In such cases payment is made by act or by package of services supplied. Some 20% of Paraguayans have some form of medical insurance; the proportion is higher (27%) in urban areas, while in rural areas it is of the order of 7%.
在这种情况下，每100名巴拉圭人中大约有20人享受某种形式的医疗保险，在城市地区这一比例能够达到27%，在农村地区则仅为7%。