Unless you really, really need a land line, think hard about it. Not only are the costs of installing the line totally up to the whims of Telecom Italia (and their default seems to be to fleece the customer), but the line rentals are also expensive.
If you can't get ADSL, forget about Skype. We've got (supposedly) TIM mobile broadband, but the signal is still too weak for Skype. If you're in a town, you'll probably do much better, but if you're out in the sticks, then technology is hit and miss.
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