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Ostrom's (1990) work on natural resources is one of the new models of governance and invites us to take a fresh look at how we think about politics, through which it opened a gap in understanding how individuals and organizations self-organize to collectively reap the benefits of renewable resources. We support the hypothesis that the notion of access to medicines must be considered as a common good in the Algerian health context. It should be carried out within the framework of \"Focal Monopoly of Governance\" presented by Meisel (2004) and is considered as a potential response to the institutional and political blockages of access to medicines in Algeria. We use the term \"Focal Monopoly of Governance\" to apply it to the question of access to medicines in Algeria, as a way of overtaking to coordinate the divergent interests between actors. This FMG would be intended to cover the needs of essential medicines under four levers of accessibility: qualitative, legal, economic and geographic.