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HEALTH

Italy bets on tighter coronavirus measures now for relief later

Italy's health minister said on Sunday the government hoped new coronavirus restrictions imposed on three quarters of the country would allow a relaxation of measures in the second half of spring.

Italy bets on tighter coronavirus measures now for relief later
Health minister Roberto Speranza said figures were expected to improve by the second hald of spring. Photo: Andreas Solaro/AFP

Roberto Speranza’s comments in Sunday’s La Repubblica newspaper came on the eve of restrictions taking effect from Monday and running until April 6, which would cover the crucial Easter holiday period.

“The implementation of more stringent measures and the gradual increase in the number of people vaccinated make us think we will have improving figures by the second half of spring already,” he said.

CHARTS: How many people has Italy vaccinated so far?

The new factor had been the recent mutations of the original virus, particularly the one identified in England, which now accounted for more than half the cases.

But he added: “Each dose of vaccine injected is a step in the direction of the way out of the crisis.”

Although several countries have suspended the use of the AstraZeneca vaccine because of concerns over side-effects, Speranza expressed his confidence in Italian and European health authorities, both of which say it is safe to use.

Italy has nevertheless suspended the use of one batch of the vaccine.

Schools, restaurants, shops and museums will close across most of Italy on Monday, a year after it became the first European country to face a major outbreak.

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Most regions — including those containing Rome and Milan — become high-risk red zones, with all residents told to stay home except for work, health or other essential reasons.

The restrictions cover 48 million people and will last until Easter — then during the Easter weekend of April 3-5, the whole of Italy will become a red zone.

Prime Minister Mario Draghi said on Friday that the surge in infections was fuelled by the new, more contagious variants.

Italy has to date suffered more than 101,000 deaths since the start of the pandemic.

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BREXIT

‘In the dark’: Why Brits in Italy are still unable to prove rights to free healthcare

Despite UK and Italian authorities confirming that British residents covered by post-Brexit rules are entitled to healthcare in Italy, many still face "significant problems" in accessing it, the British government has said.

'In the dark': Why Brits in Italy are still unable to prove rights to free healthcare

Cancer patients are among those in need of treatment but unable to access the Italian national health service amid confusion over post-Brexit rules, campaigners say, after clarifications from the UK and Italian governments have so far failed to resolve bureaucratic deadlocks at local authority level.

Since the end of the Brexit transition period in 2021, many British nationals resident in Italy covered by the Withdrawal Agreement (WA) have reported difficulties in proving their right to free healthcare under the Italian public system.

The problem was exacerbated this year after the Italian government in January hiked the minimum annual fee for ‘voluntary’ healthcare registration from €387 to €2,000, which many said they were unable to pay.

The British government in February stepped in to clarify that UK nationals covered by the WA should not be subject to charges for healthcare, and on its Living in Italy website it advised those affected to show their local health authority office (Azienda Sanitaria Locale, or ASL) an official note published by the Italian health ministry on February 15th which sets out their rights (find it here, in Italian.)

WA beneficiaries “can compulsorily enrol (iscrizione obbligatoria) with the Italian National Health System,” states the final section, pointing out that the deal, “in Article 23, provides for equal treatment with domestic nationals.”

But for some local health officials, even this written confirmation does not appear to be enough to clear up the confusion.

READ ALSO: ‘Life or death situation’: Brits facing high Italian healthcare costs amid rule change uncertainty

The UK government on Friday, May 17th, updated its guidance to say it had become aware that “some beneficiaries of the Withdrawal Agreement are facing significant problems accessing health services and renewing their healthcare cards,” despite its advice to show local health authorities the official note.

British nationals continue to report that local health authorities around Italy remain unwilling to issue them with a health card, while campaigners say the situation is further complicated for some by the fact that Italian authorities have also refused to issue proof of their permanent residency status, which entitles them to free healthcare.

This was the case for Graham Beresford, a British citizen living in Abruzzo who has been diagnosed with a rare cancer and remains unable to access the free healthcare he is entitled to, as he says local authorities don’t understand the post-Brexit rules.

Graham told The Local in April that the government’s clarifications on the issue had made little difference – his ASL continues to demand he pay the 2,000-euro charge.

READ ALSO: Can I get a refund after wrongly paying Italy’s €2,000 healthcare fee?

“Every time I go to my ASL office, I always feel like I’m dismissed,” Graham said. “I told the ASL worker I need medication for my cancer and she replied lots of people come in here with sob stories.

“There genuinely seems to be no compassion whatsoever.”

Graham’s story was reported in The Guardian on May 12th ahead of UK foreign secretary David Cameron’s first major meeting with European commission vice-president Maroš Šefčovič to discuss post-Brexit relations.

Campaigners also wrote to Cameron in April to appeal for help with the “desperate” situation faced by those unable to access care in Italy.

In its update to the Living in Italy website on Friday, the British government stated: “Since [the health ministry’s note] was published, and particularly in recent days and weeks, it has become clear to us that not all Italian authorities are consistently following this guidance.”

“We are urgently speaking to all relevant parts of the Italian government to clarify the situation so that we can give clear advice to those affected as soon as possible. 

“We also know that this problem is linked to the many difficulties some are experiencing with obtaining an attestazione di soggiorno permanente and/or the Carta di Soggiorno permanente. We are working to help with these issues too.

“We will update this page as soon as we have further news.”

READ ALSO: ‘We are desperate’: Why the UK must help Britons with Italian healthcare charges

Clarissa Killwick from Beyond Brexit, a group for UK citizens in Italy, said the situation “should never have been allowed to happen” and that there had been “a series of communication failures and inconsistencies.”

“We’re not far short of five months after the introduction of the €2,000 new minimum for voluntary contributions and there is still no clarity,” she added.

“There are fraught exchanges in public offices because people on both sides of the counter are in the dark or with conflicting information.

“People need information they can rely on, unequivocally. What do you say to someone who is waiting for an operation but has no idea what is going on?”

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