Each doctor has a ceiling on spending in relation to the number of his patients. If he passes it, he can be called upon to justify himself. He's not always a spender. For example, in the countryside, clients are on average older and need more precautions. There are cautious doctors, others generous like mine, but it's not the health insurance or the government that sanctions the times of checks, which analyzes to do and at what age, as is expected in Italy. Waste, and everyone knows it, is different. Why, I quote at random, is health care good in Tuscany, and bad elsewhere? Does it depend on the doctors, or on the politicians?
