Many of the country's Gypsies have no identity cards and are therefore are excluded from the social benefit systems, schools and health care. The State-run health care is free, but the care system is neglected and has deteriorated in recent years due to lack of resources and underpaid staff. In many cases, the patients pay "under the table" to get treatment. There is evidence to suggest that a patient's wealth plays an important role in how they receive medical treatment.
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