“…In that same federal unit, average and especially high complexity care modalities consumed most of the funds available for the healthcare of large urban centers 15 . Nevertheless, in São Paulo, the standard of financing and expenditure on primary healthcare in municipalities with over 100 thousand inhabitants relates to different models of primary healthcare, levels of efficiency and effectiveness of the municipal health systems, as well as a level of commitment to average and high complexity services, among other factors 18 .…”