Private healthcare, with its many faces – which also include accredited and classified structures, fully integrated into the public service – is growing in our country. A development characterized by aggregations of small entrepreneurial realities, no longer suited to withstand the entrepreneurial challenge and the advancement of international groups, especially French, which aim at the acquisition of companies in our territory. A “reactive and lively” private healthcare, which is gaining more and more space “in a spirit of healthy competition with the public”, from which it asks for “clear and transparent planning” for “synergistic action in favor of citizens’ assistance”. For Adnkronos Salute, Michele Vietti, president of the private hospital coordination association (Acop), traces the picture on the economic and financial trends of the sector. “Private healthcare is a vital sector of our business – explains Vietti – and covers a very broad spectrum of activities: from high surgery to Rsa, passing through acute care facilities, post-acute care, rehabilitation and much more. our system, in which healthcare is a regional competence, the private one responds to a patchy dislocation, because it depends on the policies of the individual regions: Lombardy has a strong and qualified presence that is less in other regions “. As regards the development of the sector “the trend is towards aggregation. Small clinics, founded by the individual doctor, family-run are more marginal and large national or international groups are strengthened, as we have seen more intensely in the last 5 years , but the phenomenon dates back to at least ten years ago “. Today, in fact, “facing the healthcare or assistance market involves, especially with regard to accredited structures, such demanding requirements, even in terms of costs, that spreading them over large dimensions can be better amortized. If, on the other hand, they weigh on the shoulders. of a small company become unbearable “. In the last five years, the advance of foreign groups has also become more evident. “The French, as is well known, are very active in healthcare and assistance: but it is normal because we are in the global market. However, this is the sign – continues Vietti – that our public interlocutor does not have the necessary attention to ‘national entrepreneur in this sector, who struggles to cope with the bureaucratic and sometimes invasive supervisory pressure “. In addition, to help the company in the area, “it would be necessary to adjust tariffs and the elimination of spending ceilings that date back to over 10 years ago and that no longer make sense”, adds the Acop president. As far as ‘competition’ with the public is concerned, “there are Regions in which the private sector occupies large spaces. But the situation is varied, because in health we have 20 independent Republics. In any case, even where the public is strong, a private health system quality triggers a virtuous competition. Nobody wants to replace the public, but it would be useful for the private sector to be told what it can do useful in regional programming, because often one does not know where to invest one’s resources. produce duplication rather than synergies “, he concludes.