Is invoked by many the need to introduce elements that encourage efficiency and effectiveness in public organizations.
for the ability to practice responsible behavior and also fixed the economic changes but also the transparent use of public resources by those who support them.
Despite the ongoing reforms of the lack of transparency in the PA is still in need of assistance.
It must unfortunately take note of the fact that very often those who run (the fish, rightly Brunetta, it stinks from the head) in the political contexts of both pure managerial, instead, as it should guide their decisions on a proper and successful management of increasingly limited public resources, manages those in custody is to be implemented, on the one hand, measures of dubious value, however, very expensive, on the other determinations which tend to management, so to speak, "personalistic" (cites, in this regard, what the press daily report on public tenders carried out irregularly, management of patronage appointments to the staff of PPAA and professionals external to them, of poor management and award of tenders relating to works and supplies of goods and services, escalation of incidents administrative crime).
The case of health seems particularly symbolic in this respect because the mismanagement reported seem more frequent and mainly because they affect in a negative way when not directly fatal to the category of people who by definition is in a state of particular vulnerability of the sick.
And in terms of mismanagement and poor health care physician's book Paolo Cornaglia Ferraris, publishing the first edition of which dates back to 1999, significantly entitled "shirts and pajamas, the faults of the medical disaster in the Italian health" is defined on the back cover of the same book as "A sort of anthropology of the species documented by medical and paramedical ruthlessness and irony" (the comment made by Simonetta Fiori, the newspaper "la Repubblica").
And a real anthropology (which should be extensively reported by analogy to other branches of government) is, so deeply rooted in nature and have become the facts and negative mechanisms present in public health identified by the author. Here's how
C. Ferraris mentions the "law of Murri", that is how he began the custom of "distribution" of teaching posts in the Italian health system (customary, however, no use denying it behind a finger, at least in its general principles and objectives of today more often continues to be - and not just in the health system - gleefully observed):
"At a time when the Savoy reigned, and then from the earliest stirrings of young academics who demanded autonomy, one of the most powerful barons of Medicine then devised a stratagem which then became known as the "law of Murri, even though it is much more commonly known in the" law of the fool. " Since, to satisfy the rampant, she had to split the medical clinic and the medical pathology, the risk of a diminutio capitis (especially of a diminutio redditus) became real. Murri immediately realized that the medical condition would have become highly competitive, despite being deprived of the right to govern the beds in hospital (the word "clinical" means "read" and it was almost magical in those days). That is why he chose the worst of his team and put him in charge of his chair. Like him, then worked many more, so that this trick was a real law, the law of Murri, of course, which consisted of a single article: choosing the most stupid of the employees and put it in the classroom. Ol'imbecillità Ignorance does not create the desired shade to the great master, which shines even further by contrast. It 'happened so that the death of Baron Murri and those like him, the medical condition selected according to "the law of the stupid" has become clinical utility. They, too, of course, have applied the law, again choosing the less clever of their followers. As a step to step down, the only way to exit the vicious cycle occurred when the clinician in charge was so brilliant that it just did not realize he had chosen instead a person who was worth much more than him. The game that the massacre had a chance to start over. "
superfluous, I think, any comment.
Still on the theme of "transparency" you might ask behind how many of the dismissals '-nothing' set of rules implemented so far using the outdated and many of the layoffs that will trigger the PA in the future with the same subject matter but according to the rules which flows from the recent reform is hiding the 'cleansing' of people uncomfortable who had the courage that is required to report irregularities, practices, patronage, waste, when not clearly criminal behavior by politicians who do not deserve to sit in the chair they occupy, which often chair, however, abuse, or leaders not to 'height of their responsibilities?
I recall that after the release of his book Cornaglia Ferraris was fired by the health authority where they were at the medical profession. The judges recognized his reasons a few years after his resumption of duties and the professional Cagliari.
More recently, the State Railways have fired the driver Dante De Angelis (also later returned to the place in court) for reporting problems to the safety of trains.
In light of these events must be made a profound reflection on 'current state' of health ', it is appropriate to say, our public administration.
