Un tempo solo Piccoli, Storti e Malfatti, ora un failed state: Italy’s endgame and the future of the Eurozone

 

Blog Team

April 22nd, 2020

Italy’s endgame and the future of the Eurozone

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Italy has been one of the hardest hit countries in the world during the Covid-19 outbreak and there are significant concerns about the impact the pandemic will have on the Italian economy. Roberto Orsi writes that the Eurozone is rapidly heading toward a point where it will either have to adopt radical new measures to accommodate countries like Italy or risk seeing the currency bloc break apart.

The Covid-19 pandemic is accelerating Italy’s slide towards its economic and financial endgame. While before the pandemic the country already found itself in a precarious balance between high debt and no growth, this shock is precipitating the situation by bursting the various arrangements and tactics that both Rome and Brussels/Frankfurt were employing to create a screen of credibility and creditworthiness. The discussion about the future of the Eurozone (whether there is one, for whom, and how) is back again.

A new economic environment

The pandemic is still in its growing stage as this piece is being written, yet it is already clear that it is going to be a crisis of historical dimensions. It will not be over by the end of April or May 2020. This means the world economy will be virtually brought to a standstill for a whole quarter. Afterwards, even if a recovery will surely take place, and barring a second wave of contagion later on, any return to normality will be complicated and relatively slow-paced.

It is difficult to estimate the death toll of such a pandemic and the scale of human suffering deriving directly or indirectly from the disease, and even more so the economic and social costs, but, judging by the unprecedented steps taken in all developed countries to prop up the economy, the economic and financial burden will be colossal.

States will have to borrow enormous sums in order to avoid financial collapse, thus expanding national debt by a large margin. In the 2008-2009 crisis, national debts ballooned by 30% to 50% of GDP or more, depending on the country, in a few years. It appears that this crisis will require a much larger effort. How much larger, nobody knows yet, as it will depend on the duration of the pandemic. Still, it can be expected that major economies will shrink by 8-10% in 2020, with Goldman Sachs forecasting -9% in Q1 and -34% in Q2 for the United States.

National debt expansion as the way forward?

Former ECB Governor Mario Draghi has argued in a recent piece in the Financial Times that high sovereign debt/GDP ratios will become the norm, at least for a while. He is certainly correct about this, but the quality of the debt and the underlying national economies are not the same for all, and markets know it.

The stakes are very clear: there are some countries, most notably Italy, which cannot expand their euro-denominated debt by 30% or 40% of their rapidly shrinking GDP, without explicit or implicit EU guarantees for the creditors. Without such a European guarantee, markets will not allow interest rates on Italy’s debt to remain extremely low, a requirement to keep interest payments at an acceptable level.

Alternatively, the creditors will mostly become the ECB system or the Italian banks, or both, (this has already been happening for a number of years). Italy, a country which has not even recovered its pre-2008 GDP, can hardly be expected to repay any more national debt under the same system of Eurozone rules which have been in place up to now, even with the significant formal and informal amendments and innovative practices of the Draghi era.

Italy’s Prime Minister, Giuseppe Conte, at a European Council meeting in February 2020, Credit: European Union

Currently, the approach to the crisis is the following: EU limits to budget deficits are lifted, at least for 2020, and the national governments can spend as much as necessary, issuing new national debt; the ECB will provide the liquidity to buy this through the banks, or directly; the ECB will keep interest rates as low as possible to minimise interest payments; later on, in the next few years, the debt burden will have to be reduced by growing the economy and/or repaying the debt, and budget deficit restrictions will be reinstated.

However, with the massive debt issuing that is now looming, who will support Italy when the debt/GDP ratio climbs from 135% in 2019 to 170%? To 180%? Those are the levels which triggered the debt crisis in Greece after 2010. Who believes that Italy will grow at an accelerated pace in the next decade? On the basis of what considerations? It appears therefore that the above-described public finance approach to this crisis will not work for Italy. The country’s leadership knows it, and they are looking for a different path.

Solidarity and the Eurozone’s architecture

The most straightforward way to stabilise Italy’s financial future revolves around the thorny question of the Eurozone’s mutual solidarity, its conditions and its limits. To understand this, one needs to go back to the question of the Eurozone’s fundamental architecture and ethos. If the national debts were pooled or shared in some way, or monetised by the ECB, part of Italy’s debt would be paid, in the long run, also by other euro members’ taxpayers, and such a European formal guarantee would reassure the markets, provided that Europe as a whole remains a credible debtor.

