Résumé : While much research has focused on issues related to patients’ quality of life and access to health care in developing countries, the life of ill people in poverty still hasn’t been approached in numerous facets, and is especially embryonic in many emerging economies. This study of a 336-patient data set examines how a patient community’s benefits and how meeting patients’ imperative needs impact their perception of the future of a voluntary community. The results show that patients are much more likely to be positive in predicting community growth when their expectations are met, and also tend to appreciate financial benefits more. But there is empirical evidence showing patients’ reluctance to contribute to the community, which likely results from their struggle with unfulfilled financial needs and may also imply unstated concern about the fate of voluntary communities of co-located patients.