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US: Trump dismisses Zampolli amid dispute over parallel diplomacy involving Russia and the Balkans

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He conducted himself like a head of state, exercising an extraordinary degree of autonomy that appeared to place him beyond the established chain of command. Paolo Zampolli’s removal from Donald Trump’s administration may have broader political implications than a personal dispute with Deputy Secretary of State Christopher Landau. Behind the dismissal of the Italian-American businessman, a longtime friend of the president who served as US Special Representative for Global Partnerships until October 15, lies a fundamental question about control over American foreign policy: how far can someone close to the White House go in conducting diplomatic initiatives, meeting representatives of foreign governments and promoting international agreements without going through the State Department?

The immediate explanation for his dismissal came from Politico, which reconstructed months of clashes between Zampolli and Landau through a series of emails. But an examination of the former representative’s international activities suggests that the dispute went beyond questions of hierarchy. From Russia to Serbia, from Republika Srpska to Central Asia, Zampolli had developed a network of political and economic relationships that appeared to extend well beyond his cultural mandate. What remains unclear is whether these initiatives were directly authorized by Trump, tolerated by the White House or pursued with a degree of autonomy that the State Department was no longer prepared to accept.

One particularly significant development emerged from Russia. Yesterday, on the very day of his dismissal, the Russian state news agency TASS published an extensive interview with Zampolli, identifying him as a special representative of the US president. The subject was sports cooperation between the United States and the Russian Federation, but the discussion went well beyond organizing competitions. Zampolli argued that sport could reopen channels of dialogue closed by political tensions and proposed structured cooperation between Washington and Moscow, including hockey games, football matches, exchanges involving athletes and coaches, and a joint coordination mechanism.

The former representative had also expressed support for the gradual reintegration of Russian athletes into international competitions, hoping for their fuller participation in the 2028 Los Angeles Olympics. He welcomed the return of the Russian flag and national anthem at the Paralympic Games in Italy, describing it as an important step forward. These remarks, however, did not constitute an official announcement by Washington concerning the restoration of Russian participation under national symbols. They were statements made by Zampolli during an interview, with no corresponding decision by US authorities or Olympic governing bodies having been established.

The most relevant detail is that Zampolli had already met Russian Sports Minister Mikhail Degtyarev on September 1 in Bishkek, Kyrgyzstan. In his interview with TASS, he confirmed that the two had discussed the 2028 Olympics and prospects for sports cooperation between their respective countries. He also expressed a willingness to travel to Moscow to achieve concrete results, provided there were clearly defined objectives and support from the appropriate institutional channels. The meeting with Degtyarev therefore establishes that direct contact had taken place with a member of the Russian government, while his willingness to visit Moscow confirms his intention to develop that channel further.

Sports diplomacy does not, in itself, constitute a violation of a cultural representative’s mandate. In Zampolli’s case, however, it takes on a different significance when viewed against the backdrop of his confrontation with Landau. According to emails obtained by Politico and also reported by Corriere della Sera, as early as November 14, 2025, the deputy secretary of state had ordered him to cease activities not directly related to cultural diplomacy. The message, copied to 15 other officials, left little doubt about the existence of an institutional conflict. Landau challenged Zampolli over foreign policy initiatives and commercial and economic activities he considered unauthorized, going so far as to warn of disciplinary consequences and dismissal.

Zampolli rejected the accusations and invoked his direct relationship with Trump. This confrontation lies at the heart of the affair. On one side stood the State Department, determined to retain control over diplomatic initiatives; on the other, a presidential representative who believed he could operate on the strength of the president’s personal confidence. The issue was not merely who had the authority to issue instructions, but who had the power to represent the United States in its dealings with foreign governments.

A second line of inquiry leads to the Balkans, where Zampolli’s activities had taken on an even more explicitly political character. On February 10, 2026, the Republika Srpska news agency SRNA reported a meeting in Banja Luka between the American representative and Milorad Dodik, leader of the SNSD and former president of the Serb entity within Bosnia and Herzegovina. Dodik described the meeting as a continuation of a visit to Washington and an opportunity to strengthen dialogue with international centers of power, explicitly emphasizing Zampolli’s closeness to Trump.

