Daniela Mignogna
(Segreteria Nazionale del PSI - Politiche Socio Sanitarie)
Pagare la retta di una casa di riposo o di un asilo nido a Bologna non è la stessa cosa che farlo a Milano, a Venezia, a Firenze, a Napoli. E questo vale per tutti i servizi previsti dall'assistenza sociale, da quelli per le persone disabili a quelli per gli anziani o per i minori. Gli oltre 8.000 Comuni italiani , infatti, fanno pagare ai cittadini percentuali diverse e spesso inique pur offrendo lo stesso identico servizio . Questo accade perché non esiste in Italia uno standard in materia e le amministrazioni comunali hanno la possibilità to determine for itself the competition at the expense of citizens. Since there are, in short, a ticket such as health, it happens that a municipality other there are variations for individual contributions but also for performance from 10% to 40%. This is a problem that, despite the Istat survey, tends to be little known and discussed.
sources of financing for social assistance are several answers: the State, the Social Fund and national expenditure on cash transfers of various kinds, the regions with the Social Fund and other regional shopping centers, municipalities and citizens . These contribute to the cost of services for 30% -40% of overall spending. As the single City to choose the fee, the result is of great unevenness, lack of fairness, differences can not be justified. As for the services of general interest, such as energy, water or waste the cost of access and use is the subject of institutional monitoring, this does not apply to services for individuals. The prospect of even more federalist highlight these differences.
If it is almost impossible to reduce the time to think of all the inequities that we must pursue the objective is to try to get at least an equity landscape, allowing that to pay the same for people in same terms of income. To do this we must promote the wider use of economic indicators such as the ISEE, but should be revised and expanded. One problem with these indicators is that they refer to the previous year than the detection and hence may not realize effectively the current situation of citizens, especially in these times of crisis when a lot can change a person for a month another. addition, the ISEE only captures some dimensions of ability to pay and may not be enough.
to limit the economic contribution that the assistance has on families, innovative hypothesis potrebbe essere quella di tenere conto oltre che del reddito, anche della partecipazione attiva della famiglia in termini di assistenza diretta . Sarebbe importante iniziare a valutare non solo gli aspetti prettamente economici, ma anche considerare il tipo di aiuto e sostegno su cui il singolo può contare. In altre parole, se il nucleo familiare partecipa attivamente all'assistenza, apportando di fatto un beneficio al servizio, si potrebbe pensare di attenuare la contribuzione come una sorta di indennizzo.
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