Explain the history of the italian healthcare

Before 1978: Had Bismarck model. Municipalities oversaw infectious disease, food safety and management of pharmacies. In charge of state-sponsored activities. 1919- post ww2: National security established, made compulsory for employees of private and public sectors. Only 35% were actually insured. Only the poor could be covered by muncipialities for their fees for healthcare services 1978: Health funds were abolished and integrated into National Health Service/Italian health insurance. Private care can be established freely and are often integrated w SSN. Universal, coverage is based on income. 1980-1990: Introduced more, mostly for financial reasons -Accountability -Cost-effectiveness -Value for money- patient as a customer