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Italy's health service faces 18.8 billion-euro shortfall despite nominal budget rise

The GIMBE institute reports that Italy's national health service lost about €18.8 billion in real terms from 2023 to 2026, even though nominal funding increased.

A recent study by the GIMBE health institute reveals that Italy's national health service experienced an €18.8 billion loss in real terms from 2023 through 2026, even as nominal allocations rose. The analysis highlights a growing gap between budgeted amounts and the share of national wealth needed to maintain service levels. GIMBE President Nino Cartabellotta labeled the phenomenon "invisible cuts," emphasizing that the service is receiving less than it would under a stable health-fund-to-GDP ratio.

The institute projects that an extra €32 billion will be required in the coming three years to prevent a shift of health-care expenses onto households. Without this infusion, the financial burden on citizens is expected to increase.

Why it matters

The shortfall could force Italians to pay more out-of-pocket for health care, straining households and public services.

In this story

real funding lossinvisible cutsbudget shortfallhealth-care costsGIMBE report€32 billion needed
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