00:00In reality, it's not that we spend less, it depends on what are the indicators that we take into consideration.
00:11Unfortunately, we always refer to this health spending ratio on the GDP, forgetting that it is the GDP that makes it the boss,
00:18because it is at the denominator, and by now everyone, even with the other economists,
00:22have widely demonstrated that this is not the indicator to take into consideration.
00:27Also because, with a simulation that we did a short time ago,
00:31only by putting the GDP of 2022 on the spending of 2024,
00:36we had expanded the spending ratio on GDP by 7%,
00:40so this means that these are two random measures that cannot be taken into consideration
00:46in order to see how much is being spent.
00:48Rather, we need to look at the GDP-GDP health spending ratio,
00:52from which we can see that Italy, in the last two years,
00:55has quickly approached the regression line,
00:58so we are approaching the level of spending that we can afford to spend.
01:04Again, and I'll go quickly,
01:06if we compare the GDP-GDP health spending ratio,
01:09it is always said that we spend much less than France and Germany,
01:13in reality the differential on the GDP-GDP health spending ratio
01:18is lower than the differential between the GDP of these two countries,
01:23so we actually spend, as GDP-GDP health spending ratio,
01:27if we read these data, even a little more than France and Germany,
01:31in relation to the GDP that we have, and to the GDP that they have.
01:36Having made this clarification, it is also underlined the fact that,
01:39by law, in 2025 and 2026,
01:43there will be an amount of financing from the National Health Fund
01:46that is a nominal value, in real terms it has never been recorded before.
01:51This does not mean, however, that only the resources are necessary.
01:55In addition to the resources, as the Minister has emphasized more often this morning,
02:00we must then go and see how we spend these resources that we have available,
02:05which have increased,
02:07and above all how to guarantee a rapid access of those citizens for care.
02:11Of course, important measures have already been put in place
02:15that will guarantee to wait,
02:18because they have not even been introduced for a year,
02:20they will guarantee an earlier and safer access to care.
02:24Just think of the DL73 on the waiting lists,
02:27which is a fundamental tool,
02:30because it will allow the Ministry to monitor
02:33what is the progress in real time of the waiting lists,
02:36and therefore it will also allow to go and verify what the anomalies are.
02:40This is all to protect citizens and patients,
02:43because at that point they will also be able, by consulting the platform,
02:46to go and see what the waiting times are.
02:50Reducing the waiting lists and reducing the waiting times
02:53also means that the patient can be treated earlier.
02:58Treating a patient earlier means guaranteeing him the best care,
03:03it means making him heal, in most cases,
03:06thanks to the use of new technologies,
03:08or at least reducing the negative impact of a pathology.
03:12And then, at the end, this will also determine
03:15a reduction of the costs of the system itself.
03:19Another aspect on which we are working,
03:22always to guarantee, first of all,
03:24a sustainability of the system,
03:26and on the other hand,
03:28also an access to the fastest care of patients,
03:31is to transform some voices,
03:33which today are part of the health and current expenditure,
03:36into investment.
03:38I believe this will be an epoch-making change.
03:41The interlocutions with MEF have already been activated,
03:45also thanks to the intervention of the Minister
03:48and the Deputy Secretary of Health,
03:50who are allowing us to understand
03:52which voices of the health sector
03:54will be able to be part of the investments
03:57to be put into the European Stability and Growth Pact.
04:01This is an interlocution that we have started
04:04just a few days ago.
04:06We will have to conclude it by April
04:08to carry out the submission
04:10by the Ministry of Health
04:12in collaboration with MEF.
04:14And this, for the first time,
04:16will finally allow some voices
04:18of the health expenditure
04:20to be considered investment.
04:22Because we know that health is an investment.
04:25And we will have to go in this direction more and more.
04:29Because investing correctly in health
04:31means guaranteeing an improvement
04:33in the quality of care.
04:35All studies show this.
04:37And, at the same time,
04:39reducing the impact on health expenditure,
04:41but also on family expenditure.
04:43Certainly, one of the main voices
04:45to be considered as investment
04:47is that of prevention.
04:49The Minister also underlined this this morning.
04:52And this is the direction
04:54towards which we will go
04:56at the level of the Ministry of Health.
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