Debt pooling, whatever the financial arrangement, would require the overhaul of the Eurozone as it was initially conceived, to make it, by necessity, something that many within Europe, both governments and citizens, do not want. The Eurozone was supposed to be an exclusive club of high-performance economies, run with strict rules mirroring the best practices of the Bundesbank, and the fiscal restraint of northern European economies. The euro was supposed to make every economy more efficient internally and more competitive externally, by inducing structural changes to be managed by national governments under the supervision of EU authorities, with the goal of an increasing convergence in governance standards and results. Still, the underlying political agreement in the Maastricht Treaty called for a separation of national budgets, and the ultimate national responsibility for sovereign debt.

Instead, the results after two decades, whether or not caused by the euro, appear to be: 1) a persistent, even increasing divergence in the public finance performance in the North and in the South of the continent; 2) a perceived stagnation and/or worsening of living standards in numerous parts of the continent; 3) increased political pressure on the EU and the Eurozone project calling for radical reforms, going either towards debt pooling (sometimes unconditional), or towards the dismantling of the Eurozone/exit of single countries.

Whichever way one may look at it, it appears that the original project and architecture of the Eurozone is no longer tenable, if all members are to remain within it. The Eurozone as a single currency bloc may perhaps be able to survive in some form, but in order to do so, it must, at least temporarily (but still, for a long time, possibly decades): a) embrace the idea that it has failed to be the above-mentioned exclusive club of well-functioning economies; b) consider the Stability and Growth Pact as overhauled and no longer applicable; c) agree on a new identity and mission; d) agree on a new legal and political structure, one which goes beyond the concept of separation of national budgets.

The last point is the most difficult one. In principle, debt pooling could be agreed if there were a shared vision of what to do in the future in terms of macroeconomic and fiscal policies, and if there were enough chance of success. Such chances are not visible to most people. Besides, there is no clear political vision for further integration of EU or Eurozone members, as it is rather unavoidable, out of political and organisational considerations, that debt pooling would require a harmonised fiscal policy, and hence some sort of political union.

There could be partial forms of pooling, for instance for bonds related to particular kinds of investments (but who controls how the money will be spent? how can rules be enforced?), or bonds issued by a group of Eurozone members, but not all, for instance a “southern alliance” with France at the helm. On the other hand, numerous political leaders in the North have already expressed rather clearly the view that they wish to keep the ultimate separation of national budgets as a non-negotiable element of the Eurozone.

North vs. South?

Many in Italy regard resistance against debt pooling as a want of European solidarity, and a failure to live up to the political and ethical commitment from other EU members. However, should EU solidarity be unconditional? While it is certainly good to show solidarity at a time of acute distress (as is happening now), infinite and unconditional solidarity is ethically wrong. Once the emergency is over, it is not unfair to ask every country to return to a path of economic and financial sustainability. Is financial sustainability not the norm of every state budget, or even every household?

The possible existence of areas of the Eurozone permanently depending on transfers from other regions would be unfair and it would certainly generate, as is already happening, fierce political resistance. Solidarity should always be conditional in the long run. Italy is right in demanding solidarity (it will get it for as long as the pandemic continues), but there are many in Italy who are wrong in refusing to discuss and negotiate conditions, insisting on an incorrect solidarity concept.

If Italy’s position in demanding unconditioned solidarity is incorrect, the probable conditions to be put forth by many in the northern part of the Eurozone in case of national debt restructuring or another form of financial support for distressed countries, have problems of their own. Most notably, the structural adjustments which would be likely included in the conditions of any ESM activation, such as tax hikes and spending cuts, as already observed during the Greek crisis, will cause social and economic pain as a result of a longer and deeper recession, and produce political side-effects, such as the further spread of Euroscepticism, which are seldom taken into account, thus in the end worsening the EU’s political crisis.

Moreover, it is questionable whether such structural reforms would actually deliver meaningful, long-lasting results, and allow a country like Italy to return to a path of economic growth and financial sustainability. Spain and Portugal have certainly managed to recover from the 2008-2009 crash while implementing reforms which came as conditions to access EU support, but they did so by massively expanding their national debt and running high deficits for most of the past decade (Spain from 39.5% of GDP in 2008 to 95.5% in 2019; Portugal from 71.7% in 2008 to 117.7% in 2019), while Italy, as its debt already stood at 99.8% of GDP in 2008, was unable to do the same. Moreover, structural reforms are not addressing one of the most important economic issues in Italy, namely the now practically inevitable demographic collapse, which, according to a study by the Bank of Italy, will be a formidable headwind for the country from now onwards, leading to a scenario of permanent recession.

Both main positions now shaping the intra-EU debate, the one demanding unconditional solidarity and the abandonment of most metrics of economic performance, as well as the one pretending to have the right (technical) solutions for Italy’s and the Eurozone’s problems, are wrong. If some kind of solution can emerge from the current predicament, it should be one starting from the acknowledgment that the dominant way to conceptualise the Eurozone’s governance has historically failed.

