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" The real liberalization of local public services, "Entrust

A new and hopefully profitable path for the liberalization of local public services was inaugurated by the Berlusconi government with the DPEF dismissed on 18 June. The executive spoke on the reorganization of the regulatory framework of services of general economic importance (ie excluding canteens, nurseries, etc. ..) to encourage competition and equality of treatment between different operators. There is a clear desire to open up the market in quick times as the deadline for the cessation of credit shall be directed in the December 31, 2010. The news about the decisive role reversal between race and in-house: the government has decreed a decisive "yes" to the races. A particular emphasis on opportunities to justify this option is found on the front of control by the local authority, a key feature of this method of allocation supported an explicit role of ultimate control in the antitrust field. With the in-house (at home) that is increasingly marginal, the race will play a major role. Problem: local management expertise of the PA to calls and tenders to limit the public finance constraint that blocks the action external consultants. A "Third Way" could cover can rely on the "joint enterprise" (private participation chosen competitive procedure with no less than 30% share) in the case of budgetary needs of local authorities and with the clear intention to acquire industrial know-how specialized. In each case there is a strong DPEF power management control post-foster care: in fact the local authority may terminate the contract in case of serious violations going back to play the role of controllers and planners. Then there is a push offset by efficiency targets socially and environmentally beneficial land, eg. maintaining employment levels above custody. It seems to me that the road taken is the right one now need to make the picture clear in every factor, rearrange, and reassemble the various races to be implemented within a framework of long-term industrial policy of the country. We feel satisfied with the choice of the Government because the competition is the preferred solution for "revitalize" an area off the public, often unproductive and in many cases very expensive. Through the liberalization of local public services, coupled with an appropriate power control and scheduling established ex-law for local, opens a new season where the State no longer be involved in the first person to offer but look in "-tion" market forces, private actors are able to offer those services at lower costs and more efficiently, while always safeguarding the workers, the charitable objects, the weaker (all guaranteed by the power of this Local resolution of contract). The challenge of liberalization has started: the Prodi Government with the Minister Bersani had made a flag now let's see if, in deed, the PD of the Berlusconi government, the shadow minister for local government Ravenna, will be open and willing to say yes to proposals to improve services for citizens, reduce costs and bring the PA into society for a more subsidiarity new welfare society.

Posted by Mirko De Carli
(Vice-Coordinator of Forza Italy Ravenna)

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controls to the right people, the only way to avoid further" St. Rita "(Giorgio Israel)

Statement by Maurizio Lupi, Vice-President of the Chamber,
on "Health and Lombard models, in addition to
'ideology on the case Rita S. "

Silvio Garattini also said that it takes ' a system of inspections regular set to prevent. Senior inspectors independent of who decides and who pays. " It is the only effective way, whether schools or clinics

Faced with the horrific events that allegedly took place in the Santa Rita Clinic in Milan (patients quartered for no reason just to have the money of the region), we wondered: then Lombard is the model of health failure? The answer is certainly negative. Rather something is not working throughout the health system, and testing, "assessment", and here we are faced with something that transcends not only the Lombard system but also the Italian case. The point was taken by Silvio Garattini when he observed: "Something is missing. That is, the way of checking the honesty companies that deal with health. " Yet there are no controls, "Before we speculate on the day of hospitalization, time on Drg. The DRGs (Diagnosis Related Group) is a system devised by an American teacher in order to contain healthcare costs. It classifies patients based on hospital discharge diagnosis within a list of 492 categories of disease which is a type of consumption of resources, duration of hospitalization and clinical profile. The DRGs of each patient was calculated using a computer program and funding to the National Health Service hospitals are paid by fees associated with the DRGs.

Needless to go into details that are affordable for anyone who wants to inquire. Garattini says: "Whatever solution is adopted there is always someone who finds a way to" win "against the sick and the people who are the real contributors to the health service." What to do?, Asks the interviewer. Answer: "With a system of regular inspections set to prevent. Senior inspectors, regardless of who decides and who pays. For example, primary-known retired, but valid and updated. " In the early! We are repeating obsessively for a long time, for example with regard to the school, but in relation to any situation in which you are claiming an evaluation process. Funding decisions based on purely quantitative assessments, in the grid Parameters do not work because they can be circumvented in many ways. One might even throw a challenge: devise a grid of any parameters and you can always find a way to manipulate it in order to get everything you want without anyone suspected incompetent or even criminal. The only effective control system - whether in hospitals, clinics, university departments or schools - is to send unannounced Inspection teams consist of qualified persons and choices in different contexts (in order to ensure the complete independence) that Rivoltini from top to bottom structure and issue an opinion reasoned that as a condition for funding. It is a system expensive, no doubt, but they are vastly more economic and social costs of inefficient or criminal behavior?
The alternative is to continue with the crazy caravan of experts who serve only to feed itself, to give the illusion of rigorous "scientific" promptly followed by inefficiency, degradation and disappointment on the part of administrators who have been in good faith in these hands. It is clear that change means the register not to be intimidated by a bad habit and that there is generalized from the countries most "efficient" in some of them, however, evaluation grids accompany inspections. It would be better to have more freedom and intellectual be subject to conformity that passed off as "science" of procedures that purport to eliminate bankruptcy as the irreplaceable role of people and their opinion.

Published by Circle Network Italy "Thomas More - City of Ravenna"

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" The challenge of subsidiarity, another name of freedom "(Giorgio Vittadini)