The Covid-19 Pandemic Puts Us in Front of the Vexata Quaestio: Health is a Right or a Privilege?

6 Pages Posted: 26 Apr 2020

See all articles by Ciro Costagliola

Ciro Costagliola

University of Molise

diego strianese

Federico II University

Rita Di benedetto

affiliation not provided to SSRN

Antonella D'Aponte

affiliation not provided to SSRN

Roberto Dell'omo

University of Molise

Date Written: April 25, 2020

Abstract

Coronavirus crisis has shown the importance of public healthcare systems, emphasizing the need to strengthen them. In Italy pandemic has stressed the problems afflicting the National Health System, bringing out the structural and organizational fragmentation present in each of the 21 regions, namely lopsided reduction in intensive care beds, structural deficiencies, workers below the number necessary to cover shifts, lack of equipment and material, and much more. All the limits of a fragmented healthcare system have been highlighted, as well as the different operating arrangements existing among the various regions. The lack of a single control room during pandemic has caused inhomogeneity of communication strategies and conflicting messages among the local institutional offices. As a result, Italy followed the spread of the virus rather than prevented it. Thus, fairness in access to services and territorial autonomy must not be lopsided among the 21 Regions. Healthcare in Italy, as in the rest of the world, should respond to the logic of care, rather than follow the logic of the market, local political interest and provide a health service on demand. This must not create competition between public and private health systems, but sets the rules for the possible and natural coexistence of systems. Quality healthcare is a human right, not a privilege, and should never be influenced by economic disparities.

Keywords: health care system, Covid19, private and public health care deliver

JEL Classification: I13, I14

Suggested Citation

Costagliola, Ciro and strianese, diego and Di Benedetto, rita and D'Aponte, Antonella and dell'omo, roberto, The Covid-19 Pandemic Puts Us in Front of the Vexata Quaestio: Health is a Right or a Privilege? (April 25, 2020). Available at SSRN: https://ssrn.com/abstract=3584996 or http://dx.doi.org/10.2139/ssrn.3584996

Ciro Costagliola

University of Molise ( email )

Via De Sanctis
Campobasso, Campobasso (CB) 86100
Italy

Diego Strianese (Contact Author)

Federico II University ( email )

Naples
Italy

Rita Di Benedetto

affiliation not provided to SSRN

Antonella D'Aponte

affiliation not provided to SSRN

Roberto Dell'Omo

University of Molise ( email )

Via De Sanctis
Campobasso, Campobasso (CB) 86100
Italy

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