The engagement of citizens and patients in health care was one of the ethical principles that led to the Healthcare Reform of 1978 in Italy. Since then, this principle has been constantly reaffirmed. Yet, the patient is not at the center of the system: rather, he suffers the bureaucratic and administrative burden of complex, irrational, inefficient paths in the labyrinth between primary care and specialist assistance. The working group of the MaCroScopio project aims to propose concrete and operational suggestions to the central and regional authorities, to enhance the role of the citizen and the patient.