Universal Health Coverage: Why health insurance schemes are leaving the poor behind
"Universal Health Coverage is about the right to health. Everyone – rich or poor – should get the health care they need without suffering financial hardship. Unfortunately, some donors and developing country governments are promoting health insurance schemes that exclude the majority of people and l may also reinforce inequality – by prioritizing people who are formally employed and excluding the most poor and marginalized who cannot afford to pay premiums, especially women. However, a number of developing countries are rejecting this model and prioritizing general government spending for health to successfully scale up health coverage. (...) This paper explains why urgent action on global tax evasion and avoidance is needed to ensure that countries can generate and retain more of their own resources for health."
Universal health coverage and social determinants of health
"There is a danger of going down the same route again with universal health coverage to the apparent detriment of action on social determinants of health. WHO is clear in its definition of universal health coverage: all people obtain the health services they need without suffering financial hardship to pay for them, a well run health system, a system for financing, access to essential medicines and technologies, and well trained health workers.3 Universal health coverage is a noble goal, but so too is action on social determinants to achieve health equity. The latter should not be forgotten," writes Michael Marmot in The Lancet.