Abstract
Free care was introduced in 1974, it met the principle of the redistribution of oil revenues, including for political purposes. The Algerian society of the early 70 s is certainly no longer the same as today's. There have been many transitions since the 90 s : economic, social, demographic and epidemiological, which have contributed to questioning this free care. We aim through this paper, to focus on the fundamental reforms that must be made to our health system, to adapt it to the major challenges of the 21st century.
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