So here is a story about adventures in local Italian offices, specifically the Azienda Sanitaria (health services office). I went there for the first time last week when I was trying to obtain residency here in Rende-Cosenza. I thought that I needed a copy of my official apartment inspection in order to obtain residency quickly, and because the inspection had already been requested by one of my colleagues for Tyler's Visa application, I went to the Azienda Sanitaria to obtain a copy of said inspection report. The office is located in a converted apartment building. We eventually found ourselves in the office of a very confused woman. She neither recognized my name, my colleague's name who had requested the inspection, the name of my landlord, or the address of my apartment. I was surprised when she did not sit down at a computer and search for any one of these things. Instead, she seemed to be trying to recall the inspection purely from memory. She then opened a cabinet and pulled out several huge binders which contained paper copies of similar inspections. She flipped through the binders from the last few months and could not find the report. In her mind, it did not exist. I tried to ask someone if there was an electronic copy somewhere, and everyone looked at me as if that would be an odd thing to have. In the end, we could not find a copy of the inspection and are still not really sure what happened (even though my colleague claims he had it done). Turns out I didn't need it anyway, so I moved on but still felt there was something odd about this office.
I had to return to the Azienda Sanitaria three days ago in order to obtain a card for my sanitary assistance (aka medical coverage). This is when things really got entertaining. I first presented a receipt to show that I could obtain said assistance. The main looked at me like I was crazy. He said (in Italian) "well do you have some sort of documentation? ID? etc.?". Of course I have learned to carry everything with me these days after numerous trips to the local offices, so I presented him with my passport, Visa, residency permit, permesso di soggiorno, work contract, rental agreement, etc (all of which I carry multiple copies). He was satisfied. However, he then proceeded to take out a spiral notebook which apparently contains the names of people who have requested sanitary assistance so far this year. He turned to a new page, drew several new columns with a ruler and pen, and started to enter my information. It took me a few minutes to realize that he was not going to later enter this information into a computer. This was the official documentation that I was receiving sanitary assistance. I know because my friend Laura was with me to obtain a new card (which she has to do once per year), and he pulled out the notebook from last year, looked up her name and ID number, and said "ah yes, here you are, ok you can have one more year of coverage". Then he changed the date of expiration next to her name in that notebook and handed her a new card. And the "card" is not a plastic card like we might receive from BCBS in the US. It is a piece of paper with name, date of birth, date of expiration of coverage, and a stamp on it. The end. As Laura says, "very technological".
As we walked out of the office, I said to my friend Laura "do they really not keep electronic records of this stuff?". "No" she said, and laughed. I replied, "Where are we? What is this, 1950?". She said with a smile "We are in Cosenza, Lynne".
Although, even if it seems archaic, maybe this is one thing that is actually easier to do here than in the US. After one visit to the doctor yesterday (without an appointment), I now have new prescriptions (with essentially no questions asked) and will probably pay less for these medications than I would in the US (especially without insurance in the US). I was even told at first that I couldn't have a prescription for one medicine without an endoscopy, but after asking a few more questions (in my pathetic version of Italian) the doctor wrote the prescription anyway. Sometimes you just have to seem a little desperate I think :-) So in spite of all of the crazy bureaucracy here, Italy does have its benefits. Medical coverage - pretty easy to obtain. I just still haven't figured out which parts of life here require strict documentation and rule following (e.g. Visa applications), and which parts allow a little more flexibility. In the mean time, I continue to carry all forms of available documentation with me. Just in case.