Manoeuvre, Bankitalia: economy struggles, Psb targets more difficult. Istat: 2.4 million more beneficiaries of the wedge cut
On pensions, the budget bill 'envisages interventions that could have positive effects in macroeconomic terms, with even favourable implications for the resilience of the social security system'. So said Inps president Gabriele Fava at a hearing on the manoeuvre
6' min read
Key points
- Bankitalia: fairness at risk with fixed threshold deductions
- Bankitalia: 30% more doctors needed in next 10 years
- Upb: complex tax measures in the manoeuvre difficult to understand
- Upb: health funds grow less than expenditure, risks for regions
- "GDP slows down, moderate recovery in last three months"
- Istat: 2.4 million more beneficiaries of wedge cut
- Istat: 2.4 million more beneficiaries of wedge cut
- Court of Auditors: picture remains difficult, important choices will be needed
- Fava: manoeuvre has positive effects on pensions
6' min read
"According to recent data, still insufficient to paint a complete and reliable picture, economic activity is struggling to regain momentum at the end of this year". This was emphasised by the deputy head of the Bank of Italy's Economics and Statistics department Andrea Brandolini at a hearing on the manoeuvre. 'Looking ahead, the reduction in interest rates and the recovery of household purchasing power could provide a positive impulse to the economy'. However, in light of the new data, "in the absence of a significant acceleration of economic activity in the final part of this year, the output growth foreshadowed in the Psb for the two-year period 2024-25 appears more difficult to achieve"
Bankitalia: fairness at risk with fixed threshold deductions
Brandolini also points out that the manoeuvre's approach on deductions 'may prove effective in reducing the amount of tax expenditures, as opposed to trying to selectively intervene only on some. However, the design based on fixed thresholds for income brackets inevitably generates discontinuities that, when fully implemented, could be significant and compromise the fairness of the levy'. In this scenario, 'the alternative choice of setting a ceiling on deductions that is as continuous a function of declared gross income as possible would avoid creating jumps in the profile of marginal effective tax rates. - he continues - Moreover, the differentiation of the caps on total deductible expenditure according to the number of children increases its complexity and risks creating an overlap with the redistribution operated through the Universal Single Allowance".
Bankitalia: 30% more doctors needed in next 10 years
Bankitalia then turns a spotlight on the healthcare system. According to the data reported in the hearing on the manoeuvre, over the next ten years the turnover of healthcare personnel and the strengthening of territorial assistance envisaged by the NRP will generate a requirement, in terms of incidence on the workforce at the end of 2022, for doctors (including general practitioners and paediatricians) equal to 30% and for nurses equal to 14%. Under current legislation, explains Via Nazionale, all personnel aged 60 years or over at the end of 2022 will cease working over the next ten years: this corresponds to more than 27,000 doctors, more than 24,000 nurses and the same number of technical staff, and 28,000 general practitioners and paediatricians. Mission 6 of the NRP on the expansion of territorial care will require at least 19,600 nurses and 6,300 socio-healthcare workers, mostly in addition to the current allocation.
Upb: complex tax measures in the manoeuvre poorly understood
The parliamentary budget office recalls, on the other hand, that the tax reform introduced by the manoeuvre, which includes Irpef, bonuses up to 20,000 euro and deductions from 20,000 to 40,000 euro, increases the already wide differences in the tax treatment of the different categories of taxpayers (employees, pensioners and the self-employed), which, however, are cancelled for incomes above 50,000 euro. The coexistence of three instruments for reducing the levy on employees, which interact with each other in an articulated manner, 'produces a complex tax architecture that is difficult for its recipients to understand'. Also on deductions and the introduction of the family quotient, 'although the reform is a step in the direction of containing tax expenditures (tax expenditures), a more organic approach to their rationalisation is needed, also to avoid increasing the complexity of the system'.
Upb: health funds grow less than expenditure, risks for regions
Not only that. The healthcare funding envisaged by the manoeuvre grows less than the spending of the National Health Service with the risk of regional deficits. In terms of incidence on GDP, explains president Lilia Cavallari, healthcare spending would return to 6.4 per cent in 2026, i.e. to the pre-pandemic level: "considering that the same spending is expected to grow at a higher rate than NHS funding, there is a risk of a significant increase in the deficit of regional healthcare services, even beyond 2027". In addition, 'despite the fact that the main problem of the SSN currently lies in the shortage of personnel, no new recruitments are financed. The financing of the next contractual rounds and the increase of a number of allowances are arranged. Another group of measures is in favour of certain private entities operating in healthcare and pharmaceuticals'.

