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During the "Symposium 3rd party renumeration" the observation could be made that for several years, households, users of the health system and patients, commonly referred to as the "third party payer" witness their health expenses increasing. Whether it be through social contributions, insurance premiums or mutual memberships or that it is through excess charges. Leaving aside the theoretical considerations of the health care organization, were then asked questions of the price of solidarity, the role of health partners in the transfer of financial charges, the efficiency of care or the advancement of a democratic health system.

Around the presentation of experiences and innovative partnerships between stakeholders in the health system, several lines of work have been able to stimulate the possibility of a joint work of different stakeholders. As a result of these proposals, the implementation of a constructive debate and inaugurating their application is widely accepted. Without a doubt, it deserves considerable courage, beyond the ideological and political divide. nile would like to thank Pfizer for institutional support to this conference, as well as its editorial contributions.

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