An explanatory case report about critical differences of ‘inability to work’ in Italian welfare and social security systems

In Italy, there is a different status of ‘inability to work’ in civil invalidity and INPS social security insurance systems. These differences and overlaps cause some concerns. We show a case report of a 55-year-old woman with a recent left radical mastectomy and ipsilateral lymphadenectomy, for inf...

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Main Authors: Michele Sammicheli, Marcella Scaglione
Format: Article
Language:English
Published: Edizioni FS 2019-03-01
Series:Journal of Health and Social Sciences
Subjects:
Online Access:https://journalhss.com/wp-content/uploads/jhss41_117-122.pdf
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author Michele Sammicheli
Marcella Scaglione
author_facet Michele Sammicheli
Marcella Scaglione
author_sort Michele Sammicheli
collection DOAJ
description In Italy, there is a different status of ‘inability to work’ in civil invalidity and INPS social security insurance systems. These differences and overlaps cause some concerns. We show a case report of a 55-year-old woman with a recent left radical mastectomy and ipsilateral lymphadenectomy, for infiltrating ductal and lobular carcinoma. The woman, showing no radiological evidence of metastases, was undergoing chemotherapy with taxanes and cisplatin. The patient reported no significant osteo-articular functional limitations, with the exception of a reduction in left shoulder movements at extreme degrees in a right-handed person, due to the recent mastectomy and complained nausea and vomiting due to chemotherapy. The civil invalidity committee assessed her as being disabled, with a total and permanent incapacity for work as 100%, whereas the INPS Medical Legal Department (C.M.L.) recognised her as disabled in employments suitable for her capabilities (article 1 of Law no 222/1984), but not incapable of carrying out any works (article 2 of Law no 222/1984). Progress in medicine and workplace adjustments may enable employees with disabilities to come back work. Therefore, knowledge of these differences and overlaps and the role of legal practitioners and policymakers could be decisive resulting in a source of savings for the Italian welfare system.
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spelling doaj-art-97b90ccf3e9c497486c47fbbb0b9acd62025-01-18T18:20:30ZengEdizioni FSJournal of Health and Social Sciences2499-22402499-58862019-03-014111712210.19204/2019/nxpl2An explanatory case report about critical differences of ‘inability to work’ in Italian welfare and social security systemsMichele Sammicheli0Marcella Scaglione1Medical Doctor, Medical Legal Department, Italian Institute of Social Security (INPS), Siena, ItalyMedical Doctor, Medical Legal Department, Italian Institute of Social Security (INPS), Siena, ItalyIn Italy, there is a different status of ‘inability to work’ in civil invalidity and INPS social security insurance systems. These differences and overlaps cause some concerns. We show a case report of a 55-year-old woman with a recent left radical mastectomy and ipsilateral lymphadenectomy, for infiltrating ductal and lobular carcinoma. The woman, showing no radiological evidence of metastases, was undergoing chemotherapy with taxanes and cisplatin. The patient reported no significant osteo-articular functional limitations, with the exception of a reduction in left shoulder movements at extreme degrees in a right-handed person, due to the recent mastectomy and complained nausea and vomiting due to chemotherapy. The civil invalidity committee assessed her as being disabled, with a total and permanent incapacity for work as 100%, whereas the INPS Medical Legal Department (C.M.L.) recognised her as disabled in employments suitable for her capabilities (article 1 of Law no 222/1984), but not incapable of carrying out any works (article 2 of Law no 222/1984). Progress in medicine and workplace adjustments may enable employees with disabilities to come back work. Therefore, knowledge of these differences and overlaps and the role of legal practitioners and policymakers could be decisive resulting in a source of savings for the Italian welfare system.https://journalhss.com/wp-content/uploads/jhss41_117-122.pdfInability; civil invalidity; law; medicine
spellingShingle Michele Sammicheli
Marcella Scaglione
An explanatory case report about critical differences of ‘inability to work’ in Italian welfare and social security systems
Journal of Health and Social Sciences
Inability; civil invalidity; law; medicine
title An explanatory case report about critical differences of ‘inability to work’ in Italian welfare and social security systems
title_full An explanatory case report about critical differences of ‘inability to work’ in Italian welfare and social security systems
title_fullStr An explanatory case report about critical differences of ‘inability to work’ in Italian welfare and social security systems
title_full_unstemmed An explanatory case report about critical differences of ‘inability to work’ in Italian welfare and social security systems
title_short An explanatory case report about critical differences of ‘inability to work’ in Italian welfare and social security systems
title_sort explanatory case report about critical differences of inability to work in italian welfare and social security systems
topic Inability; civil invalidity; law; medicine
url https://journalhss.com/wp-content/uploads/jhss41_117-122.pdf
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