A friend of mine has had a baby. For some time he has chosen to avoid any type of contact with the public administration. But his role as a father has obliged him to step forward.
To get a paediatrician for the child he had to go to the ASL (Health Authorities) he needed the fiscal code from the Income Authorities who needed the birth certificate from the Town Hall who needed the Birth declaration from the hospital.
Hospital-Town Hall-Income Authorities-ASL-paediatrician. He had to go 4 times to the Income Authority because as soon as they opened, the tickets needed for the request had already been used up (with non-Europeans already queuing up from 5 in the morning) and in the end an official took pity on him. He was assigned a paediatrician 3 kilometres from his home.
But is it so difficult for the hospital to provide a birth certificate, a fiscal code and a paediatrician to a new-born? If the public administration had a minimum of efficiency and used the Internet for everything, with the consultancy of the innovative Stanca who has got lost in the Senate.
A paediatrician has written to me and I am publishing her letter. We'll end up having to give birth abroad.
"My name is Lorella L…,
I work as a general paediatrician. I suggest a piece of research that I think would be very interesting. It's about the miserable state in which Italian paediatrics is moving. To see the action of us paediatricians, you just have to look around the streets. Children who are getting fatter, with teeth like sharks and legs that are crooked. Full of medicines. And yet the maximum number of patients to each paediatrician increases, new people are not taken on, those who die are not replaced. Paediatricians in cities with 1000 on their lists no longer do home visits, anyway the citizens cannot change paediatrician. All paediatricians group together to earn more and to cover for each other. Non-urban paediatricians work alone with no guarantees. This happens in my zone, Ancona's ASL, but I believe that it is a general problem.
Rather than getting new paediatricians, they strike off the older children from the lists, thus denying them their right to have a paediatrician up to the age of 14 years. The ASL clearly is in favour as they have to pay less for the patients in excess of the first 500. To do this they base things on the convention drawn up by an oligarchy of maximal paediatricians.
The convention says that to calculate a shortfall it's necessary to count the children aged from 0 to 6. However the children stay generally until they are 14 (unless they are sent away) so the paediatricians are extra full, earning mad amounts, but providing a terrible service, because it is impossible to provide a good service with 1000 children. However the convention doesn't seem to be obligatory. In fact the region of Umbria has taken on new paediatricians having calculated a percentage of those on the list aged 6 to 14. But other regions don't want to know about this.
If new people are not taken on, paediatrics in cities like Ancona will finish, when the 14 paediatricians all retire at the same time. One of the alibis is that there are no exchanges.
But to train a paediatrician it takes 5 years and in the specialist departments only 3 or 4 are accepted each year. It would be enough to plan a greater number. Obviously you are not going to consider being a paediatrician if you can't get into the specialist department and then if you cannot get a job. It all seems like a simple discussion but it isn't because it relates to the health of millions of children."
Posted by Beppe Grillo at 12:20 PM in Health/Medicine
(47) | Comments in Italian (translated)
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