Recognizing that PFM system is critical for progressing towards UHC with available resources, health and finance ministries from more than 50 countries in Africa gathered in Nairobi, Kenya on 25 September for a three-day event to share experiences and learn about advances in public finance reforms in the health sector. New in The Lancet: From silos to sustainability:
Commentary Universal Health Care: What was he so distressed about? We learn from his biography that he was moved in particular by seeing the penalties of ill health—by the sight of mortality a dead body being taken to cremationmorbidity a person severely afflicted by illnessand disability a person reduced and ravaged Universal healthcare unaided old age.
Health has been a primary concern Universal healthcare human beings throughout history. The usual reason given for not attempting to provide universal healthcare in a country is poverty. The United States, which can certainly afford to provide healthcare at quite a high level for all Americans, is exceptional in terms of the popularity of the view that any kind of public establishment of universal healthcare must somehow involve unacceptable intrusions into private life.
One of the oddities in the contemporary world is our astonishing failure to make adequate use of policy lessons that can be drawn from the diversity of experiences that the heterogeneous world already provides. There is much evidence of the big contributions that UHC can make in advancing the lives of people, and also and this is very important in enhancing economic and social opportunities—including Universal healthcare the possibility of sustained economic growth as has been firmly demonstrated in the experience of south-east Asian countries, such as Japan, South Korea, Taiwan, Singapore and, more recently, China.
Further, a number of poor countries have shown, through their pioneering public policies, that basic healthcare for all can be provided at a remarkably good level at very low cost if the society, including the political and intellectual leadership, can get its act together.
There are many examples of such success across the world.
None of these individual examples are flawless and each country can learn from the experiences of others. Nevertheless, the lessons that can be derived from these pioneering departures provide a solid basis for the presumption that, in general, the provision of universal healthcare is an achievable goal even in the poorer countries.
Over the last three decades various studies have investigated the experiences of countries where effective healthcare is provided at low cost to the bulk of the population. Since then examples of successful UHC—or something close to that — have expanded, and have been critically scrutinised by health experts and empirical economists.
Good results of universal care without bankrupting the economy—in fact quite the opposite—can be seen in the experience of many other countries. This includes the remarkable achievements of Thailand, which has had for the last decade and a half a powerful political commitment to providing inexpensive, reliable healthcare for all.
Prior to the introduction of UHC inthere was reasonably good insurance coverage for about a quarter of the population. This privileged group included well-placed government servants, who qualified for a civil service medical benefit scheme, and employees in the privately owned organised sector, which had a mandatory social security scheme from onwards, and received some government subsidy.
In the s some further schemes of government subsidy did emerge, however they proved woefully inadequate. The bulk of the population had to continue to rely largely on out-of-pocket payments for medical care. The result of universal health coverage in Thailand has been a significant fall in mortality particularly infant and child mortality, with infant mortality as low as 11 per 1, and a remarkable rise in life expectancy, which is now more than 74 years at birth—major achievements for a poor country.
There are also powerful lessons to learn from what has been achieved in Rwanda, where health gains from universal coverage have been astonishingly rapid. Devastated by genocide inthe country has rebuilt itself and established an inclusive health system for all with equity-oriented national policies focusing on social cohesion and people-centred development.
Premature mortality has fallen sharply and life expectancy has actually doubled since the mids. Following pilot experiments in three districts with community-based health insurance and performance-based financing systems, the health coverage was scaled up to cover the whole nation in and As the Rwandan minister of health Agnes Binagwaho, the U.
Investing in Lifea paper published in the Lancet in July To separate out another empirically observed influence, Tamil Nadu shows the rewards of having efficiently run public services for all, even when the services on offer may be relatively meagre.Medicine Universal health care, worldwide, is within reach.
The case for it is a powerful one—including in poor countries. Universal healthcare is often presented as an idealistic goal that remains out of reach for all but the richest nations. That’s not the case, writes Amartya Sen. Look at what has been achieved.
The goal of universal health coverage is to ensure that all people obtain the health services they need without suffering financial hardship when paying for them.
There is an alternative to the GOP's proposed healthcare model. Here are the pros and cons of universal health care in the U.S. Learn about UHS (Universal Health Service), INC. one of the nation’s largest hospital management companies.
Twenty-five hundred years ago, the young Gautama Buddha left his princely home, in the foothills of the Himalayas, in a state of agitation and agony.