It has failed because it was grounded on the illusion that law (in the form of international treaties initially envisaged in the late 1980s, and thus in a completely different economic, social, and demographic landscape) can predict and regulate any occurrence in political and economic life, indefinitely. It has failed because of excessive juridification as the most obvious degeneration of post-war Ordnungspolitik.

If such a failure were to be acknowledged, however, the conclusion may arise that the only convenient path forward is an orderly démontage of the currency bloc. This option is surely under consideration by some, particularly in the North, even if it implies huge political costs and great uncertainties. Exceptional times favour exceptional decisions. The Covid-19 pandemic offers a unique opportunity for radical moves. If the Eurozone project is to be abandoned, now is the time.

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Note: This article gives the views of the author, not the position of EUROPP – European Politics and Policy or the London School of Economics.

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About the author

Roberto Orsi – University of Tokyo
Roberto Orsi is an Associate Professor in the Graduate School of Public Policy at the University of Tokyo.

About the author

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Un tempo solo Piccoli, Storti e Malfatti, ora un failed state: 12 people who ruined Italy

 

12 people who ruined Italy

TOPSHOT-ITALY-NEW-YEAR

ROME — Italian politics are prompting jitters in financial markets, European chancelleries and, not least, in Brussels.

Worries over Italy are not exactly new. The food may be scrumptious, the cities glorious and the people warm, but Italy’s huge public debt, more than 130 percent of GDP, has been a persistent threat to the euro. And while the country’s economy is finally recovering (though at well below the average EU rate), it continues to suffer from dismal productivity. A recent survey found the quality of life in Italy is among the highest in Europe. Yet, there’s a big gap in living standards between north and south. Corruption is more widespread than in comparable Western European countries. Italian bureaucracy is legendarily obstructive. The courts are slow. And — sorry guys, but it has to be mentioned — Italy has more powerful indigenous organized crime syndicates than any other EU country. How did a founder member of the European Union, once the seat of Europe’s greatest empire, get to this point?

Well, such is the wealth and complexity of Italy’s heritage you have to reach back almost 1,500 years to get at the first person responsible …

1. St Justinian the Great

Circa 560 AD, Justinianus I (483 – 565), Byzantine Emperor | Hulton archive via Getty Images

Generally viewed as one of history’s good guys, the Byzantine Emperor Justinian laid the foundations for the Roman legal system that is still used in much of Europe. But his determination to reunite the Roman empire by wresting back Italy from the Ostrogoths triggered one of the bloodiest conflicts in history.

The so-called Gothic War began in 535 and lasted 19 years. It reduced the population of the peninsula by at least half, emptied cities and, worst of all, failed in its aim. By the time the war was over the country was no longer united. The Goths still had some bits and the Byzantines others. Italy was left in such bad shape it was unable to defend itself from the Lombards, who came marauding in a few years later. It was the Gothic War that shattered the unity of the Italian peninsula — a unity that would not be regained for another 13 centuries.

2. Peter III

This 13th-century king was the ruler of the Crown of Aragon, a confederation whose territory roughly coincided with the modern-day Spanish regions of Catalonia, Aragón and Valencia. Peter’s greatest claim to fame was the conquest of Sicily, which he completed in 1282. One of his successors reunited the island with the mainland, so that when the Crown of Aragon linked up with the Crown of Castile to form the Kingdom of Spain, the whole of southern Italy came under Spanish rule.

For many a historian, the long Spanish domination of the Mezzogiorno, as that part of Italy known, is the key to why its values are so different from those of the north. The aristocrats and hidalgos who became its imperial masters are blamed for infusing the region with a culture of leisure and an indifference to enterprise.

None of this, however, cut any ice with …

3. Giuseppe Garibaldi

The statue of Giuseppe Garibaldi is pictured in Piazza Castello in Milan | Giuseppe Cacace/AFP via Getty Images

The most dashing figure to play a role in the Risorgimento — the “resurgence” of national consciousness that led to Italy’s unification — Garibaldi was a man of extraordinary courage and iron will. Unfortunately, some Italians believe. Many of his fellow patriots would have been content to let the process of unification fizzle out once the north, and maybe the papal state, had been incorporated. But not Garibaldi. He gathered a band of about a thousand volunteers and set off for Sicily to overthrow the Bourbon monarchy that ruled the southern half of the peninsula.

It was an insane idea. By any military logic, his band of zealots should have been wiped out. Instead, they survived and realized Garibaldi’s dream. In recent years, growing numbers of southern historians have argued that it would have been better if they had failed: that Italy’s resulting “occupation” of the Mezzogiorno led to economic decline and mass emigration. At the same time, many northerners feel that if only Garibaldi had settled for a more territorially modest Italy, the resulting state would today be one of the most enviable in Europe: well-run, mafia-free and prosperous.

