The Impact of the Year is European Students For Liberty’s only peer nominated award, for which our students nominate other volunteers, whose work in their opinion made the greatest impact toward a freer future.
The 2026’s recipient of the Impact of the Year award is our Italian volunteer Mario Spoltore, for his work on reforming healthcare policy and saving lives in his country and beyond.
Mario is a medical student from a village near Pescara, Italy. Yet as a classical liberal, Mario always had broader ambitions than to cure patients. His sights were set on the healthcare system itself.

He studied the economics of healthcare, and the comparative results of healthcare systems implemented in different countries around the world. His studies showed a clear pattern: more markets in healthcare tend to produce both more optionality for the patients, and more efficient results.
Mario started giving talks and writing articles on healthcare economics, first locally, and increasingly at larger stages and in relevant research outlets. Finally, his work exceeded the format of a research article, and Mario decided to publish it in a book format.
The book was ready in April, 2026, and Mario launched it at LibertyCon Europe in Madrid, in front of an audience of 700 people. The total 800 copies printed of the books were quickly getting distributed, and a translation into further languages is now in the works.
On top of that, Mario has been invited to the Italian national parliament to contribute to the discussion on healthcare policy.




Yet, changing healthcare policy wasn’t the only goal Mario had. As a true medical student, Mario wanted to save lives here and now.
He identified the most senseless loss of life in Russia’s brutal invasion of Ukraine, where not only civilians, but hospitals and medical personnel are often deliberately targeted.
As his first project, Mario hosted awareness events with Italian and international experts, humanitarian workers, and Ukrainian refugees, and small-scale fundraisers, but soon, he started feeling that more can be done to assist those suffering from the Russian invasion.
So this spring, Mario together with local partners launched the most ambitious fundraiser yet, with the goal to buy an ambulance and deliver it to the very frontlines, where it can make the most impact.
And the project succeeded. Mario raised over €20 000, and managed to negotiate the purchase of not one, but two ambulances. He and other local volunteers loaded the purchased ambulances with additional supplies and humanitarian aid, and delivered them to Ukraine: one to Kherson, a one of the cities most suffering from Russian attacks, and the other to Vasylkiv in Kyiv Oblast.



As Mario continues his long battle on reforming healthcare in Italy and in Europe, the ambulances he fundraised for are already saving lives in Ukraine. For his great work on safeguarding the most basic human right to life, Mario as a true doctor withour borders is the recipient of our 2026’s Impact of the Year award.




















