Health Sciences 4044A/B Chapter Notes - Chapter 1: Effective Demand, Otto Von Bismarck, Universal Health Care
Document Summary
Reading 1: political and economic aspects of the transition to universal health coverage. Increase in health spending that is pooled rather than paid out-of-pocket (can be done through taxes or mobilised in the form of contributions to public insurance or mandatory private insurance) Universal health coverage is defined in terms of rights to hc, financial protection and utilisation of hc services. The political processes leading to universal hc is different between countries but they are all ubiquitous, persistent and contingent. Political action is the major force behind the rising share of pooled financing of health expenditures. A system where everyone can get the hc they need without incurring financial hardship. Most common assessment of whether a country has universal coverage is framed in terms of rights, financial protection through enrolment in insurance and use of hc. The rights approach: if a country has established social commitments (laws) to the generalising of access.