Abstract: The difficulties with the health system, occurred after 1989, are mainly induced by the lack of appliances and human resources and by the natural consequences due to the interruption of the reform process, which negatively influenced the repartition of medical service within the urban and rural spaces, in the Land of Severin. The supply and access to medical services are the major problems concerning the assurance of a better living standard and also social and economic development, especially in rural areas. Villages with a dispersed population (in the mountainous and piedmont area in the Land of Severin), represent quite a unique challenge for the management and use of medical services. The claim to improve the support is laid by vulnerable groups, as elders and those who live in isolated places (e.g. Marga, Negrușa and Moisești villages) or people who compulsory need dialysis three times a week. The low level of economic development have induced problems concerning the existence, the quality and accessibility of social services and difficulties in case of temporary or permanent health care services. The present reformation measures take into consideration the way of organization and operation of health care services, the problem concerning the financial means and equipment of sanitary units and, the provision of last generation medical technique correlated with a continuous training process of medical staff and health care personnel. Currently, by means of the Local Development Programme 2006 – 2013 and with the help of the European structural funds, the authorities want to establish and implement a special programme to modernize the medical cabinets in villages, to convey pharmaceutical products to this area, to eliminate the daily travel of doctors and to provide ideal conditions for them and for the nurses to integrate into local communities.