THE ITALIAN CULTURAL INSTITUTE OF NEW YORK THE WATSON INSTITUTE FOR INTERNATIONAL STUDIES AND THE DEPARTMENT OF ITALIAN STUDIES AT BROWN UNIVERSITY present “150 YEARS OF ITALIAN GOVERNMENT: WHAT HAS BEEN ACHIEVED?” SATURDAY, APRIL 16 - 2011 JOUKOWSKY FORUM, WATSON INSTITUTE - 111 THAYER STREET PROVIDENCE, RI 02912-9043 NICOLA PASINI, Solidarity and the Impact of Market Thinking on Italian Culture: the Case study of National Health Service" INDEX 1. Theoretical Framework 1.1. Solidarity: a positive and normative concept 1.2. Towards a new social citizenship: problems and perspectives 1.2.1. Solidarity in an evolving model of citizenship 1.2.2. Can we speak of a „selective‟ solidarity? 2. Concept of solidarity in the Italian health-care system 2.1. Principles and values 2.1.1. Charity versus solidarity 2.1.1.1. Public solidarity versus private social solidarity 2.2. Evolution of social welfare policy after World War II 2.2.1. The health policy from the post period to the 90s: the reform process 2.2.2. Social care services: a residual part of the Italian welfare states 2.3. Towards which welfare? 3. Market thinking and Italian culture: the case study of National Health Service 3.1. Introduction 3.2. Are the INHS principles market oriented? 3.3. Is national health planning changing? 3.3.1. Essential levels of health care as basic health needs within an universal model 3.4. Some empirical evidences 3.4.1. Services and the public opinion: the verdict on INHS 3.4.1.1. “No the Public health in the hands of the private sector”: the verdict of the electorate 3.4.1.2. Differing attitudes of the people towards the public and private sector 3.4.2. DRG: Implications on the efficiency and equity of health structures 3.4.3. Health financing: consequences of competition in the INHS 3.4.4. The new scenario: exit and moving towards market in health care? 3.5. Conclusions direzione@formazionepolitica.org ; nicola.pasini@unimi.it