Health systems and health reforms in Europe: The case of Italy

Intereconomics

Volumn 43, Issue 4, 2008, Pages 205-212

  Fiorentini, Gianluca ^b   Bruni, Matteo Lippi ^b   Ugolini, Cristina ^a  

^a UNIVERSITY OF BOLOGNA   (Italy)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

EID: 52249106212     PISSN: 00205346     EISSN: 1613964X     Source Type: Journal    
DOI: 10.1007/s10272-008-0253-z     Document Type: Article

References (26)

1. G. France, F. Taroni: The evolution of health-policy making in Italy, in: Journal of Health Politics, Policy and Law, Vol. 3, 2005, pp. 169-87.
2. OECD: Health Data 2008, Paris 2008.
3. G. France, F. Taroni, A. Donatini: The Italian health-care system, in: Health Economics, Vol. 14, 2005, pp. S187-S202.
4. Ibid., p. S190.
5. A. Breton, A. Fraschini: Vertical competition in unitary states: The case of Italy, in: Public Choice, Vol. 114, 2003, pp. 57-77.
6. G. Arachi, A. Zanardi: Designing Intergovernmental Fiscal relations: some insights from the recent Italian Reform, in: Fiscal Studies, Vol. 25, No. 3, 2004, pp. 325-65, here p. 326.
7. V. Mapelli: The origins of the Health Sector Deficit (in Italian), in: E. Gerelli, A. Oajocchi (ed.): The public defi cit: origins and problems, Milan 1984, Franco Angeli, pp. 505-571.
8. G. France, F. Taroni, op. cit., p. 174.
9. G. Fattore: Clarifying the scope of Italian NHS coverage. Is it feasible? Is it desirable?, in: Health policy, Vol. 50, 1999, pp. 123-42.
10. G. France: Constrained governance and the evolution of the Italian national health service since 1980. Paper presented at the ECPR workshop on beyond the health care stat, Oslo 1996.
11. G. France, F. Taroni, op. cit., p. 183.
12. M. Bordignon, V. Mapelli, G. Turati: Fiscal federalism and national health service in the Italian system of governments, in: ISAE: Report on Monitoring Italy, Rome 2002.
13. P. Liberati: Fiscal federalism and national health standards in Italy: implications for redistribution, Working paper SIEP 2002.
14. I. Mosca: Is decentralisation the real solution? A three country study, in: Health Policy, Vol. 77, 2006, pp. 113-120.
15. The standard rate of IRAP is 4.25%, while the rate of IRPEF surtax is 0.50%, both defined uniformly by national law.
16. G. France, F. Taroni, A. Donatini, op. cit., p. S193. By the way, the European Court examined the legality of IRAP in light of European Union rules on VAT harmonisation and in 2006 ruled in Italy's favour despite the adverse opinion of its own legal counsel.
17. G. France, F. Taroni, A. Donatini, op. cit.
18. G. Arachi, A. Zanardi, op.cit.
19. Starting from 2001, each region will be able to raise the rate of IRAP by 1% and the rate of IRPEF surtax up to 1%. Hoping to force lower health spending, such tax rate autonomy was frozen by the central government in the 2003 Budget and freed again in the 2006 Budget. In 2007, the central government envisaged a further increase in the tax rate for regions that fail to get their health spending under control.
20. G. Arachi, A. Zanardi, op.cit.
21. C. Lessmann: Fiscal Decentralization and Regional Disparity: A Panel Data Approach for OECD Countries, October 2006, available at SSRN: http://ssrn.com/abstract=936874.
22. G. Arachi, A. Zanardi, op. cit.
23. A. Petretto: On the cost-benefi t of the regionalisation of the National Health Service, in: Economics of Governance, Vol. 1, 2000, pp. 231-32.
24. A. Bibbee: Making federalism work in Italy, OECD, Economics Department Working Paper 590, 2007.
25. M. Bordignon, V. Mapelli, G. Turati, op.cit.
26. A. Bibbee, op.cit., p.6.