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In a few words...
The mutual is a system of structures and services that have the aim of ensuring that all citizens in conditions of equality, the universal access to the provision of equitable health services.
The Italian Constitution
Article 32
"The Republic safeguards health as a fundamental right of the individual and collective interest, and guarantees free medical care to the indigent. No one can be obliged to a given sanitary treatment if not for the provision of the law. The law can not in no case violate the limits imposed by respect for the human person".