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Italy’s Waiting-List Law Stalls as 4 Million Patients Forgo Care

Regional standoffs over oversight powers have left key decrees unsigned, leaving millions of patients without timely care

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Overview

  • In 2024, 6.8 percent of Italians—about 4 million people—skipped essential visits or tests because public waiting times exceeded safe limits, a 51 percent jump from 2023.
  • Three of the six implementing decrees for the June 2024 waiting-list reform remain unpublished, including the expired substitute-powers decree and two without fixed deadlines.
  • The delayed launch of a national appointment-management platform and unresolved tensions between Rome and regional authorities have paralyzed the law’s roll-out.
  • Fondazione Gimbe warns that chronic personnel shortages, organizational shortcomings and lagging digital systems underlie the waiting-list crisis.
  • Opposition M5S is organizing a Palermo rally with leader Giuseppe Conte to pressure the government for full enforcement of the reform.