The Report

Welfare, Italy's future is at stake on human capital, starting with young people

Up to 2.8 million people employed and up to 226 billion euro GDP (+10.6%) with a national strategy on education, work, skills, health and prevention: the recipe of Think Thank Welfare Italia on condition of a turnaround on investments in people

by Barbara Gobbi

6' min read

Translated by AI
Versione italiana

6' min read

Translated by AI
Versione italiana

The country's future depends on investments - both in education and in health and social policies - in human capital: from infancy to the very young and young school-age and university students, from women to workers including health workers such as doctors and nurses. This is the route traced by Think Thank 'Welfare Italy' in its Report 2025 on 'Human Capital: the new lever of national competitiveness'. Which takes stock of the 'capacity' of welfare in Italy, but also looks at the necessary investment in the development of people from birth.
With a reversal of course on the enhancement of 'human capital', the Report estimates that 2.8 million more people could be employed and a 10.6% leap in GDP equal to +226 billion.
A prospect that has been lacking until now: today, the country's growth of "zero point zero", in a context of necessary austerity against a monstrous public debt of 3 trillion, is also affected by policies that are decidedly short-sighted with respect to people. All of this in an unprecedented demographic scenario: in 2024 we will have the lowest birth rate with 370 thousand new births, a natural balance of -281 thousand and a population that will drop to 54.8 million by 2050, with the proportion of over-65s approaching 35%.
In this framework, young people are falling behind or leaving: in a context of 1.3 million children in absolute poverty concentrated in the South, as well as of a "social lift at a standstill" with an equal number of 1.3 million "Neet", more and more graduates are choosing to go abroad. Hence the trancing warning to politics and institutions in general from The European House - Ambrosetti and Teha Group CEO Valerio De Molli: stop "being oriented towards the 20 o'clock news and not towards the next 20 years".

The Welfare Framework

In Italy, welfare - broken down into its four components health, social policies, social security and education - absorbs EUR 669.2 billion, or 60.4% of total public spending, with the social security component accounting for 16% of GDP. All items are growing strongly in the 2019-2025 period: social policies (+35.2%), welfare (+25.3%), health (+24.8%) and education (+21.1%). This is the balance outlined by the Report, which is promoted by Unipol in collaboration with Teha Group and with the support of a scientific committee comprising Veronica De Romanis (Professor of European Economic Policy - Stanford University, Florence and Luiss Guido Carli, Rome); Giuseppe Curigliano (Director of New Drug Development for Innovative Therapies, Ieo), Giuseppe Guzzetti (former Chairman of Fondazione Cariplo) and Stefano Scarpetta (Director of the OECD's Directorate for Employment, Labour and Social Affairs).
Inequalities are persistent: 23.1% of Italians are at risk of poverty or social exclusion, with strong territorial heterogeneity and increasing. "The sustainability of welfare is under pressure due to the demographic decline," De Molli stressed, "in the next fifteen years we will lose 6.5 million inhabitants and the over-65s will become 35% of the population. A scenario that, according to Welfare Italia, makes it necessary to focus on the full valorisation of human capital as a strategic sustainability axis: it is necessary to invest in education (today the school drop-out rate is 9.8% and the share of university graduates aged 25-34 is 31.6% compared to a European average of 44.1%), life-long learning, a competitive labour market, attraction/retention of skills (in 2024, more than 49,000 Italian university graduates will escape) and prevention (today only 5.6% of public health expenditure is for prevention).

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Why Human Capital

The 2025 Report focuses on Italy's human capital strategy, recognising that the sustainability of welfare does not depend only on financial resources, but on the capacity to generate and enhance skills, productivity and participation. Human capital is both input of the economic system - through labour, knowledge and innovation - and final beneficiary of welfare, as citizen, worker, student or pensioner.

Education and Skills

Spending on education in Italy is 3.9 per cent of GDP (below the Eurozone average of 4.6 per cent), with spending per student lower than in the main European countries. School drop-outs persist (9.8% of 18-24 year-olds, over 400,000 young people) and the proportion of 25-34 year-old graduates is still low (31.6% vs. a European percentage of 44.1%). The report calls for up-to-date training methods (including AI-learning), external quality assessment, re-functioning of school infrastructures - extended openings, community services - and more effective orientation in transitions. In parallel, it promotes life-long learning and skills certification to align profiles and needs.

