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Privatization versus defence of public services
Jason Nardi, Tommaso Rondinella, Elisabetta Segre
Lunaria/Sbilanciamoci!
Despite the common conception that public expenditure is excessive, Italy actually ranks last among European countries in almost all areas of social protection spending. The one exception is the public pension system, which is now the target of a drive towards privatization. Attempts to privatize the provision of public services, however, have been tempered through the efforts of civil society.
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Current social
expenditure trends
In Italy it is quite commonly believed that public expenditure is excessive, not
only in absolute terms, but also in relation to other industrialized countries.
In fact, however, European countries spend on average more than what is spent in
Italy. This is not true only in the case of pension-related expenditure, whereas
for social assistance and social security, Italy ranks among the last positions
of European countries. One of the most critical aspects lies in the fact that as
an ageing country, Italians are now increasingly paying more for their elderly
without a sufficient generational exchange that can produce enough revenue to
cover all social security costs.
Social protection expenditure in Italy represents roughly a quarter of GDP.
During the last five years it has grown at a relatively high rate, though at a
slower pace if compared with previous periods. The average increase in nominal
terms between 2001 and 2005 was 4.9%, while it was 5.2% between 1996 and 2000
and 6.5% between 1990 and 1995. The ratio between social expenditure and GDP has
grown by 1.6 percentage points during the last five years, rising from 24.5% in
2001 to 26.1% in 2005 (Pizzuti, 2007). Most of the increase,
however, is due to a slowing down of GDP growth. In 2005, for example, Italian
GDP increased by 0.1%, while in order to maintain the same services, public
expenditures had to grow by at least the same amount as the inflation rate, i.e.
2.4%.
Most of the increase in social protection expenditures is due to public
institutions. Nevertheless, expenditure by private institutions – representing
the activity of non-profit social institutions and the interventions of
companies in favour of their employees – grew more in 2005 than public
expenditure (4.4% vs. 3.5%).
Pension-heavy social expenditure
Considering the breakdown by sectors, there has been a clear decrease
in the weight of the social security sector in favour of
the health sector, while social assistance remained stable during the last
decade. Nevertheless, social security still covers more than two thirds of total
social expenditure, descending from 72.2% in 1995 to 68.5% in 2005. In terms of
GDP, social security absorbs 17.7% of the 26.1% of GDP represented by total
social expenditure. Most of this corresponds to pension contributions – 14.6%
of GDP – while illness, maternity, unemployment, wage integration and family
allowance benefits all combined total 1.7% of GDP. Health
expenditure represents 6.4% of Italian GDP, having increased
significantly during the last decade from 4.8% in 1995. Its main component is
hospital services, which represent 43% of health expenditure and account for
most of the increase. Finally, social assistance is the component that changed the least, remaining
stable at around 2% of GDP.
Italy and the EU
A comparison with other European countries is possible only for the year 2004.
Overall social expenditure in Italy was 1.4 percentage points below the EU-15
average (25.2% of GDP vs. 26.6%) and if per capita expenditure at purchasing
power parity for the EU-15 were set at 100, Italian expenditure would reach only
86.7.
TABLE 1.
Social protection expenditure by function in 2004 as % of GDP
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Health
care
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Disability
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Old
age
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Survivors
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Unemployment*
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Family
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Housing
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Social
Exclusion
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Total
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Italy
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6.5
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1.5
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12.9
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2.5
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0.5
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1.1
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0.0
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0.0
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25.2
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EU-15
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7.5
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2.1
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10.9
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1.2
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1.8
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2.1
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0.5
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0.4
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26.6
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EU-25
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7.4
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2.1
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10.8
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1.2
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1.7
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2.1
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0.5
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0.4
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26.2
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