Confindustria advocates for the cancellation of the payback system, arguing it jeopardizes the competitiveness of medical device companies and strains regional budgets. The current model requires suppliers to reimburse a portion of healthcare spending that exceeds a national ceiling, which has led to significant financial challenges, particularly in the Marche Region. To foster technological innovation and improve patient care, Confindustria calls for better monitoring of spending and adjustments to align with European averages.