Puglia continues to rank among the regions with the worst health care performance in Italy, reporting a staggering deficit of about 460 million euros. Among the regional health authorities, Bari leads with a 210 million euro deficit, followed by Brindisi with 67 million and Foggia with 60 million. This financial turmoil is not solely a burden for the recently installed administration of Antonio Decaro but is instead the result of years of poor management and oversight in the health sector.

There are growing calls for the Puglia Regional Government to intervene and address this alarming financial situation, but the scale of the deficits makes addressing them with state funds impossible, as the amounts are deemed excessive. Local health authorities are struggling to cover basic operational costs, leading to serious implications for patient care and health services in the region. The existing financial resources available to the Regional Government are limited, which complicates their ability to effectively resolve these issues.

The current financial crisis within Puglia's health authorities sends a strong message about the necessity for better management and oversight in the healthcare system. As the new administration must navigate this challenging scenario, its actions will significantly impact future healthcare quality and accessibility in Puglia. The situation could result in more extensive reforms aimed at ensuring sustainable health care financing and management if not addressed urgently.