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What is at Stake with Cooperation to Enhance Healthcare? (Helping Those Who Help Themselves)

From various national or international sources, this paper is an attempt to do a check up on social exclusion in French-speaking countries relatively to the health condition. In the same time it is a diagnosis about the lack of health covering and the reasons of that situation. The present state is described by testing a classification of usual different schemes existing in health systems which anywhere are split in state, mandated, mutual, corporate or free market schemes; these ones are also a result of the cost recovery policy. Some lessons are drawn in a French cooperation point of view.