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For decades, the discussion about Italy's aging population has revolved around pensions. However, the actual challenge, according to the statistics, will be caring for old people who are unable to support themselves. There are currently 4 million people, which increases to 10 million when family members and caregivers are included. However, the number of people above the age of 85 is expected to climb by 30% during the following decade. Currently, the average annual hours of home care per person is 16, with 270,000 people on the waiting list for a seat in a nursing facility. An elderly person must go through five to six different assessments before receiving assistance and care. Three years ago, Parliament responded by authorizing a reform that was promoted by the Pact for a New Welfare on Non-Self-Sufficiency, which unites approximately 60 scientific, social, and professional organizations. The problem is that the reform was approved but never implemented. Therefore, the Pact is reviving today with a set of operational proposals that will be incorporated into the 2027 Budget Law, the initial deadline for transitioning from words to action. The initiatives have an impact on all of the major public instruments used to address long-term care. It advocates for simplified access. Today, families must knock on too many doors, fill out various forms, and tell the same narrative again and over; the idea introduces a free unified evaluation and access system, which includes restructuring procedures rather than creating new ones. It also advocates for the expansion of home care services. Currently, medications and visits are provided, but a frail elderly individual necessitates assistance with dressing, eating, and leaving the house. More nursing homes are required, as well as additional staff and fees that are ultimately in line with the actual economic resources of families. A revision of the carers' allowance, which has been frozen since 1980, is required. One of the €1.2 trillion that leaves the State's coffers every year, the Pact argues, should be allocated to elderly care.
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