The recent pandemic has shown how the health issue represents a particular commodity with incredibly wide spillover effects. As public finance scholars are aware, the offer of an asset of this kind requires the intervention of levels of government superordinate to the regions, in order to try to align the area of jurisdiction. But the regional organization of public health, which arose following the reform of Title V, has reduced the articulation of the central government on a territorial basis. This particular institutional balance could be at the origin of high transaction costs when the central level tries to organize a policy on a territorial basis. In fact, to date, one of the few important articulations that the national government has on the territory is represented precisely by the armed forces.