I n a recent report of one of the few television programs that tell the world that surrounds us with a lone voice and a constant search for truth through the excellent work of journalists and independent professionals, was shown the real image and, in some paradoxical aspects of healthcare organization Lombard, considered by "experts" politicians, and managers hired by the media as the best health in Europe, thanks to the entrepreneurial skills of its production, marketing and to attract patients from each region, especially from the South, far from a model in the acclaimed federalism, this time in the name of a principle, falsified and obviously dictated by economic interests, freedom of choice in their treatment of citizens, with accredited facilities and private medical specialists and cutting-edge of international fame and benefits paid to DRG products worthy effectors of the new concept of health seen as offering a providing highly specialized (and that's it!) which is equivalent to a product and at a cost, with more on the model of consumption is imported from the market and with a question here conditioned by offering well-publicized and interested. In this model the emphasis is therefore only to a health care numbers, which are equivalent to production performance and redemptions departing from the concept of health seen as idealistic WHO "state of complete physical, mental and social, not merely the absence of disease." According to the WHO's health is considered a right and as such it underpins all other fundamental rights which belong to the people. This principle assigns to the States and their joint tasks that go far beyond the simple management of a health care system. They should take care to identify and seek, through appropriate alliances, to modify those factors that impact negatively on s EALTH collective while promoting favorable ones.In the model of the current Italian health we wanted to give to every health service has an economic value, the DRG (diagnosis releated group), which represents a grouping of manual diagnosis or provide a specific cost for each. So each service has a cost or diagnosis different, that we citizens pay our taxes in a system of economic interest and that obviously suits you smart, where we try in every way to increase performance and numbers often false, or that do not serve our real health needs, often with false information or not relevant, with control mechanisms are often absent, inefficient, so repayments increased dramatically with unfair competition between accredited structures and public, the latter deprived of human resources, professional and economic. This gives rise to the scandals the media on health, especially on one side of cheating in accredited facilities and private, and the other part of a public health especially in the South away from the minimum required standards of efficiency and effectiveness, which are nothing more than the tip of the iceberg of a system of corruption at all levels that affect our fundamental right to life and to his defense. Every health system may have some merits and defects, can not there a perfect system public or private, is certainly important to regulate the cost of treatment, but no one can stop this, we can not entrust the health of the citizens to a single logical management. In my humble opinion, the solutions are not in the reward and reimburse hospitals, clinics, operating units and managers who produce more, because this is not always reflected in the improvement of a population and a territory. For example, measures of thyroidectomy on a large scale or in other forms of surgery often unnecessary, have widened the indications today without this turns into an improvement in public health. The population has the right to be informed not only by the continuing scandal of poor health care, or the extraordinary results of research into our genes make us immortal, feeding one part fear and distrust of doctors and health care, or other false hopes about cure any disease, with the complicity of major media who are always looking for the sensational news or a scandal. The citizen has the right to be informed about their health, the importance of prevention and living well, the real evidence of modern medicine, has the right to be treated in their own land. The future, therefore, lies in health planning at regional and local levels must be based on criteria efficiency, effectiveness and economy, on what are the real needs of an area, a community within the region, and the scientific evidence based medicine criteria, which must by law be applied by health professionals in every service provided. If the "Policy" now finally begin to emphasize the concept that public health is not a product to market, a business or a focina of votes, if we start from serious levels of health planning, honest and serious, is not only based reimbursement mechanisms and earnings, but which are based on the real health needs in an area with not only models of care but also prevention, then perhaps you could find better solutions, on the one hand to curb health care spending, which will always be growing in the future with the increasing age and chronic degenerative diseases, and the other will set up a new model of health care more equitable, just, effective and efficient mechanisms of meritocracy not only professional but also of ethics and conduct that put the physical and mental health of every citizen finally at the center of interest.
