the reader to forgive me, but it turns out "The italian job "is the title of a film that comes in handy to lead these considerations. It is an intriguing original theft and scams whose original version in 1969 starred the evergreen and Michael Caine remake 2003 by Mark Wahlberg.
Bridging the gap, I think Italy and Spain are similar in many ways. Are two nations formed over the kingdoms and states that shone brightly in the past, hence the significant cultural differences among its citizens according to the place where they live, north or south, pick up or setting, country or city. Idiosyncrasy is full of stereotypes portrayed in movies with great skill by masters like Fellini or Berlanga. To us all we need Berlusconi, leader possible in a country that lives glued to the television. They say that in Italy are accustomed to the crisis, with low levels of GDP and rationalization of public expenditure, it spent decades immersed in this maelstrom. It is a hard country, something shaped like a boot.
regard to the containment of pharmaceutical expenditure, the Italian proposal would be based on 6 points:
1 º / ceiling to the percentage of expenditure, a kind of we are here and not pass this border anyone
2 º / if spending is limited, benefits as well;
3 º / copayment regulated in the sense of partnership with private insurance;
4 º / establishment of prescribing guidelines encouraging the use of generics;
5 º / distribution of drugs directly to hospitals,
6 º / discuss drug prices between the government and the pharmaceutical industry.
Thus, pharmacists receive a fixed percentage according to recipe, and not by price the drug. Do not forget that in Italy it's not all textile and fashion, as his Italian employer is very powerful drug, with several multinationals pulling the cart of the research, development and innovation.
In Italy and Spain, the coverage is universal, but, unlike us, there are minimal benefits. The other services depend on the co-payment and are managed by different Italian regions. The problem is called equity.
To save, our environment many have thought of the copayment, but renege on him in public, it would be political suicide. Partnership with private insurance and tax credits could be useful in the segment of the population who never go to the doctor. The guidelines based on scientific evidence (medical and economic) to recommend the best drugs for each condition is something that traditionally has been calling for since the establishment optional, even in good times. And so, if anything could save the Italian proposal, would be nothing more that needed to maintain equity, quality and efficiency of our health system.
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