The Claim for An Institutional Identity in Healthcare Activities: the Italian Case

Abstract

Abstract The aim of this article is to analyse the status of religiously affiliated health facilities in Italy. Many faith-based healthcare institutions are currently entrapped between the expectation to participate in the healthcare public delivery, and the need for a preservation of their religious identity. Indeed, they are facing an increasing risk of a weakening of their religious identity, due to the evolution of civil law regulating ethically controversial issues, which is increasingly distancing from the religious approach, undermining the traditional religious accommodation granted to faith-based healthcare institutions. However, the preservation of their religious ethos requires dealing with a ‘web of relationships’ which includes the founding religious order, patients, practitioners, the State and a ‘highly competitive market’. This article explores the feasibility of an intermediate path between complete immunity and strict non-tolerance of their religious ethos, in the pursuit of the constitutional principles of pluralism, positive neutrality, and subsidiarity.