Among regimes of sickness risk coverage, those who are managed by the government to the profit of the poor and low income population offer advantages in nature, in the form of total exempt from payment or a strong subsidy of care in public sanitary structures of the ministry of public health. These two regimes, known as "Gratuitous Medical Assistance", existed under other names since the 1950's and has undergone various modifications that had all for objective to adapt the benefit of the gratuitous of care to the economic conditions and financial of the targeted population.

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