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Ghana operates the National Health Insurance Scheme to provide citizens with health insurance.

The level of premiums citizens must pay varies according to their level of income.

The poor are generally entitled to health services free of charge, while the wealthy pay for treatment according to a sliding scale.

Botswana operates a system of public medical centers, with 98% of health facilities in the country run by the government.

Most implement universal health care through legislation, regulation and taxation.

Legislation and regulation direct what care must be provided, to whom, and on what basis.

Usually some costs are borne by the patient at the time of consumption but the bulk of costs come from a combination of compulsory insurance and tax revenues.

Egypt operates a system of public hospitals and clinics through the Ministry of Health.

Such referral treatment is also carried out at the cost of the Royal Government.