The high temperatures in family medicine clinics and, more broadly, the state of healthcare facilities are once again at the center of an attack by Repubblica Futura on the ISS (Institute for Social Security). The movement is responding to the August 17 statement in which the ISS Management outlined the difficulties caused by the heat at several locations and the solutions adopted, including the portable air conditioners provided by the Chiesanuova Castle Council (Giunta di Castello).
“What is striking is learning from the ISS that at the Chiesanuova clinic, patients — and presumably healthcare staff as well — find relief from the heat thanks to portable air conditioners provided by the Castle Council,” reads the statement from Repubblica Futura. The movement then contrasts the Institute’s resources with those available to the local councils: “In essence, a public body — we’re referring to the ISS, with a 2026 budget forecasting expenditures of €489,922,800.00 — doesn’t have the money to install basic air conditioners in family medicine clinics, and instead goes begging to a Castle Council with a paltry annual budget of a few tens of thousands of euros.”
RF particularly objects, according to its account, to the absence of any structural planning for the air conditioning of clinics. “Is it normal that, in the fourth heatwave of this scorching summer, the ISS Management only now discovers that it gets hot in San Marino, and that future measures will be taken to air-condition family medicine clinics?” the movement asks, arguing that staff and patients at health centers have long had to contend with the problem.
The statement also revisits the issue of the consultancy assigned to Francesco Bevere, a matter already raised in previous political interventions by Repubblica Futura. “Repubblica Futura asks, for example, whether no one in the State Congress considered allocating the €250,000 spent on the Bevere consultancy to air-conditioning health centers instead. Nothing would have changed for Bevere — since he has taken on a prominent role in Molise — and he hasn’t been seen in San Marino since, despite being paid. For the people, however, it would have made a real difference.”
The attack then broadens to cover the management and maintenance of facilities. RF asks “on what basis current and past ISS executives have consistently been rewarded for their performance, when family medicine is falling apart from a logistical standpoint, with not a single investment planned to renew and modernize the clinics.”
For the movement, the quality and adequacy of local healthcare facilities must become a priority, especially given the aging population. “The logistical state of family medicine clinics is a crucial factor for a healthcare system dealing with an increasingly elderly population, marked by frailty and difficulty accessing basic health services. The use of advanced technologies, including tools to support healthcare staff, would be a strategic element in resolving the many small everyday problems that arise in interactions with patients.”
Repubblica Futura also raises the issue of energy and environmental sustainability, criticizing the use of portable air conditioners and calling for greater attention to the energy efficiency of ISS buildings and systems.
“Repubblica Futura voices these bitter reflections because we note, with regret, that at the ISS the players change but the tune remains the same — if anything, it’s getting worse,” the statement says. The movement concludes by thanking the Chiesanuova Castle Council for providing the air conditioners and issuing a fresh appeal to the Executive Committee: “Aside from pleasing the government and going on TV to state the obvious, it would be time to launch concrete projects for healthcare in the Republic of San Marino.”
“Over these years of hot summers, we’ve heard more than enough talk, and — see the Bevere operation — a great deal of money has been wasted, while people keep sweltering in clinics housed in makeshift, if picturesque, locations (see the shipping container in Montegiardino),” Repubblica Futura concludes.
