摘要：This article presents a series of theoretical reasons from the perspective of social economy that discuss the opportunity and the structure of projects regarding the decentralized government in the health system. Having in view the particu- larities of this type of system and the filters of ethics and equity that restrict the policy decision in this field, the article converges towards the idea that a reform targeting decentralization requires first of all the adjustment of the system. Decentralization can lead to the forecasted results only if some preconditions necessary for a good implementation are fulfilled. Preceding this process, the state must go through several phases. In this sense, the article shows some few errors of design in the reform that is currently carried out in the Romanian medical system. For the study methodology was used the critical analysis from the perspective of social economical theories from the specialized literature and of the diverse regulatory frameworks from countries that have experienced or implemented decentralization processes
关键词：decentralization; access hierarchies; equity in the field of health
