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The Legitimacy of Healthcare and Public HealthMisgovernance Kills: Italian Evidence

The Legitimacy of Healthcare and Public Health: Misgovernance Kills: Italian Evidence [Democratic rulers have a duty to safeguard two fundamentals: public safety and health. Across Italy, misgovernance and moral and criminal corruption deeply undermine this sine qua non of associated life. I focus on the ramifications of bad legislation that has allowed a sneaky privatization of the public health service on personal and public health hazards magnified by misgovernance and discriminatory economic policies that punish the “non-guaranteed”. Naples makes a graphically exemplary case marked by the conflict between the dedication and professionalism of many health workers and the greed and corruption of some that seriously challenges key aspects—medical, moral and ethical—of the Hippocratic Oath. This combines with public health permanently jeopardized by uncollected rubbish and the lethal hazards of badly maintained public property, now including illegal immigrants’ peddling objects scavenged from dumpsters. This dangerous setup is magnified by the practice of shallow-burying poisonous waste in dumping sites. In recent years, pulmonary disease, cancer and death have multiplied exponentially. Drawing particularly on evidence from Naples, the discussion shows that when misgovernance that breaches the democratic contract with citizenship affects people where it hurts most the legitimacy of the “system” becomes questioned and the casualties are trust and, ultimately, authority.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

The Legitimacy of Healthcare and Public HealthMisgovernance Kills: Italian Evidence

Editors: Pardo, Italo; Prato, Giuliana B.

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Publisher
Springer International Publishing
Copyright
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023
ISBN
978-3-031-25591-5
Pages
45 –71
DOI
10.1007/978-3-031-25592-2_3
Publisher site
See Chapter on Publisher Site

Abstract

[Democratic rulers have a duty to safeguard two fundamentals: public safety and health. Across Italy, misgovernance and moral and criminal corruption deeply undermine this sine qua non of associated life. I focus on the ramifications of bad legislation that has allowed a sneaky privatization of the public health service on personal and public health hazards magnified by misgovernance and discriminatory economic policies that punish the “non-guaranteed”. Naples makes a graphically exemplary case marked by the conflict between the dedication and professionalism of many health workers and the greed and corruption of some that seriously challenges key aspects—medical, moral and ethical—of the Hippocratic Oath. This combines with public health permanently jeopardized by uncollected rubbish and the lethal hazards of badly maintained public property, now including illegal immigrants’ peddling objects scavenged from dumpsters. This dangerous setup is magnified by the practice of shallow-burying poisonous waste in dumping sites. In recent years, pulmonary disease, cancer and death have multiplied exponentially. Drawing particularly on evidence from Naples, the discussion shows that when misgovernance that breaches the democratic contract with citizenship affects people where it hurts most the legitimacy of the “system” becomes questioned and the casualties are trust and, ultimately, authority.]

Published: May 4, 2023

Keywords: Naples; Misgovernance; Legitimacy; Corruption; Democratic contract; Guaranteed versus non-guaranteed

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