10.Assistenza multi-specialized medical centers with doctors' surgeries and clinics
a.analisi
of migration The migration is prior to the appearance of 'man on earth, as is clear from historical records of paleontology. today, the scenario of migration of the animal tents, despite the climatic upheaval, to stay smooth and steady, not a concern except for cases of zoonoses.
Evolution umana, il suo sviluppo demografico, socio-politico, economico e scientifico nel contesto di frenesia migratoria rendono urgente la programmazione dell’immigrazione per rispondere ai criteri della civiltà e della democrazia. l’immigrazione irregolare o clandestina costituisce una piaga ed una sfida per la nostra civiltà mentre l’immigrazione regolare contribuisce allo scambio culturale, allo sviluppo socio-economico , alla pace ed al futuro dell’umanità con il genoma adatto, l’immigrazione irregolare favorisce gli aspetti negativi di cui soffre il mondo e la società italiana odierna.
I cittadini stranieri in Italia avranno presto una rete di sportelli interamente dedicata alla loro salute.
Il ministero of Health has launched a comparison with the Region of Lazio, IRCCS 'Hospital Physiotherapeutic Institutes ", WHO and other institutions responsible for the establishment of a national reference center for the promotion of health of migrant populations and contrast diseases of poverty. "
The new center will have as main objective to enhance the skills of medical and scientific community in the face of Italian growth of migration that can feel represented a significant risk of spreading diseases infrequent and often poorly co recognition in Italy and Europe and to ensure, throughout the national territory, its promotion and equity of health to millions of people straniere che in parte diverranno nuovi cittadini italiani e che sono comunque residenti in Italia.
b-motivi a sostegno
elenchiamo alcuni motivi a sostegno di questo miglioramento:
le previsioni demografiche: il caso italiano nel contesto europeo e mondiale.
un invecchiamento a dimensione mondiale:le previsioni dell’onu.
i mutamenti demografici senza precedenti che sono iniziati nel 19° e nel 20° secolo, e che continueranno anche nel 21° secolo, stanno trasformando l’intera pianeta e, in futuro , coinvolgeranno gli stessi paesi in via di sviluppo .
Le conseguenze profonde e durature causate dall’invecchiamento della popolazione presenteranno opportunità e sfide per tutte le company and represent one of the principal objects of study and action by the United Nations.
Population aging is unprecedented in human history: in 2050, for the first time, the number of elderly people in the world will exceed the number of young people (the weight percentage is respectively equal to 20.1% and 21 , 4%), however, this epochal change in the ratio between young and old has already begun in the more developed regions of the planet since 1998.
For at least the next twenty-five years, the older population is expected to grow at a faster rate than other age groups.
In developed countries, about 1 / 5 of total population aveva più di 60 anni già nel 2000 e al 2050 questa percentuale dovrebbe diventare 1/3. al momento attuale , nelle regioni meno sviluppate è anziana soltanto l’8% della popolazione. tale percentuale è dunque destinata a salire fino al 20 % circa della popolazione entro il 2050.
Oggi l’età media della popolazione mondiale è di 26,4 anni. il paese con la popolazione più giovane è l’uganda, con un età media di 15,1 anni, e quello più anziano è il giappone, con 41, 3 anni seguito dall’italia e dalla svizzera con 40,2 anni. nel 2050 si prevede che l’età media del nostro pianeta cresca di una decina d’anni, raggiungendo i 36, 8 anni, mentre la Slovenia and Lithuania joined by Japan.
E 'provided that the TFT (total fertility rate) of developed countries to decline from 1.58 children per woman in 1995-2000, to the first, 56 in 2005-2010 before rising slowly to 1.85 children per woman in 2045-2050, still below the threshold of change, in mind in developing countries, this rate will slow in the period 1995-2050 from 3.11 to 2.04 by the UN report (World Population Ageing 1950-2050) .
c.Il TU Immigration
The Consolidation Act on Immigration to the relevant health care to foreign nationals residing in the country, identifying three distinct categories of beneficiaries:
- foreigners enrolled in the National Health Service
- foreigners enrolled in the National Health Service
- foreigners who come to Italy for treatment.
The Ministry of Health Circular No 5 of 24 March 2000, published in June 1, 2000, has provided useful information for the health of the alien in the same division into three categories of foreign recipients of health care:
1) enrolled in the health service national law (Article 34 TU immigration).
Registration can be mandatory or voluntary.
Registration is required for all foreigners and their families dependents residing legally (excluding dependents of foreign students and au pairs), holders of residence permit for reason of:
a) paid employment;
b) registration as unemployed;
c) family ;
d) political asylum;
e) humanitarian asylum;
f) request for asylum (which is not party to the expense of medical care provided);
g) waiting for adoption and foster care;
h) acquisition of citizenship.
Foreign nationals entered the national health service must have equal rights and duties with respect to Italian citizens regarding the payment of contributions, health care delivered in Italy by the NHS and its temporal validity.
