Budget Law

Manoeuvre, doctors and medical staff go on strike tomorrow: 15,000 surgeries at risk of postponement

The protest initiative was proclaimed by the trade unions Anaao and Cimo and the nurses' organisation Nursing Up

3' min read

3' min read

One day before the national strike of hospital doctors and nurses against the Budget Law 2025, scheduled for tomorrow 20 November, the medical and health professions unions are on the warpath.

15 thousand surgeries at risk of postponement

There are 1.2 million health services that could be skipped due to the strike. At risk are all services, including laboratory tests, surgeries (about 15 thousand scheduled ones that could be postponed), specialist examinations (100 thousand), nursing and midwifery services, also at home, and X-ray examinations (50 thousand). Emergency services will in any case be guaranteed.

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The fronts of confrontation

Between professional associations and the government there is an open clash on various fronts, from the abuse of preceptions for participation in the demonstration to the planned recruitment of thousands of nurses from abroad, from the funding of the specificity allowance to the new recruitments postponed until 2026. The strike was proclaimed by the unions Anaao and Cimo and the nurses' organisation Nursing Up. The context, however, is one of widespread and general dissatisfaction. The text of the manoeuvre, considered 'disappointing' by the unions, 'confirms the reduction in funding for healthcare compared to what has been announced in recent weeks and changes the cards on the table compared to what has been proclaimed for months,' say the medical organisations.

The arrival of foreign nurses

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Another front is also opening up in view of the strike. Coina, the health professions union, denounces the Gemelli Foundation's abuse of preceptorship during the demonstration. 'Not only a violation of rights, but a deliberate attack to hinder a legitimate strike,' says Coina national secretary Marco Ceccarelli, referring to Gemelli's decision to precept non-essential sectors. The Prefecture, Coina recalls, confirmed the breach of contract: 'The authorities agree with us, clarifying that only emergency services are to be guaranteed,' says Ceccarelli. As for the arrival of foreign nurses, for Nursing Up it is "a buffer measure on a deep wound, especially considering the number of Italian colleagues abroad who would return under decent contractual conditions". The measure does not resolve "the lack of economic and contractual enhancement at the root of the abandonment and disaffection of young people towards our educational paths, nurses stress, asking why the government "has postponed the recruitment plan to 2026".

Medical Specificity Allowance

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The manoeuvre also provides for an increase in the medical specificity allowance of EUR 17 for doctors and EUR 14 for executives in 2025, EUR 115 in 2026 for doctors and zero for executives, while for nurses about EUR 7 in 2025 and about EUR 80 in 2026. The Intersindacale of medical, veterinary and health care executives asks the government that this be financed directly in the pay envelope, opposing defiscalisation that 'does not increase the wage bill'. Moreover, they add, 'we have already indicated that the resources must be brought forward as early as 2025 and be distributed equally among the executives'.

Discomfort even in freelancers

There is also great dissatisfaction among freelance doctors, who object to the preclusion of prescriptions for drugs with therapeutic plans and pathology certifications for exemption purposes. "Abolishing unjustifiable restrictions on private doctors, considering the large number of users that historically belong to them, would result in an important reduction in waiting lists to the exclusive benefit of citizens, especially those who are currently renouncing treatment," say the Association of Free Professional Doctors and Dentists (Amolp) and the Italian Phlebological Association (Afi) after the Amolp president Di Martino and Afi vice-president Rosi were received in the Senate by Francesco Silvestro, president of the bicameral commission on regional issues.

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