The context is crucial. Republika Srpska is not an independent state but one of the two entities that make up Bosnia and Herzegovina. Dodik’s political initiatives, his advocacy of greater autonomy for the Serb entity and his repeated confrontations with Bosnia’s central institutions have long had an international dimension. His ties with Moscow and his positions on Bosnia and Herzegovina’s constitutional structure make any contact with American representatives that could be interpreted as political recognition particularly sensitive.

Against this backdrop, Zampolli’s presence in Banja Luka appears to have been more than a routine exercise in cultural diplomacy. Dodik presented the meeting as part of a political relationship with Washington, while the reference to the representative’s personal closeness to Trump enhanced its symbolic significance. There is, however, no evidence that Zampolli had been authorized to negotiate matters concerning the status of Republika Srpska or the institutional framework of Bosnia and Herzegovina.

Politico’s account adds a significant detail: Landau reportedly intervened to clarify the limits of Zampolli’s authority to Serbian officials. When considered alongside the emails insisting that the representative remain within his cultural mandate, this episode shows that the State Department’s concerns were not confined to internal disagreements. They had already affected dealings with foreign counterparts.

Russia and Republika Srpska therefore represent two distinct aspects of the same underlying issue. In the first case, Zampolli promoted a revival of US-Russian relations through sport, meeting a Russian government minister and proposing new bilateral initiatives. In the second, he engaged with a central figure in Bosnia’s political tensions, in circumstances where his proximity to the White House could be interpreted as a signal of American support. There is insufficient public evidence to suggest that the two activities were coordinated or formed part of a common strategy. Both, however, help explain why the State Department may have regarded the representative’s operational autonomy as problematic.

Adding another layer of complexity was the economic dimension. Landau had also challenged Zampolli over potentially unauthorized commercial activities. The former representative, for his part, maintained that he had helped facilitate major deals, including Uzbekistan Airways’ purchase of 22 Boeing aircraft. The issue touches on a defining feature of Trump’s foreign policy, in which diplomatic relationships, investment and commercial agreements are often closely intertwined. But promoting economic opportunities within the scope of an authorized appointment is one thing; using a government position to pursue initiatives without coordinating with the relevant institutions is quite another. Landau’s allegations, however, do not amount to proof of unlawful conduct.

The dismissal came just hours after Politico published its investigation. A US administration official confirmed that Zampolli’s appointment had been terminated and that the businessman was no longer a government employee. Zampolli said he was not surprised by the decision and posted a conciliatory message on X, noting that Trump had extended his appointment by more than six months and thanking the president, Secretary of State Marco Rubio and the administration.

According to Zampolli’s own account to Corriere della Sera, Trump personally called him and encouraged him to return to business. The former representative’s version suggests a mutually agreed departure, or at least one that did not involve a definitive personal rupture. The official confirmation of his dismissal and the previously documented conflict with Landau, however, point to a more complicated affair.

Finally, there is the timing of the TASS interview. On October 15, the Russian news agency portrayed Zampolli as an American interlocutor working to promote rapprochement between Moscow and Washington. That same day, news emerged of his removal from his State Department position. The sequence is politically significant, but it does not establish that the interview triggered his dismissal. It is not known when the interview was conducted or whether senior US officials were aware of its contents beforehand. Moreover, the dispute with Landau had begun many months earlier.

The affair may therefore have less to do with individual initiatives involving Russia or the Balkans than with the way Zampolli exercised his role. The former representative appeared to operate in a gray area between cultural diplomacy, personal political relationships and the promotion of economic agreements. His closeness to Trump gave him access and visibility, but not necessarily unlimited authority over foreign policy matters.

It is in this overlap of responsibilities that a possible political explanation for his removal emerges. The State Department may have been willing to accommodate a representative tasked with promoting cultural relations and international partnerships, but not one who appeared, in the eyes of foreign governments, to offer an alternative to official diplomatic channels.