Registration is made at the ASL of residence or stay (as indicated on the permit) and is valid until the expiry of the permit. To enroll sufficient residence permit, social security number and proof of address (replaceable, if the alien is a resident with a written declaration of his habitual residence).
If an alien has not yet formalized its entry, this does not in any way unable to benefit from: indeed, the registration will be done ex officio. In fact, enrollment in the National Health Service follows directly the issue of residence permit ed, in tal caso, il diritto all’assistenza sanitaria retroagisce a partire dalla data di ingresso dello straniero in Italia.
Per mantenere l’iscrizione al servizio sanitario nazionale allo scadere del permesso di soggiorno è sufficiente che lo straniero esibisca all’anagrafe sanitaria il cedolino della richiesta di rinnovo rilasciato dalla Questura ovvero il titolo rinnovato.
L’iscrizione cessa in caso di mancato rinnovo, revoca o annullamento del permesso di soggiorno ovvero per espulsione, comunicati alla A.S.L. dalla Questura, salvo che lo straniero esibisca la documentazione comprovante la pendenza di un ricorso gerarchico o giurisdizionale avverso i suddetti provvedimenti.
L’iscrizione volontaria è prevista for foreigners, and their dependent family members (excluding dependents of foreign students and au pairs), legally resident in Italy that does not belong in the case of compulsory national health service are, however, obliged to take out or a private insurance policy or to enroll voluntarily in the NHS.
Voluntary registration is not allowed to foreigners who hold a residence permit for less than three months, except for students or au pairs that may require registration even for shorter periods. The Consolidated
immigration and the implementing regulation provide, as regards categories of foreigners interested to voluntary, that the same subjects at the time of the withdrawal of a residence permit must present documentation showing the Police's obligations relating to health.
In this case, the local health authority, upon presentation of the "slip" and the receipt of payment of the contribution, will proceed to put the stranger, but, unlike the assumption of compulsory, the effectiveness of health care is working only after the presentation to the ASL of a residence permit.
2) foreigners who are not enrolled in the National Health Service (Article 35 TU immigration).
Si deve distinguere tra gli stranieri regolarmente soggiornanti in Italia non tenuti all’iscrizione né obbligatoria né volontaria al S.S.N. e gli stranieri sprovvisti del permesso di soggiorno.
Agli stranieri titolari del permesso di soggiorno sono assicurate le prestazioni ospedaliere urgenti e le prestazioni sanitarie di elezione previo pagamento delle relative tariffe, determinate dalle Regioni e dalle Province autonome.
Agli stranieri sprovvisti di titolo di soggiorno sono riconosciute le seguenti prestazioni sanitarie:
a) cure ambulatoriali ed ospedaliere, urgenti o comunque essenziali, ancorché continuative, per malattia ed infortunio;
b) interventi di medicina preventiva e di prestazioni di cura ad essa correlate (Care during pregnancy and motherhood, protection of minor's health, vaccinations, preventive interventions, treatment and diagnosis of infectious diseases).
The benefits are provided without charge to foreigners, those without economic resources, subject to the expenditure shares on an equal footing with Italian citizens. The state of poverty can be confirmed by a self-made health institution providing the assistance.
Foreigners who are not in accordance with the rules of the stay must apply to the competent structures of the ASL, to issue the identification code "STP", valid throughout the national territory, with a duration of six months, after which it will be required the renewal of actual residence to the ASL.
The certificate on which the code must be presented at the request of the ASL to provide health services in case of loss it may be asked for a duplicate at any defense of ASL authorized to issue such a document.
access to health facilities with no obligation of reporting to police authorities, except in cases where the required medical report, on an equal footing with Italian citizens.
In the section on treatment of aliens not covered by the NHS, Article 35, paragraph 2 of the Consolidated Act on Immigration states that affect the rules governing health care to foreigners in Italy on the basis of reciprocity treaties and international agreements signed by Italy. These are people who have the right provision in Italy for the provision of health care: EU citizens, under the treaties and regulations of the European Community, and citizens of other countries with which Italy has signed bilateral or multilateral agreements in this sense.
3) foreign citizens who enter Italy on the grounds of care (Art. 36 TU immigration).
There are three different cases:
a) the foreigner applying to the Italian Embassy for the issue of entry visas on the grounds of medical care. To this end, the alien shall file a declaration of the Italian health care facility chosen to indicate the type of treatment, the start date and estimated duration of treatment, a certificate of deposit in favor of the health facility chosen, a sum by way of security deposit 30% of the total estimated cost of the services required, and evidence, including a guarantor, the availability of sufficient resources for maintenance costs in Italy;
b) an alien who is transferred for treatment in Italy in humanitarian intervention;
c) the alien to be transferred to Italy in programs of humanitarian intervention regions.
The Home Office Circular 11 July 2000 adopted the provisions of jurisdiction following the publication in the Official Circular of the Ministry of Health No 5 / 2000.
