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Since hospitals in France were rebuilt as open institutions after the Second World War, several questions have arisen concerning the equality of treatment among patients, the existence of different kinds of medicine provided, and the different trajectories between patients. To address this question, this text draws on a field study at a geriatric hospital ward. We use both qualitative methods (ethnography) and quantitative methods (sequence analysis and logistic regression). We show that different kinds of trajectories still exist, depending on patients’ social class. A first differentiation is along health lines, as well as between high and low social classes. A second differentiation occurs within low classes.