Cicli politici elettorali ed evoluzione del finanziamento della sanità italiana: uno studio di lungo periodo
[Political Electoral Cycles and Evolution of Italian Health Care System Financing: a Long Run Perspective]
The aim of the paper is the explanation of the instability of the financing rules embracing the political-electoral cycles approach. A demonstration of the two following assertions is presented: - when Local Governments (Regions) are the sole manager of the HCS' expenditure, the increase of HCS' expenditure represents a political tool for the incumbent (a signaling towards the voters in the electoral period); - given the signaling strategy of Regions during the electoral period , Central Government is induced to decrease the ordinary financing from one hand, and to bail out (ex post financing) from the other hand. An empirical analysis of the two theoretical results is presented, concluding that the expectations on the regional elections can explain the HCS' bailing out (Italy 1981-2005). Only a better division of the responsibilities about the HCS' financing between Central Government and Regions can reduce the instability that political-electoral cycles introduce in the NHCS' financing.
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- Massimo Bordignon & Gilberto Turati, 2003. "Bailing Out Expectations and Health Expenditure in Italy," CESifo Working Paper Series 1026, CESifo Group Munich.
- Timothy Besley, 2007. "The New Political Economy," Economic Journal, Royal Economic Society, vol. 117(524), pages F570-F587, November.
- Rogoff, Kenneth, 1990.
"Equilibrium Political Budget Cycles,"
American Economic Review,
American Economic Association, vol. 80(1), pages 21-36, March.
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