however barriers to accessing care mainly affect the lowest income group of people with low income reported unmet needs for medical care compared with only among the highest income group figure with financial barriers being the most important reason for such unmet medical care needs however there are large geographical differences in waiting times for these procedures with over a threefold difference between regions with the longest and shortest waiting times outofpocket payments which include direct payments costsharing for services outside the benefit package as well as informal payments account for of all health spending in hungary nearly twice as high as the eu average at figure