Italian Healthcare Reform Faces Political and Union Opposition
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Italian Healthcare Reform Faces Political and Union Opposition
- Italy's Health Minister Orazio Schillaci's proposed reform of the national health system, including the integration of family doctors into "Case di Comunità," has met strong resistance from regional authorities and general practitioner unions.
- The Italian Federation of General Practitioners (FIMMG) expressed significant opposition by May 2026, concerned the reform could weaken the doctor-patient relationship and alter doctors' employment status.
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Italy’s Health Minister, Orazio Schillaci, has put forward a reform aimed at redesigning the nation’s public healthcare system, known as the Servizio Sanitario Nazionale (SSN). A key component of this proposal, which is part of Italy’s National Recovery and Resilience Plan (PNRR), involves changes to hospital organization, territorial care networks, and a significant restructuring of how general practitioners, or family doctors, are integrated into “Case di Comunità” (Community Homes).
“Case di Comunità” are envisioned as local hubs providing integrated health and social-health services, aiming to offer more accessible care, especially for the elderly, and reduce non-urgent hospital admissions. The PNRR initially planned for 1,350 to 1,430 such centers by mid-2026, though this number was later adjusted. These centers are intended to serve as a “single access point” for patient health services.
However, the reform has encountered substantial opposition. By May 2026, regional authorities called for the withdrawal