“Italian healthcare is governed like a condominium assembly, it is impossible to make everyone agree. So it is difficult to have an effective governance that can give efficient answers and services to the territories and citizens”. This is the reflection of Walter Ricciardi, Professor of Hygiene at the Catholic University of Rome and consultant to the Minister of Health, who spoke at the forum ‘An agenda for health’ during the Festival of the economy in Trento. “Just look at what is happening with vaccinations, there is no national vaccination register, which was funded in 2017 with the Lorenzin law but never took off, and the electronic information systems of the Regions, where they exist, do not communicate with each other “, he claims. This “is the era of pandemics, we must prepare and change. The reduction of poverty is fundamental to prevent and better address them”, underlines Ricciardi. “We are trying to get back to an old normal that no longer exists. We will really change with the next pandemic.”