This contribution is based entirely on the reconstruction of conversations on palliative care held with privileged witnesses, interviewed in the seven most interesting or «critical» Italian regions on how to develop a network of services. After identifying the regions, a long series of in-depth interviews were conducted with hospital directors, hospice directors, and people responsible at different levels for palliative care. They were interviewed in regards to the difficulties encountered in the development of a network of palliative care services in the areas of their competence, considering both the implementation of single network «nodes» and the activation of communication processes among these. The focus was on the difference between structural, financial, political and cultural aspects, as well as on the research of the final beneficiaries’ perceived resistances.