https://doi.org/10.4081/mem.2017.488

Curarsi in Europa è possibile? Come e se il decreto sull'assistenza transfrontaliera n. 38/2014 condizioni e ostacoli l'esercizio del diritto alla salute / Is it possible to care themselves in Europe? How and if the decree on cross-border healthcare no. 38/2014 affects and hinders the right to health

Vol. 66 No. 2 (2017)
Submitted: May 5, 2017
Accepted: May 5, 2017
Published: May 5, 2017
assistenza transfrontaliera, diritto alla salute, pubblica amministrazione, rimborso / cross-border healthcare, right to health, public admsinistration, reimbursement of expenses
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Authors

Nicola Posteraro
nicola.posteraro@uniroma3.it
Dipartimento di Giurisprudenza, Università degli Studi Roma Tre, Roma, Italy.
Questo lavoro analizza il decreto legislativo del 4 marzo 2014, n. 38 sulle cure transfrontaliere. Le norme del decreto sembrano garantire il diritto alla salute, perchè stabiliscono che non esiste l'obbligo di ottenere una autorizzazione da parte dell'amministrazione, prima di poter espatriare al fine di ottenere le cure all'estero. Esse, però, al contempo, svantaggiano i meno abbienti, perchè approntano un sistema di assistenza indiretta e precisano che gli amministrati possono ottenere il rimborso delle spese sostenute solo nei limiti dei costi che la prestazione avrebbe avuto se fosse stata eseguita nel territorio di provenienza. Inoltre, quando introducono la eccezionale necessità di una previa autorizzazione, attribuiscono alla p.A. un potere fortemente discrezionale. Infine, non chiariscono alcuni aspetti relativi ai procedimenti amministrativi da attivare per ottenere il rimborso e non regolano in modo adeguato i rapporti con il regolamento CE n. 883/2004. Esiste davvero un diritto alle cure oltre lo Stato?
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This work analyzes the Italian Legislative Decree of 4 March 2014, n. 38, about the cross-border healthcare. The provisions seem to guarantee the right to health, because they state that the patients have not to obtain an authorization from the administration, before being able to get treatment abroad. At the same time, they disadvantage the poor, because they establish a system of indirect assistance and they specify that individuals may obtain only the reimbursement of the costs that the service would have incurred if it had been performed in the territory of origin. In addition, when introducing the exceptional need for prior authorization, they confer to the public Administration a highly discretionary power. Finally, they aren't clear when they regulate the aspects of the administrative procedures. Is there really a right to health care over the state?

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How to Cite

Posteraro, N. (2017). Curarsi in Europa è possibile? Come e se il decreto sull’assistenza transfrontaliera n. 38/2014 condizioni e ostacoli l’esercizio del diritto alla salute / Is it possible to care themselves in Europe? How and if the decree on cross-border healthcare no. 38/2014 affects and hinders the right to health. Medicina E Morale, 66(2), 209–229. https://doi.org/10.4081/mem.2017.488

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