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PhrasesItalian BureaucracyDevo scegliere il medico di base.
A2

Devo scegliere il medico di base.

I need to choose a GP.

Pronunciation

MEH-di-ko di BAH-ze — three syllables each; 'z' in base is voiced, like in English 'zone'.

When to use it

Use this when registering with the Italian national health service (SSN — Servizio Sanitario Nazionale). Choosing a GP (medico di base or medico di medicina generale) is the first step and must be done at the local ASL (Azienda Sanitaria Locale) office.

What it means

The medico di base (also called medico di medicina generale) is your GP — the gatekeeper of Italian public healthcare. Choosing one is free for residents and EU citizens, and necessary to access prescriptions, specialist referrals, and certificates. You can change your GP once a year. The choice is made at the ASL.

Variations

Dove si sceglie il medico di base?

Where do you choose a GP?

At the ASL (local health authority) office; bring your codice fiscale and residence certificate.

Il medico di base mi ha dato la ricetta.

The GP gave me a prescription.

Ricetta is the prescription slip; in Italy it is now often electronic (ricetta dematerializzata).

Posso cambiare medico di base?

Can I change my GP?

Yes, once per year without needing to justify the change.

Mini Dialogue

— Ho fatto la residenza. Cosa faccio adesso per avere il medico? — Vai all'ufficio ASL del tuo distretto con il codice fiscale e la tessera sanitaria. — Posso scegliere io il medico? — Sì, ti danno un elenco dei medici disponibili nella tua zona e scegli tu.

— I've registered my residency. What do I do now to get a GP? — Go to the ASL office for your district with your tax code and health card. — Can I choose the doctor myself? — Yes, they give you a list of available doctors in your area and you choose.

Cultural Note

Italy's Servizio Sanitario Nazionale (SSN) was established in 1978 on a universality principle — healthcare for all citizens and legal residents, free or at low cost. The medico di base is the entry point. Italy regularly ranks among Europe's top healthcare systems by outcome quality, despite chronic underfunding. The SSN is funded through general taxation, not specific health insurance premiums.