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I numeri del federalismo: una simulazione per la sanità

Author

Listed:
  • Fabio Pammolli

    (Politecnico di Milano and CERM Foundation - Competitività, Regole, Mercati)

  • Nicola Carmine Salerno

    (Ufficio parlamentare di bilancio)

Abstract

Che cosa sarebbe accaduto se nel 2009 il Fsn fosse stato ripartito integralmente a quota capitaria ponderata? Pammolli e Salerno propongono questi calcoli, considerando come pesi di ponderazione i valori desumibili dai profili di spesa per fascia di età utilizzati dalla Ragioneria Generale e dall'Ecofin. Inoltre, quale distribuzione regionale delle risorse future emergerebbe se la quota capitaria ponderata fosse applicata alle proiezioni di spesa sanitaria (acuta e lungodegenza) riportate nel Programma di Stabilità dell'Italia? Lo rivelano i numeri di un esercizio di simulazione al 2015 e al 2050, che contiene anche una ipotesi di gestione della fase di transizione. La quota capitaria pondera dimostra la sua capacità di perseguire, con regole semplici e trasparenti, finalità di redistribuzione territoriale. Per quanto riguarda, infine, il lato del reperimento delle risorse, si propone l'applicazione del principio di ugual sacrificio proporzionale sui Pil regionali.

Suggested Citation

  • Fabio Pammolli & Nicola Carmine Salerno, 2010. "I numeri del federalismo: una simulazione per la sanità," Working Papers CERM 01-2010, Competitività, Regole, Mercati (CERM).
    • Handle: RePEc:ern:wpaper:01-2010
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    More about this item

    Keywords

    federalismo; sanità; previdenza complementare;
    All these keywords.

    JEL classification:

    • D60 - Microeconomics - - Welfare Economics - - - General
    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • H50 - Public Economics - - National Government Expenditures and Related Policies - - - General
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H70 - Public Economics - - State and Local Government; Intergovernmental Relations - - - General
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • H77 - Public Economics - - State and Local Government; Intergovernmental Relations - - - Intergovernmental Relations; Federalism
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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