010 Budget.
«The level of the deficit, once exceeded, is set at 5% of the ordinary financing (including the regional own revenue), the law states, «the obligation to prepare a Repayment plan. This obligation is triggered even if the Region has a deficit of less than 5% but does not have the resources to cover it”. And the latter is the case of Abruzzo which, in terms of active transfers for healthcare, can count on the figure of 2 billion and 582 million euros. Whose 5% is equivalent to just over 129 million, which, as we said before, represents one deadline which the Region has not exceeded in any case.
In Rome, moreover, during the river session, the Abruzzo technical delegation managed to further lower the figure for the deficit of the local health authorities (those 122 million which we also report in the table above) thanks to the balance obtained with the so-called Centralized Health Management (Gsa) active, i.e. a specific responsibility center that directly manages a portion of the financing of the regional health service.
THE LAST MILE
It is now a question of finding further coverage for the 60 million overruns of accounts that still remain at stake. And the confirmation came yesterday from councilor Verì. «First of all», begins the councilor, «it is important to underline that the financial difficulties we are facing are not exclusively attributable to the current administration. The economic situation derives from historical and structural problems that have afflicted the regional healthcare system for many years.”
THE REPLY TO THE PD
Addressing the regional councilors of the Democratic Party, Sandro Mariani And Pierpaolo Pietrucci, Verì adds that: «The figures disclosed do not offer a complete picture, as they fail to consider the positive results of the regional centralized health management, which closes in the black. These results must be integrated with those of company management to provide an overall balance, still the subject of discussion in the next meeting of the monitoring table, set for May 27th. In any case”, Verì remarks, “the final results will be far lower than those feared by the minority and will amount to a value much lower than half: therefore there is no risk of administration. And it is worth pointing out”, explains the councillor, “that similar situations are also occurring in other regions. This means that we are not the only ones facing these critical issues but they are part of a much broader, national context.”
«Finally», concludes Verì, «contrary to what the opposition stated, we have invested significantly in healthcare infrastructure, cutting-edge technology and in staff development, precisely to improve the quality and efficiency of the service offered to the citizens of Abruzzo. These investments are essential to correct inherited inefficiencies and to guarantee quality public healthcare, without closing any healthcare facilities.”
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