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The question of justice in the health sector is an important one for many reasons, some obvious, others less so. Here the author illustrates one of the least obvious, highlighting how, in the health field, the addition of a particular conception of justice may have crucial effects on the conquest of a city or the survival of a country. He argues the thesis on the basis of events in Belgium over the last few years, the result of the method of financing the national health system. The solution he proposes stems from a "Rawlsian" formulation – not only egalitarian in a liberal sense, but also attentive to community needs – which, on the one hand, fails to introduce a clear dichotomy between solidarity within a population and solidarity between different populations, but, on the other, does not encourage the dismantling of existing systems of interregional transfer.