I read the FIRSTonline interview from the last few days at Professor Silvio Garattini, who made a precise and shareable analysis on today's problems of Italian healthcare and on the possible interventions to be implemented to carry out a modern and democratic health policy. From my experience in territorial medicine, first as a family doctor for thirty-five years in Perugia and for ten years involved in the emergency in Alta Pusteria, it seems to me important to analyze the point of view of Italy's geographical diversity. From small islands to mountain territories, the services to be provided are different from those of easy-to-communicate areas.
HOSPITALS: CLOSING A SMALL BUT EFFICIENT IN THE MOUNTAINS RISKS CREATING AEB SERIES CITIZENS
Closing a small but efficient mountain hospital for a pure arithmetical calculation means exposing the resident populations to enormous hardships and dangers, creating Serie A and B citizens, not by income but by geographical location. It also means depriving the major hospitals of a filter, overloading them and therefore making them no longer able to deal with the most important cases.
Finally, if we want to remedy the depopulation of some territories and the overcrowding of others, we must democratically offer everyone the same right to prevention and treatment. The error of health economic policy it was precisely to ignore health geopolitics, perhaps the most important thing on which the regional councilors should have focused.
°°° The author Paola Virginia Gigliotti he is a doctor for the Covid emergency and the National and International Competitions in Alta Pusteria
