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Primary objectives - Universal health coverage (no financial hardship for health services)
= Allocated according to need
= Health financing of the wealthy cross-subsidized healthcare for the poor
Challenges
1. Raise sufficient funds for health.
2. Financial risk protection to prevent ruin when accessing health care resources.
3. Ensuring resources are shared equitably
Market-driven health systems never reach UHC.
Broad stoke approaches to immediately absorb the informal sector into the coverage system seem to be the best but drastically raise the cost of living.
Mechanisms for funding UHC.
= Community-based voluntary insurance (not viable because private insurance is ineffective inefficient and inequitable)
= Public Financing*
- Tax financing
- Compulsory social insurance healthcare financing
= Improve existing tax collection and introduce new taxes - eg. excise tax or VAT
= Reallocation of budget funding - ie. military spending or fuel subsidies
= Improving efficiency from specialist health services to community sectors, or switching from brand name to generic medicines.
Aspects of Good Healthcare
Health as a country
Length of life, mortality rates and disease rates
benefit:cost treatment ratio
Future of Health Systems Financing
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