for example average informal payments for hospital admissions are eur usd in hungary and eur usd in poland and total informal payments make up and of total health care expenditure in hungary and poland respectively following asspro projections in european health policy brief in turkey informal payments accounted to of all outofpocket payments or of total health spending in tatar et al in greece outofpocket payments are notable in public hospitals where according to a survey of patients paid informal cash or inkind benefits to nurses or physicians liaropolous et using total expenditure on health instead of current expenditure in the netherlands outofpocket spending is underreported