The unanswered question is whether Trump decided to put an end to a form of personal diplomacy that had become too independent, or whether he simply chose to back Landau once the conflict became public. The available evidence does not allow for a definitive conclusion. What it does show, however, is that the affair involved far more than an exchange of emails: it was a fundamental dispute over who had the authority to speak and negotiate on behalf of the United States.

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Trapianto di organi, prima la persuasione e poi l’obbligo?

Se donare gli organi è un gesto libero e volontario, perché lo Stato finanzia iniziative per ridurre il numero di coloro che si rifiutano di farlo? E soprattutto, fino a quando il rifiuto continuerà a essere considerato un diritto anziché un ostacolo da eliminare?

 

La domanda nasce da un decreto del ministero della Salute del 24 giugno 2026, pubblicato sulla Gazzetta Ufficiale del 28 agosto, che dispone uno stanziamento di dieci milioni di euro annui per il potenziamento del sistema trapiantologico italiano.

 

Tre milioni sono destinati a interventi per ridurre le liste d’attesa, diminuire le opposizioni alla donazione, incrementare le attività di reperimento degli organi, il cosiddetto procurement, e rafforzare i centri trapianto. Gli altri sette milioni finanziano tecnologie per la perfusione, la conservazione e il trasporto degli organi.

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Il documento ministeriale è esplicito: «Risulta fondamentale sostenere le azioni mirate ad una riduzione delle opposizioni alla donazione».

 

Il rifiuto di donare, espressione di una volontà individuale che dovrebbe essere insindacabile, diventa così un problema da affrontare attraverso finanziamenti pubblici e iniziative istituzionali. Non si tratta soltanto di informare i cittadini, ai quali viene abitualmente proposta una rappresentazione della cosiddetta donazione che lascia completamente nell’ombra gli aspetti più controversi, ma di perseguire un risultato preciso: ottenere un numero maggiore di consensi.

 

Del resto, secondo i dati del Centro Nazionale Trapianti, nel 2025 il 40,1 per cento dei cittadini che hanno espresso la propria volontà al momento del rilascio o del rinnovo della carta d’identità elettronica si è dichiarato contrario alla donazione, contro il 36,3 per cento dell’anno precedente.

 

Un risultato che evidentemente preoccupa la macchina trapiantologica, impegnata ad aumentare costantemente il numero degli organi disponibili.

 

In sostanza, si celebra la libertà di donare, ma si considera indesiderabile la libertà di rifiutare. E quando il rifiuto diventa un ostacolo all’efficienza del sistema, il passo successivo potrebbe essere quello di eliminarlo.

 

Non si tratta di una prospettiva così lontana dalla realtà: nel febbraio 2025, intervistata dal Corriere della Sera, la cardiologa Maria Frigerio, già direttrice della Cardiologia 2 dell’Ospedale Niguarda di Milano, aveva lamentato che, a causa delle opposizioni, su dieci trapianti potenzialmente realizzabili se ne effettuassero soltanto sette ed era arrivata a prospettare che la donazione «potrebbe diventare un obbligo».

 

Dietro la retorica della generosità affiora dunque la possibilità della coercizione: gli organi umani non vengono più concepiti come qualcosa che una persona può liberamente offrire, ma come una risorsa della quale la collettività potrebbe arrogarsi il diritto di disporre.

 

Del resto, la legislazione italiana aveva già compiuto un primo passo in questa direzione nel 1999, quando la legge n. 91 introdusse il principio del silenzio-assenso.

 

Il meccanismo, mai diventato operativo per la mancata realizzazione delle condizioni previste dalla legge, avrebbe consentito di considerare favorevole al prelievo, in determinate circostanze, chi non avesse espresso alcuna volontà. Pertanto, non più un consenso manifestato esplicitamente, ma attribuito al cittadino sulla base del suo silenzio. Un rovesciamento significativo, visto che non è il sistema sanitario a dover ottenere una dichiarazione favorevole, ma il cittadino a dover manifestare il proprio dissenso per impedire il prelievo dei suoi organi.

