Autore
Grossi, Vincente Pierluigi

Titolo
Il Servizio Sanitario campano in un Welfare a venti velocità
Periodico
Le regioni
Anno: 2025 - Fascicolo: 4/5 - Pagina iniziale: 1001 - Pagina finale: 1020

This article examines systemic stresses in Italy’s National Health Service (SSN) through a bottom-up case study of Campania – the South’s most populous and socio-economically deprived region. As a high-need setting with persistent capacity constraints, Campania serves as a critical test of the constitutional right to health (Art. 32) and of the SSN’s universalist design. We reconstruct key governance episodes (commissioner oversight and exit) and assess current performance via core indicators – patient mobility, waiting times, LEA compliance, and disputes over the national allocation formula. From the Campania lens, we argue that health equalization should not be reduced to fiscal leveling under Art. 119: it must also strengthen administrative capacity and credible ex-ante monitoring by technical bodies pursuant to Arts. 117(2)(m) and 120. We also revisit the universality-gratuitousness nexus, considering whether forms of selective universalism can prioritize indigent patients without abandoning universal coverage. Four research questions guide the analysis: (1) How effectively does Campania realize Art. 32, especially for the most deprived? (2) Does the National Health Fund’s allocation advance substantive equality or produce regressive outcomes? (3) Which mix of financial, capacity-building, and monitoring tools best prevents policy failures from burdening citizens? (4) To what extent should universality and gratuity be recalibrated to align constitutional commitments with budget constraints?



SICI: 0391-7576(2025)4/5<1001:ISSCIU>2.0.ZU;2-X
Testo completo: https://www.rivisteweb.it/download/article/10.1443/119237
Testo completo alternativo: https://www.rivisteweb.it/doi/10.1443/119237

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