The crisis of the Italian Healthcare System emerged long time ago, and the serious budget deficit of many Regional Health Services and peripheral facilities is a proof of that. However, the evolution of healthcare technology and the increasing of average life seem to lead such a crisis to the point of no return. So we are faced with the alternative of making a rapid and profound reform, or be unable take care of all. This paper does not claim to perform a detailed review of all the problems of the Italian system, but wants to make a contribution to identify some specific issues, which are essential for changing, through the author’s experience as consultant of the Parliamentary Commission of Inquiry about Healthcare Errors and causes of Regional Healthcare Systems deficits of the Italian Chamber of Deputies during the XVI legislature. The paper is partially composed by the contribution of the author to the activities of the Commission and to the Final Report, and seeks to demonstrate such as the crisis of the system is mainly due to cultural factors.
Keywords: Health, bioethics, elderly, chronic patients, defensive medicine, clinical risk