4. Giuseppe Mazzini

Italian writer Giuseppe Mazzini, (1805 – 1872) | Hulton Archive via Getty Images

Another hero of Italy’s unification who didn’t know when to let sleeping dogs lie, Mazzini was obsessed with Rome. It had been the capital of the Classical world, the hub of Western Christendom and so, he believed with an almost messianic conviction, it should be the capital of the new Italy. In 1871, just a year before his death, Mazzini got his way, and Rome took over the role of capital from Florence.

Ever since, Italy has been governed from a city imbued with the conservative values of the papacy. What is more, though Rome may be peerlessly beautiful, its inhabitants have long had a reputation for being idle, conformist, hierarchical, cynical and easily corrupted. The adjective traditionally applied to them by their fellow Italians is pigri (“lazy”), and the one most frequently deployed for their city is caotica (“chaotic”). Non-Romans can often be heard saying that, had Florence remained the capital, Italian politics might not have become so venal and disorderly.

5. Agostino Depretis

Mentions of venality inevitably brings to mind this 19th-century Italian statesman. Born not in Rome but near Pavia, in the supposedly law-abiding north, Depretis was a dominant figure in the period that followed unification. He also has the questionable distinction of being the spiritual father of trasformismo, the practice whereby parliamentarians are persuaded to abandon the party for which they were elected and join another.

The right of parliamentarians to bounce around between parties like balls on a pinball table is enshrined in the 1948 republican constitution, which states that “every member of parliament represents the nation.” In their keenness to represent the nation, rather than the voters who elected them to parliament, more than a third of the members of the last legislature changed sides. Trasformismo is not only at the base of a fair bit of corruption but an important reason why Italy has so many changes of government.

Paradoxically, another reason for that is the legacy of …

6. Benito Mussolini

Benito Mussolini (1883 – 1945) | Topical Press Agency via Getty Images

The bullet-headed, chin-jutting ex-socialist who virtually invented fascism governed Italy from 1922 to 1943. For all but three years at the beginning, he was its dictator. It was Mussolini who allied with Nazi Germany and led Italy into World War II. A big mistake. It resulted in Italy being invaded by the Allies from the south. The hard-fought campaign that followed, as the Germans retreated up the peninsula, left a trail of destruction and suffering.

Had the term been current, post-war Italy might have qualified as a failed state. Cholera and malaria were widespread, and it is estimated that as many as one in three of the women in Naples took to prostitution to survive. Though a certain nostalgia for fascism has survived among a minority of Italians, the failure of Mussolini’s regime has left a deep aversion to the concentration of power. The result is an overelaborate system of checks and balances that includes two chambers of parliament with equal and identical powers. As a result, almost everything takes a long time to do in Italy — and can at some stage be undone. This is not a recipe for effective or stable government.

7. Giulio Andreotti

Giulio Andreotti | AFP via Getty Images

Few Italians since the Borgias have had as evil a reputation as Giulio Andreotti, a Christian Democrat who was prime minister seven times and a minister in numerous other governments starting in the mid-1950s. His Socialist rival, Bettino Craxi (see No. 9), dubbed him Beelzebub. The increasing curvature of Andreotti’s spine gave him a Richard III look; his defenders (of whom there are not many) will tell you he used it to cultivate an image that made him feared and respected.

His party’s founder, Alcide De Gasperi, said that Andreotti was “so capable in everything that he could become capable of anything.” In 2003, an appeal court in Sicily agreed: It ruled that, at least until 1980, he had collaborated with the island’s Cosa Nostra and given its members a sense of being “protected at the highest level.” According to mafiosi who turned state’s evidence, he was known in the mob as “Uncle Giulio.” How much of the mafia’s delinquency can be laid at Andreotti’s door is impossible to know, but the shelter he afforded it is among the reasons Italy today continues to be plagued by indigenous organized crime.

8. Mariano Rumor

Mariano Rumor | Keystone/Hulton archive via Getty Images

Another Christian Democrat, his wrongdoing may have been less heinous than Andreotti’s, but it was arguably more expensive. As prime minister, Rumor promoted a measure that has since cost Italy’s long-suffering taxpayers around €175 billion. Presidential Decree No. 1092 of December 29, 1973 was a shameless attempt to secure the political support of Italy’s growing numbers of public workers. It stipulated that state employees could retire having made contributions for a mere 19-and-a-half years. If the public servant in question was a woman with children, she could retire even sooner: after contributing for just over 14-and-a-half years.

