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I numeri del federalismo: una simulazione per la sanità

  • Fabio Pammolli

    ()

    (IMT Lucca Institute for Advanced Studies and CERM Foundation - Competitività, Regole, Mercati)

  • Nicola Carmine Salerno

    ()

    (EIOPA - European Insurance and Occupational Pensions Authority)

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.

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Paper provided by Competitività Regole Mecati (CERM) in its series Working Papers with number 01-2010.

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Length: 21 pages
Date of creation: Jun 2010
Date of revision:
Handle: RePEc:ern:wpaper:01-2010
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