In the circular of the Interior states that in the case of foreigners required to enroll in the National Health Service (grant or renewal of residence permit for employment, for registration as unemployed, self-employment, for family reasons, for political asylum on humanitarian grounds for requesting asylum, waiting for adoption, foster care, acquisition of nationality) should not be required to register prior to the NHS since the same will be formalized following the release of a residence permit.
The fulfillment of obligations on health care must be applied only to those who enroll voluntarily in the NHS, which may then request a provisional listing based on the receipt of application for a residence permit, registration who completed following the presentation to the ASL residence permit.
The circular also provides that membership in the NHS is barred to foreigners in possession of a residence permit for less than three months, who are obliged to take out special insurance policy with an Italian or foreign institution
11.Costituzione associations of foreigners in Italy
The Forum was born from the Country to ensure maximum participation in the development of issues related to immigration.
It is an important initiative in the animation project started as a requirement of the territory and the immigrants themselves to start a fruitful collaboration between the various foreign communities themselves and between them and the districts they serve in order to avoid the phenomenon of segregation, often now because of the closure of the immigrant community with respect to civil society.
In Italy the conditions of immigrants are overall worse than in other European countries. *
legally resident immigrants are poorly protected in their rights guaranteed by the laws and international and European conventions. *
is not ensured social mobility of immigrants, namely the transition from one job to another employee or self-employment or study,
* There are difficulties for self-employment: l · barriers to enrollment in professional associations, for 'establishment of cooperatives of immigrant workers.
* • access to the house is not ok to equal terms with the Italians. *
no forms of exploitation and protection of language and culture of origin. *
associations immigrants are discriminated against in ° Scope of the same immigration policy.
* does not exist either at national or 'local representation of immigrants also advisory.
* there is no prospect of effective integration of citizenship.
Unlike other European countries, there is no route to host and care for the displaced and refugees.
Work in steps from in favor of the resolution of problems arising from immigration tion was always directed to involve, from the beginning, the immigrants of most ethnic groups in the area in the various decisions and actions study and research. Nevertheless, it appears useful to characterize
this commitment by establishing a special department that deals more directly with the study of various problems arising from the presence of various ethnic communities in the territory in order to highlight the institutions.
The purpose sought by the initiative, then, are the following:
promote the integration of all immigrants trying to help eliminate social and cultural barriers with civil society;
develop a series of study and research legislative, seminars and covegnistico to set about solving the problems of social integration of the various communities foreign
spread the knowledge of the various problems of immigrants at national and local institutions in order to identify possible solutions;
present itself as a center for meeting and gathering in the name of the common interest of all immigrants to contribute to fulfilling the social function concrete socio-cultural insertion of foreign residents in Italy with the collaboration of a number of other Italian and foreign highly skilled;
and more ....
E. OTHER SERVICES FOR FOREIGNERS FederImmigra
complete the project some utilities paid by points a-
National Call Center, which serves to coordinate operations in the territory National legal assistance and health care of foreigners, which consists of 9 int / translators in the main languages \u200b\u200bspoken, to be addressed through a toll free number provided for the purpose
b-InfoUtile
that provides information of social benefit for the elderly, disabled and foreigners through a system of electronic communication on the territory aimed at points of greater usability
Da ultimo va sottolineato come l'attuale composizione degli ORGANISMI dell’Associazione per le qualità personali delle varie personalità che compongono i vari Dipartimenti,unitamente a quelle dei componenti dell’Associazione, dei Coordinatori Regionali e delle Associazioni Partners, accrescono,oltre alla qualificazione e visibilità del Progetto ANIMI,la capacità dell’Asso ciazione di sviluppare la propria attività in campo nazionale ed internazionale ed in ambito istituzionale in favore della tutela dei diritti dell’uomo e delle libertà fondamentali dei migranti.
c-ChiamaFacile
che, attraverso un radiolocalizzatore satellitare,consente di chiedere soccorso al Call Center Nazionale ed the central helpline MegaItalia Spa Group, owner of the patent.
d-The National Census of Associations and groups working in the field of Immigration
that atraverso constant monitoring of the migratory phenomenon, analyzing the associations and groups that operate in favor of immigration and that is the primary basis for coordination the territory of the activities carried out also for the use of the services provided by the network of branches.
-and the online magazine "The Voice of the Migrants'
which is the weekly organ of information of the Soul. I, published by the Center for Studies of Migration and jurists, academics and experts diritto dell’immigrazione in Italia ed in Europa ed in collaborazione con le Associazioni nazionali ed internazionali Partners del Progetto ANIMI e dei vari Dipartimenti della Associazione.
f-La Rivista mensile “Mondo Unito”
che costituisce l’organo di informazione mensile(10 numeri) ,edita a cura del Centro Stdi delle Migrazioni ed in collaborazione con le AssoPartners.
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