About 7% of the population reports some unmet needs of this type, with a considerable gap between high- and low-income groups (Figure 11) and between regions. About 4% of high-income households report unmet medical needs compared to 10% in the lowest income bracket Costs and waiting times are the greatest contributors to unmet needs in Poland. While most conventional medical procedures are included, the list of reimbursable drugs is nanow. Consequently, the share of out-of-pocket expenditure on pharmaceuticals in Poland (60%) is the fourth highest in the EU (after Romania, Bulgaria and Croatia) and considerably higher than the EU average (44%).