Thus were born Italy’s infamous “baby pensioners:” men and women who could embark on a life of dolce far niente — in most cases before their 40th birthday — secure in the expectation of a modest but guaranteed income. The right to “baby pensions” was abolished in 1992. But those still living on them remain a feature of Italian life. In 2014, it was calculated they numbered around a half a million and that, on average, they were receiving a monthly pre-tax sum of €1,500. Their cumulative effect is one of many explanations for Italy’s massive public debt of more than 130 percent of GDP.

But the man who probably did more than any other to pile it up was …

9. Bettino Craxi

Bettino Craxi | Keystone via Getty Images

Italy’s debt mountain started to grow in the early 1970s. But by the time Craxi became the first non-Christian Democrat to head a government since the war, in 1983, it was still only 65 percent of GDP. When he left office four years later, it had climbed to 89 percent. There were several reasons for the rise: overspending, waste, inefficiency, insufficient taxation, a central bank policy that boosted the cost of servicing Italy’s existing debts and — not least — corruption.

The Craxi years saw the consolidation of a pernicious arrangement whereby the cost of every public acquisition, from underground railway systems down to sanitary equipment for retirement homes, was boosted to create a margin that was then divided up between Italy’s mighty parties. After blithely admitting in court to his awareness of the system — and the Socialists’ involvement in it — Craxi fled to Tunisia, where he died in 2000.

The other reason to include him in Italy’s Dirty Dozen is that he allowed one man to gain control of half of the country’s television screens. That man, of course, is …

10. Silvio Berlusconi

Leader of Italian right-wing party Forza Italia (Go Italy) Silvio Berlusconi | Piero Cruciatti/AFP via Getty Images

Helped by a media power unparalleled in the democratic world, Berlusconi stormed into office in 1994 only to be felled eight months later. After a long spell in the wilderness, he was back in 2001 and has since become Italy’s longest-serving post-war leader. He could also make a case for being the West’s most successful politician, having been an important, if controversial, figure on the international stage since the days when George Bush senior was the U.S. president.

Berlusconi’s influence on Italy has been immense. His TV channels have helped shape the mindset of the nation (persuading Italians to, among other things, regard his followers, many from the neo-fascist right, as moderates). His constant denigration of the prosecutors and judges who have pursued him on charges including alleged judge- and witness-bribing, paying for underage sex (of which he was acquitted) and tax fraud (of which he was convicted) has undermined Italians’ already fragile respect for the rule of law. His objectivization of women (he made a former topless model his minister for equal opportunities) goes a long way toward explaining why the gender gap is still so wide in Italy, despite the country’s prosperity and sophistication.

11.  Romano Prodi

Romano Prodi | Odd Andersen/AFP via Getty Images

Now what on earth, you may ask, is such a genial chap doing here? How could this well-intentioned professor, who governed his country from 1996 to 1998 and 2006 to 2008, possibly have contributed to its ruination? To which many an Italian would answer: “Because he took us into the bloody euro.” When Prodi first came into office, it was widely assumed that Italy, whose public debts already exceeded 120 percent of GDP, could not possibly meet the criteria for inclusion in the single currency. But, after a visit to his Spanish counterpart, Prodi decided it had to. Spain was determined to get in, and Italy could not be seen to fail where its Mediterranean neighbor (and rival) succeeded.

Gaining access to the euro club became a matter of national pride, and Prodi successfully persuaded Italians to make considerable sacrifices to reduce the budget deficit while convincing the rest of the EU to turn a blind eye to its colossal debt. The eurozone was sold to the electorate as a kind of financial nirvana in which low interest rates would ease the burden, not only on the treasury, but on household budgets too. What neither Prodi nor anyone else cared to stress was that Italians would lose the freedom to maintain their competitiveness by devaluing the lira, and that only further (and perhaps never-ending) sacrifices would enable them to level the playing field on which they were expected to shape up against the Germans.

12.  Roberto Maroni

Roberto Maroni | Marco Bertorello/AFP via Getty Images

You might hear some more of this jazz-loving luminary from the right-wing Northern League party. Maroni, who served in senior positions in all of Berlusconi’s governments, withdrew into relative national obscurity five years ago as governor of Lombardy, the region around Milan. Maroni is a moderate in League terms. In January, he announced he would not be running again in the regional vote to be held at the same time as Italy’s parliamentary election on March 4. That encouraged speculation he was making himself available as a possible candidate for prime minister once the post-election wrangling begins.

