Wednesday, November 18, 2009

How Do I Make Sweet Popcorn

The "stick" for doctors not working Brunetta

The effect of yesterday's decree 150/09, which implements the so-called reform Brunetta, determines new harassment as physicians, veterinarians and leaders of the national health service, despite the limitations of regional autonomy in health . It 's just a matter of time. The

rilegificazione employment puts in the hands of the government - through the rules laid down in an authoritarian manner and not modified in the contract - basic choices for the running of the service assessments, for careers and salaries of medical directors, making even closer relationship between politics and management in public health.

Decide exclusive company, the only information the unions if required, the organization of
services and measures concerning the management of labor relations.

bodies "independent" for the assessment of performance and remuneration shall be appointed by the same system-area company that decides the criteria. Most of the pay of any result shall be allocated by law to the individual premiums for those who are within the range of about higher than the three to be established, however, when health care is a winning team work. And the resources for the various awards and bonus pay are taken out of the other doctors. The companies may

decide if there is no agreement with the union, each subject
regulatory and economic bargaining still left.

The logic is, however, authoritarian and punishing its peak in the articles, written in a minute, on a variety of disciplinary sanctions and tightened: suspension without pay, dismissal, imprisonment and fines. A real arbitrary code can not be challenged by contract in spite of the Workers' Statute.

And the medical directors are doubly targeted: punished and dismissed for their "misconduct" is not whether
oversee those of other operators.

So wrong.

E ' fair assessment, sanction and reward, but the goal is better functioning of the health service.
And this is done by sharing and participation of those who work, taking into consideration the citizens' opinion. Not using the stick or pointing a gun.


Rome, November 16, 2009

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