Training and health, rethinking the welfare model to maintain its sustainability

The permanence or otherwise of the social pact between citizens which is at the basis of the laws of equality and citizenship has not yet reached public attention as a real threat in historically more developed western countries. The rights to social services such as health care and public education, as well as social security, are strongly changing in form and organization, since it is now clear that the cost borne by the community is continuing to rise, without being strategies clearly capable of containing expenditure, while maintaining or improving the characteristics of the services, are still clearly outlined

The buildings that are designed to support the provision of services for the community, whether they are related to training or are inherent to health and social-welfare services, play a key role in the match of sustainability: firstly because they are historically large structures that consume resources, in particular energy resources, equipment and materials; in the second instance because precisely from the challenge for the efficiency of the organizational protocols and the building models, potentially significant savings can be found, such as to allow to “reset” the balance between social spending and the pact between citizens on the tax levy.

In order to allow long-term planning aimed at developing deficit containment strategies and reducing the public debt of the state, a census project has been underway at the Ministry of Economy and Finance for a number of years, aimed at the preparation of a balance sheet of the assets of the balance sheet of public bodies (2): the systematic and timely knowledge of the assets – tangible and intangible – of public assets is now an unavoidable tool for guiding economic policy decisions and for triggering processes for the enhancement and development of the profitability of public properties. In addition, the efficient management of public assets, to be carried out in a coordinated manner by all the administrations directly involved, can play not only a crucial role for debt containment, but even more usefully it can encourage active processes of value creation, contributing to economic growth as well as to the social well-being of the country.

The enhancement of unused or no longer adequate real estate assets can go through the most diverse forms of exchange and partnership between public and private: through the sale of goods in exchange for new goods or services; through the exchange of building capacity values in the definition of new generation urban planning and implementation tools; or again through the transfer of capital goods within funds responsible for the enhancement and creation of new structures for public utility services. After the alternating results of the public-private partnership models that have alternated in the last 20 years (3), an approach that sees the activation of asset divestment processes aimed at recovering resources for investments in new structures, capable of attract institutional, national or foreign investors: regulatory instruments already exist and a strong mobilization of public and private entities is underway to shape value creation processes, serving the public good.