But, particularly for young Italians, there is a big reason to not welcome Maroni back into government: As employment minister in the early 2000s, he sponsored the introduction of a law that, more than any, has skewed the labor market. By making it easier for bosses to hire mostly young workers on short-term contracts without eroding the privileges of older workers with jobs for life, the law created a generational gulf that has grown ever since. The difficulty of getting worthwhile employment that allows workers to build up their pension rights, take out a mortgage and perhaps start a family is a prime explanation for why so many young Italians flee abroad — and why so many who stay vote for the maverick 5Star Movement that polls indicate is now Italy’s most widely supported party.

The nightmare scenario — for the financial markets and Brussels — is a coalition between the League and the anti-establishment 5Stars. Both parties have ruled that out, but a fat lot that will mean once the results are known and the horse-trading begins. Not that the alternatives are much better: a right-wing government made up of parties that have promised the earth and may need to break Italy’s eurozone commitments to fulfil their pledges, or a “grand coalition” of left and right that would have difficulty agreeing on economic and social reforms.

Italy’s “dirty dozen” still has room for a few more entries.

L'Italia e' un failed state: Why is Italy still the sick man of Europe?

 

Why is Italy still the sick man of Europe?

Since the financial crisis, Italy has struggled to kick-start its growth, and is lagging behind its European neighbors. But the causes of the country's malaise date back decades — and hope for change is meager.

Over the last decade, Italy has often been pinpointed as the "sick man in Europe," a vulnerable economy that is a risk to the European Union's financial stability.

Still today, a series of disappointing numbers are alerting analysts to the fact that Italy's vulnerability might be increasing.

The country's government recently cut its growth forecast for the year from 1% to 0.2%.

Eurostat recently confirmed that Italy's public debt has reversed its declining trend and has grown almost 1% in 2018, reaching 132.2% of gross domestic product (GDP). In total numbers, Italy's public debt is the EU's highest, and with the meager growth forecasted for this year, it is expected to rise.

Italy is also currently the only EU member state in a recession. But what brought the country to this point?

According to Carlo Alberto Carnevale-Maffe, Professor at Bocconi University School of Management in Milan, the situation is actually worse than the government estimates.

He and other analysts expect zero or even negative growth, as internal demand remains low and both public and private investment have dropped.

"Our export is robust, but it's the only positive component of our GDP," he tells DW. "And it isn't able to bear the weight of the national economy on its own."

A political and economic system that's been faulty for decades

To find the root causes of Italy's economic malaise, one must look to its history, argues Andrea Capussela, author of The Political Economy of Italy's Decline.

His book traces the country's political and economic history, pinpointing events and trends that have lead Italy to today's decline.

Throughout the last few decades, one recurrent trait is the country's malfunctioning social institutions — in particular the lack of rule of law and political accountability — which hinder productivity, innovation and therefore growth.

After the Second World War, Capussela tells DW, Italy's economic miracle was based on importing superior manufacturing technology from abroad, mostly from the United States. For such a model, which pushes for innovation and growth, Italy's faulty institutions were not an obstacle to development.

Things started changing in the 1970s and 1980s, when Italy evolved into a fully formed industrial economy, and its industrial districts started developing. At this point, the country was nearing its technological and production frontiers, and needed solid social institutions to spur innovation and deliver competitiveness.

On the contrary, says Capussela, "this is what Italy really lacked."

Read more: Italy's economic plight, and why it matters

"An expansionary fiscal policy, financed through debt, kept growth up, but also hid underlying problems, like slowing growth and innovation."

With the 1992 economic and currency crisis, the previous growth model was ultimately blown up. Italy's growth "was once again based solely on structural factors — namely productivity growth — and finally the decline of such growth, which we are still experiencing, became clear," Capussela says.

The other big crisis in 2008 landed a further blow to Italy's economy. 

No recent change and no change in sight

Since the crisis, nothing has really changed, Capussela believes, both in terms of improving Italy's rule of law and political accountability, and in terms of measures to spur growth.

Italy's spat with Brussels over its proposed budget deficit caused a stir at the end of last year — it was finally lowered from 2.4% to 2.04%, moderately appeasing all parties involved. But the problem is not necessarily how much budget the country has, but how it spends it.

Read more:  Italy launches €7 billion 'citizens' income' plan to combat poverty

Both Capussela and Carnevale-Maffe agree that Italy's government isn't spending soundly.

"The issue is not that they haven't produced more growth; the issue is that they haven't tackled the deep causes of these problems." says Capussela. "In the short-term, the inefficient public spending; in the long-term, Italy's inefficient institutions — and none of this has been done."

Watch video 04:16

Italy - rising up against the EU

Carnevale-Maffe details exactly which measures are detrimental to the quality of Italy's public spending.

"Some countries spend on public investment that increases productivity," he says. "But with the new pension reform, which increases the pension expenditure by tens of billions of euros, Italy isn't promoting the economy's growth; on the contrary, it depresses growth, it reduces employment and it raises the financial burden for the new generations." 