Labour market and inclusion

Youth unemployment is at 19.3 per cent; female employment in Italy (at 57.4 per cent) remains below the EU average by more than 13 points (70.8 per cent); the country is experiencing a graduate drain (more than 49,000 in 2024) with an estimated cost of EUR 6.9 billion per year. It is necessary to act on youth, female and senior employment, reduction of pay gaps, quality of work and organisational wellbeing, to transform education and skills into effective participation and productivity.

Skills Attraction and Retention

Italy is among the EU countries with the least capacity to attract foreign university students and has limited shares of highly qualified immigrant workers. We need targeted incentives, internationalisation of universities and research, competitive career paths and enabling conditions to retain and attract high value-added human capital. "Italy is the only one of the 34 OECD countries that has decreased the level of average real wages by 0.2% per year, and this worries us in particular for welfare occupations: for doctors we are 50% less than in Germany, for nurses 60% less, while for the 'entry level' of teachers we are less than twice as low, with a quantitative gap in human resources that would be needed, amounting to a negative differential of between 250,000 and 440,000, again compared to Germany," De Molli went on to explain.

Investing in prevention

Prevention is a crucial lever for welfare sustainability: it reduces systemic costs, improves health outcomes and enables people to realise their full potential throughout their lives. International evidence estimates up to EUR 14 return for every euro invested in preventive healthcare. Despite this, in 2024 only 5.6 per cent of public health expenditure was allocated to prevention (7.7 billion out of 137.4). The Welfare Italy 2025 Report calls for more screening, vaccinations, timely access to innovative therapies, the development of active ageing pathways and the promotion of organisational and technological models that support continuity of care.
A change of pace is also urged by Health Minister Orazio Schillaci, who spoke at the presentation of the report: 'In the budget law,' he explained, 'there is a whole package of measures on prevention, which is the most important part to be developed in order to maintain the sustainability of the National Health Service by reducing the too many regional disparities, because access to treatment cannot depend on a citizen's place of residence. We are looking at oncology and more: in the manoeuvre 'we have increased the age range of women who can undergo screening for breast cancer and that for colon-rectum screening, and financed a research network that is developing lung cancer screening, which I hope will soon be among those offered by the National Health Service. Just as we have financed vaccines for the respiratory syncytial virus'. The course is clear: 'If we want to respect the dictates of the Constitution by offering everyone new expensive drugs to treat previously incurable diseases, we must in perspective reduce the number of people who are ill,' the minister warned again. Who looks favourably on integrative healthcare: if the president of the Senate Health Commission Francesco Zaffini had explained that 'if we do not structure the second pillar, we will not be able to stand up to healthcare', for Schillaci 'health funds are welcome if they are regulated properly'.

 The possible strategy

 According to the Think Tank's estimates, aligning Italy with the European benchmarks on youth employment, women, foreigners, and 60-69 year-old participation, could trigger an employment increase of about 2.8 million units and a GDP growth of up to 226 billion euros, equal to +10.6% compared to current levels. "The goal," the experts conclude, "is a sustainable, inclusive and fair welfare, based on Human Capital and prevention, capable of combining economic growth and social cohesion and supporting the long-term competitiveness of the country.

 The Welfare Index

In 2020 the Think Tank 'Welfare, Italy' has developed a monitoring tool, based on 22 KPIs (Key Performance Indicators), which evaluates, within a synthetic indicator, both aspects linked to welfare spending and aspects linked to the results that this spending produces. In these terms, the synthetic indicator, which takes into consideration the areas of social policies, health, welfare and training, makes it possible to identify at the regional level the strengths and critical areas where action is needed;

In the Welfare Italy Index 2025, the territorial administration with the highest score is the P.A. of Trento (83.8 points), the P.A. of Bolzano (80.4 points) and Friuli-Venezia Giulia (78.3). On the opposite side of the ranking are Campania (62.0 points), Basilicata (60.7 points) and Calabria (60.2 points). The 2025 edition, compared to the 2024 data, shows a constant polarisation in the responsiveness of the welfare system of the Italian Regions. The gap between the best and worst regions is in fact 23.6 points (up by 1.9 points compared to the previous edition). The Welfare Italia Index: in 2025 the division between North, Centre and South in the responsiveness of regional welfare systems will increase

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