Italian government halts Schillaci family‑doctor reform amid coalition split

The plan to restructure Italy's primary‑care system, championed by Health Minister Orazio Schillaci, has been stalled. The reform sought to introduce a mixed employment model for general practitioners working in the new "Case della Comunità" facilities outlined in the National Recovery and Resilience Plan. It aimed to retain the conventional contract for most activities while creating dependent positions for duties performed within the community health centers, improving staffing stability and reducing pressure on emergency departments.

Internal opposition from the governing centre‑right coalition halted the proposal. Brothers of Italy and Forza Italia, backed by the League, argued that converting family doctors into public employees would erode professional autonomy. The doctors' union FIMMG also voiced strong dissent, fearing loss of independence and reduced attractiveness of the profession. With these political and professional objections, the reform remains deadlocked, leaving the future of the Case della Comunità uncertain.