The outlook for the future is also not so rosy.

Carnevale-Maffe doesn't expect a recovery in 2019, as "what's done is done." What happens in 2020 depends on the political situation.

 A situation that currently doesn't look promising with the two government parties, the Five Star Movement and the League, constantly pitted against each other, unable to even reach an agreement on the country's economic growth plan.

L'Italia e' un failed state: How Italy spiraled from a perfectly healthy country to near collapse in 24 days as the coronavirus took hold

How Italy spiraled from a perfectly healthy country to near collapse in 24 days as the coronavirus took hold 

and Mar 14, 2020, 7:25 PMitaly coronavirus

Medical personnel work inside one of the emergency structures that were set up to ease procedures at the hospital of Brescia, Italy, on March 10, 2020.
Claudio Furlan/LaPresse via AP
  • Wracked by the coronavirus pandemic, Italy's healthcare system is crumbling.
  • The country's aging population, coupled with a lack of adequate medical resources, is overwhelming doctors and forcing them to make impossible decisions about which patients to save.
  • The entire country is on lockdown, and more than 1,000 people have died. Here's how the situation got so dire so quickly.
  • Visit Business Insider's homepage for more stories.

This week, doctors in Italy have been forced to make choices that no one, least of all people who have taken an oath to protect lives, should face: Who lives and who dies?

As the country's coronavirus caseload has skyrocketed — more than 15,000 people have been infected and at least 1,000 have died — healthcare workers on the front lines are confronting a worst-case confluence of a contagious new virus, an aging population, and shortage of hospital beds.

Doctors are now prioritizing young and mostly healthy COVID-19 patients because their chances of survival eclipse those of the elderly.

"We do not have free beds in intensive care units," Lorenzo Casani, the health director of a clinic for elderly people in Lombardy, told Time. Doctors, he added, must "make this horrible choice and decide who is going to survive and who is not going to survive … who is going to get a monitor, a respirator, and the attention they need."

The tragic triage is reminiscent of the choices made on a battlefield, and indeed, Italy is now at war.

The country reported its first coronavirus case less than four weeks ago, on February 20. Now the scale of the country's outbreak is second only to China's.

In response, Italian officials seem to have tried everything: They shut down schools, ordered shops to close, emptied the country's wildly popular tourist destinations, quarantined dozens of cities, and then expanded that "red zone" to lock down the entire country of 60 million people.

"We all must give something up for the good of Italy. There is no more time," Prime Minister Giuseppe Conte said in a televised address.

'From one day to another, it was empty'

Isabella Castoldi, a 25-year-old resident of Florence, told Business Insider that when news of the coronavirus emerged in Italy, few people she knew took the threat very seriously. 

"We underestimated the coronavirus," Castoldi said

Because the illness originated in China, she added, it seemed "very, very far away." 

Castoldi even went to Milan to get a tattoo on February 28. The coronavirus had breached northern Italy by that point — hundreds were sick. After returning from her trip, she went to work at a popular ice cream store steps from the city center.

"We usually have a very, very long queue that extends outside the door," Castoldi said. "Then, from one day to another, it was empty."

As she and a co-worker counted the shop's daily earnings, she said, realized they'd made "thousands of euros" less than normal.

"That's when we started to realize that maybe this is more serious than we thought," Castoldi said. 

A series of lockdowns

On February 23, the Italian government put almost a dozen towns — those in which the most coronavirus cases were reported — on lockdown. About 50,000 people were affected. Major landmarks were closed, the annual Venice Carnival was canceled, Giorgio Armani held its runway show at Milan Fashion Week in an empty theater.

By February 26, less than a week after the first reported case, 12 people had died.

Castoldi said she began to notice "overflowing" supermarkets as people panic-bought toilet paper , meat, and pasta.

A week-and-a-half later, on March 8, Conte cordoned off an area of the country containing 16 million people. The quarantine came as Italy's coronavirus case total approached 6,000; its death toll had surpassed 230. 

But news of the impending closure leaked ahead of time, prompting thousands of people to flee parts of northern Italy the day before it went into effect.

Roberto Burioni, a professor of virology at Milan's Vita-Salute San Raffaele University, told The Guardian that the leak triggered unnecessary travel as people rushed south.

"Unfortunately some of those who fled will be infected with the disease," he said.

Because Castoldi had been in Milan, which was part of the closed-off region, she reached out to her doctor and was instructed to self-quarantine. She shut herself in her bedroom, venturing out for just a few minutes each day with a mask on, since she lives with her father and brother. Her cat, Bilbo, hung by her side.

