In Italy, citizens who live after one tumor diagnosis Today are 3.7 million, 6.2% of the entire population (1 Italian out of 16). 63% of women and 54% of men are alive 5 years after diagnosis and at least One in four patients has returned to having the same life expectancy as the general population e It can be healed.
The law on “Provisions concerning the conservation of the workplace and paid permits for exams and medical care in favor of workers suffering from oncological, disabling and chronic diseases”It was approved in full. The text composed of 5 articles full legislative emptiness Which until now put at risk of maintaining the workplace in case of prolonged illness: hundreds of workers after the six -month period of the period have undergone the trauma of the dismissal. Beyond Don’t run the risk of being fired after six months anymore of illness, the law establishes an increase of 10 hours of paid permits for visits and exams, which add up to 18 hours per year already available.
What changes with the law
The incessant commitment in favor of rights to work for oncological and onco-hematological patients carried out by the Advocacy group “Health: a good to defend, a right to promote “ was finally awarded: the DDL n.1430 With regard to the storage of the workplace and paid permits, it is finally law. The Senate Assembly approved the bill for workers and employees employees with oncological and onco-hematological, disabling and chronic diseases. The bill, which had already been approved by the Chamber last March, was approved unanimously.
“From this moment People with tumor diagnosis no longer risk being fired. The proposal of the ongoing law is law and from now on will guarantee the conservation of the workplace and the remuneration of permits for exams and medical treatments to all those workers and workers suffering from an oncological, disabling and chronic disease “
This is the comment of Annamaria Mancuso, president of Health Woman ODV of the group Health: a good to defend, a right to be promoted to which 46 patient associations adhere.
“The approval in the Senate of the DDL on the COMPORT puts an end to a long and tiring journey Started from our group several years ago and recalled to the attention of politics during the last legislature. We are aware of the big step forward accomplished in favor of all those people who coexist with the load of a tumor; We are happy for all those who will now see insured fundamental rights and protections in the workplace And they will have a greater serenity at least as regards professional and economic stability, fundamental when there is an oncological disease, which notoriously leads to the so -called financial “toxicity”, or to an impoverishment of the family unit, due to the loss of productivity linked to the disease and its more immediate consequences, such as absences from work to make treatments and medical controls, but also the physical difficulties due to the side effects of care. This is a law for the dignity of the sick person and for the entire civil community. No more layoffswhich we have sadly witnessed powerless in recent years; guaranteed workplace; Increase of 10 hours of paid permits for all fragile patients with disabling oncological pathology that requires tight visits and exams, so the 18 hours available become 28 “.
What the person with cancer is entitled to
As the AIRC Foundation website, in case of oncological disease, the law provides for a accelerated process for ascertaining civil validity and handicap: The visit must in fact be carried out within 15 days of the application and the results immediately give the right to the benefits they achieve.
Based on the percentage of recognized disability, oncological patients may have the right:
- to the disability pension for civil invalids, which can access, upon presentation of a specific application, the people of working age, (between 18 and 67 years of age) to whom a total (100 percent) and permanent (total disabled) disabilities have been recognized and which have specific income requirements updated periodically. The disability pension is compatible with work;
- to the disability allowance, which can access, upon presentation of a specific application, the people of working age with a civil invalidity between 74 and 99 percent and with an income less than the thresholds provided annually by the law;
- ataccompanying allowancewhich is recognized to the sick who have a condition of invalidity of 100 percent and need continuous assistance, because they are unable to walk independently or carry out the normal activities of everyday life.
The importance of tailor -made responses to needs
“The needs of cancer patients, over the years, are constantly changing, from a quantitative and qualitative point of view”
Francesco Perrone, president of the Italian Association of Medical Oncology), recalled a short time ago.
“We have gone from an almost exclusively hospital phase to activities that affect and integrate with theterritorial assistance. A more performing new organization for oncology is also required by epidemiological assessments, with the progressive increase of prevailing cases, the increase in chronic patients frequently subjected to new oral therapies at home, of complex elderly patients with concomitant multi-pathologies and healing. There Regional oncological network It is recognized as the most suitable organizational model for taking charge of oncological patients, so complex and diversified in their welfare needs. Furthermore, in its programming in response to the needs of global taking charge of the person affected by cancer and guarantee of access to the appropriate care paths, it represents the most effective tool for the government and for the control of inter-regional mobility “.
There expenditure and the volume of admitted admission They constitute a significant share for Italy, with a total total of 2 billion euros in 2022.
“Emilia-Romagna, Lombardy and Veneto, in 2022, were the most attractive regions, also for oncological pathologies, absorbing 56% of the overall active mobility revenues”
Carmine Pinto, coordinator of the Oncological Network of Emilia-Romagna explains.
“If you observe the escape index, it is higher in the South and this value decreases by proceeding towards the North (south 13.36%; center 10.30%; north 8.85%). One of the elements that can influence mobility is the absence of defined methods of access of the oncological patient to the national health service and, therefore, to appropriate paths, which share a structured welfare process in all its phases, from the diagnosis and characterization to the network. therapeutic and rehabilitation. The most appropriate locations for specific services in terms of volumes and professional and technological resources requested. In 2022, out of a total of about two billion euros exchanged on actual mobility, more than half involved neighboring regions. It is essential today, to allow access to quality services and in adequate times, one better organization and implementation of welfare coursesof the management of chronicity, of hospital and territorial assistance. All this is allowed and optimized in regional oncological networks, which can together improve the ‘performance’ of the health system in the individual territories and consequently also reduce inter-regional mobility “.
