The new Italian Minister of Health, Beatrice Lorenzin, seems ready to end the Italian health system in its current form. As she said to parliamentary panel this month: “The time of ‘everything for everyone’ is over.” Further cuts are scheduled across the system, while patient co-payments are pushing more customers into the private sector. We talk to observers and players in Italy to find out about the expanding role of co-insurance, and where the opportunities are now.