 

Ma la pressione esercitata sul consenso dei cittadini è soltanto un aspetto di un fenomeno più vasto: la continua ricerca di nuove possibilità di reperimento degli organi; una ricerca che ha ormai investito anche le procedure con cui viene gestito il fine vita.

 

È il caso della cosiddetta donazione a cuore fermo, o DCD controllata.

 

In questa procedura il prelievo viene programmato per un paziente ancora in vita, dopo che è stata assunta la decisione di sospendere i trattamenti che ne sostengono le funzioni vitali. La morte viene accertata secondo il criterio cardiocircolatorio e si procede quindi al recupero degli organi.

 

Il 7 ottobre scorso, agli Ospedali Riuniti Padova Sud di Schiavonia, è stato effettuato il primo prelievo di organi da donatore a cuore fermo controllato in un ospedale periferico del Veneto. Il paziente aveva 87 anni e una prognosi infausta. Secondo quanto comunicato dall’azienda sanitaria, il percorso si è svolto in accordo con i familiari e ha consentito il prelievo del fegato, grazie anche all’impiego di una macchina ECMO per la perfusione degli organi.

 

L’operazione è stata presentata come un successo organizzativo e tecnologico, ma nella ricostruzione pubblica dell’episodio non vengono chiarite le circostanze cliniche che hanno condotto alla sospensione dei trattamenti.

 

Ma è proprio la stretta connessione con la pratica eutanasica a rendere la DCD controllata una delle espressioni più problematiche della moderna medicina dei trapianti: la morte del paziente e il successivo prelievo vengono inseriti in un percorso programmato in cui, tra l’altro, la tempistica assume un’importanza fondamentale per preservare la funzionalità degli organi.

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Il collegamento con il decreto ministeriale del giugno 2026 diventa ancora più significativo se si osserva che sei dei dieci milioni di euro stanziati sono destinati proprio alle apparecchiature per la perfusione degli organi, tecnologie impiegate anche nello sviluppo della donazione a cuore fermo. E il fenomeno è in rapida espansione: secondo i dati del 2025, riportati dalla Newsletter Transplant 2026 del Consiglio d’Europa, in Italia i donatori a cuore fermo sono stati 456, pari a un quarto di tutti i donatori deceduti. Appena dieci anni prima, nel 2015, i donatori erano stati soltanto 6. Le strutture abilitate a effettuare questo tipo di donazione sono inoltre passate, nell’ultimo anno, da 85 a 111.

 

Pertanto, da una parte si finanziano iniziative per ridurre le opposizioni, dall’altra si investe nell’espansione delle tecniche che consentono di aumentare il numero degli organi utilizzabili.

 

Il risultato è un sistema nel quale la disponibilità di organi umani assume un’importanza sempre maggiore, alimentando una complessa organizzazione sanitaria, tecnologica ed economica.

 

In questo contesto, la prospettiva dell’obbligatorietà evocata dalla cardiologa Frigerio lascia intravedere una possibile evoluzione: oggi si finanzia la riduzione delle opposizioni, domani si potrebbe intervenire sulla legge per rendere più difficile rifiutare, fino ad arrivare a considerare il prelievo degli organi un obbligo.

 

A quel punto cadrebbe definitivamente la maschera della donazione. Non ci sarebbe più alcun gesto di generosità, nessuna libera scelta, nessun dono: rimarrebbe soltanto un corpo umano sul quale lo Stato esercita il pieno possesso.

 

Sarebbe il compimento di una trasformazione antropologica profonda, il logico approdo di un sistema filosofico e culturale che ha già separato l’uomo dal suo corpo, riducendo quest’ultimo a un insieme di organi e tessuti da utilizzare secondo le necessità altrui.

 

Una medicina nata per servire l’uomo potrebbe così arrivare a pretendere che sia l’uomo a servire la medicina, fino a consegnarle ciò che gli rimane quando la sua vita volge al termine.

 

Alfredo De Matteo

 

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