On Monday, Conte announced an unprecedented nationwide lockdown.

"All the measure of the red zones are now extended to all of the national territory," Conte said at a press conference. He announced a "stay at home" policy, a 6 p.m. curfew, and a ban on public gatherings.

By that point, over 9,000 people had contracted the coronavirus and over 460 were dead.

'We do not have enough doctors'

On Tuesday, the first day of Italy's nationwide lockdown, Italy recorded its highest leap in fatalities in a single day: 168 new coronavirus deaths were reported. Conte announced that most shops, save for pharmacies and grocery stores, would close.

As of Friday, the country's coronavirus death toll — a basic calculation that divides the number of deaths by the total number of cases — was at about 7%. It's a grim reflection of Italy's struggles, given that the global death rate has been hovering around 3.4% for weeks.

"We were not prepared. We do not have enough doctors for the people. We do not have an organized plan for pandemics," Casani told Time.italy coronavirus

A medical worker holds up a coronavirus test in Brescia, Italy.
Claudio Furlan/LaPresse via AP

Italy's investments in its national health service, Servizio Sanitario Nazionale, amount to 6.8% of its gross domestic product, according to Time.

"The continuous cuts — to care and to research — are obviously a problem right now," Casani told the magazine. 

Another reason Italy's healthcare system appears to be so overwhelmed is that the country's population, on average, is the second-oldest in the world, after only Japan. The coronavirus is far more deadly to older people — a study from the Chinese CDC found that the death rate among those above 80 years old was nearly 15%

Italy's National Institute of Health has estimated that 58% of patients who have died so far were over 80 and another 31% were in their 70s, according to Reuters.

'An age limit for access to intensive care'

Given the lack of resources and strains on Italy's hospitals, the Italian College of Anesthesia, Analgesia, Resuscitation and Intensive Care has given nurses and doctors "catastrophe medicine" guidelines to follow as they navigate the deteriorating situation.

"It may become necessary to establish an age limit for access to intensive care," the document says, according to a translation in the Atlantic

It adds: "What might be a relatively short treatment course in healthier people could be longer and more resource-consuming in the case of older or more fragile patients."

In other words, older people are now a lower priority for treatment in Italy, since their chances of survival are slimmer. The guidelines also suggest doctors and nurses de-prioritize patients with underlying health conditions, since the coronavirus is more fatal for those groups, too.

"We decide based on age, and on health conditions," anesthesiologist Christian Salaroli told Italian daily Corriere della Sera on Monday, "just like all war situations."Italy coronavirus

Military officers wearing face masks stand outside Duomo cathedral, closed by authorities due to a coronavirus outbreak, in Milan, Italy on February 24, 2020.
REUTERS/Flavio Lo Scalzo

'The war has literally exploded'

Dr. Daniele Macchini, who works at the Humanitas Gavazzeni Hospital in Bergamo, penned an anguished Facebook post earlier this week, calling the coronavirus a "tsunami that has swept us all." His thoughts, shared in Italian, were translated by Dr. Silvia Stringhini, an epidemiologist at Geneva University, the New York Post reported.

"The war has literally exploded and battles are uninterrupted, day and night," Macchini wrote. 

Doctors are no longer known for their specialties as "surgeons, urologists, orthopedists," he added. They are all trying to treat the same illness, and the testing swabs just keep coming back "positive, positive, positive."

Macchini said he has seen medical staff with "tears in their eyes because we can't save everyone." 

"We no longer see our families for fear of infecting them. Some of us have already become infected despite the protocols," he wrote.

On Tuesday, Italy's medical community took another blow: Roberto Stella, the 67-year-old president of the Medical Guild of Varese, died in Como from respiratory failure caused by COVID-19, CNN reported.

"His death represents the outcry of all colleagues who still today are not equipped with the proper individual protection needed," Italy's National Federation of Doctors and General Practitioners said in a statement.

Roberta Re, a nurse at Piacenza hospital in Emilia-Romagna, told the Guardian that she also lost a colleague: a 59-year-old doctor who she considered a good friend.

"It's an experience I would compare to a world war," Re said. "But it's a war that isn't fightable with traditional arms — as we don't yet know who the enemy is and so it's difficult to fight. The only weapon we do have to avoid things getting even worse is to stay at home and to respect the rules, to do what they did in China."

In Florence, that's what Castoldi is now trying to do. Her self-quarantine has ended, so she can now roam the house and spend time with her family inside. She remains symptom-free. From her room, Castoldi has posted several warnings on social media, discouraging influencers and others around the world from spreading coronavirus jokes and memes.

"Unless an outbreak like this affects us directly, it's easy to believe it never will," she said.

The coronavirus pandemic

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