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> an excuse for doctors to have expensive systems to retrieve and disburse records.

They are free in Italy, if you go through the National healthcare.

to answer the question: the images are of the patient, the National health care (SSN) can use them for research purpose only by authorized personel, the distribution must be authorized by the patient.

In some regions the patient can de-authorize them through a web app, but it's not very common yet.

If you go to a private medical center, the scans are included in the price and are yours.



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