Based on the WHO three-dimensional cube measurements of UHC, it appears that most high income countries such as German, United Kingdom, Canada and Australia have achieved UHC goals through equitable health financing mechanisms [14]. Low and middle income countries (LMIC) started the journey towards Universal Health Coverage goals in 2005 following the 57th World Health Assemblys resolution number 58:33 which urged member states to reform health financing arrangements towards UHC [1]. Currently with regards to the WHO three-dimensional cube, Ghana through National Health Insurance scheme [15] and Rwanda through Community Based Health Insurance schemes [16] are among few LMIC which have successfully developed a health financing system that advances the goals of Universal Health Coverage concept [17].. Most studies explored tools and methods to measure progress towards Universal Health Coverage [12, 18] thus concluded that lack of consensus on international benchmark for developing and comparing ...
A growing share of countries across the globe are declaring a commitment to pursuing Universal Health Coverage (UHC) and introducing policies and approaches to advance toward that goal. International donors and multilateral organizations are supporting these initiatives, with UHC under serious consideration for the post-2015 development agenda [1]. Such attention raises the issue of the most appropriate metrics for progress towards universal health coverage. Individual indicators currently used to capture aspects of UHC are myriad. There is however no existing measure that captures multiple dimensions of UHC. Even the composite indicators that have been developed in this area are focused on service coverage. Such composite measures are limited in how they are constructed and what health services are covered. Therefore, existing approaches do not appear to meet the current and future needs of policy makers, who need concise metrics to monitor whether countries are advancing in covering their ...
Today, on the first ever Universal Health Coverage Day, the Worldwide Hospice Palliative Care Alliance, one of the founding global partners for the Day, has released a report on: Palliative care and Universal Health Coverage: Do not leave those suff
Binagwaho and colleagues perspective piece provided a timely reflection on the experience of Rwanda in achieving the Millennium Development Goals (MDGs) and a proposal of 5 principles to carry forward in post-2015 health development. This commentary echoes their viewpoints and offers three lessons for health policy reforms consistent with these principles beyond 2015. Specifically, we argue that universal health coverage (UHC) is an integrated solution to advance the global health development agenda, and the three essential strategies drawn from Asian countries health reforms toward UHC are: (1) Public financing support and sequencing health insurance expansion by first extending health insurance to the extremely poor, vulnerable, and marginalized population are critical for achieving UHC; (2) Improved quality of delivered care ensures supply-side readiness and effective coverage; (3) Strategic purchasing and results-based financing creates incentives and accountability for positive changes. These
Abstract:One of the key objectives of introducing a compulsory health insurance is to provide citizens, regardless of socioeconomic status, with financial risk protection against unexpected catastrophic expenditures in the face of illness. South Korea and Taiwan achieved universal health coverage (UHC) through mandatory social insurance schemes in 1989 and 1995, respectively. Despite both countries efforts to achieve the goal of financial risk protection for more than two decades, past research has demonstrated that household out-of-pocket (OOP) payment still accounts
Marginalized people (ethnic minorities, inhabitants of informal settlements, people employed in illegal occupations, etc.) may have different access to health care or receive different treatment by health care workers compared to others. Power relations between individuals (for example, husbands and wives or health care professionals and patients) influences the effectiveness of policies and programmes to achieve universal health coverage. Despite being inclusive of the poorest, community based insurance in India still generated inequities among rural populations with those more financially better off, closer access to care and men submitting more claims than other populations. Moreover, access facilitated by insurance was not always appropriate with insured women having higher rates of hysterectomies and hospitalisation for fever due to the lack of effective and quality primary care services. ...
Overall, all-cancer mortality (R = .3745, P = .0001) and treatable cancer mortality were significantly associated with unemployment (R = .1256, P = .0265), whereas untreatable cancer mortality was not (R = .0820, P = .1919). Lag analysis indicated that the associations of mortality with unemployment were maintained for 5 years after unemployment increases for breast cancer in women, colorectal cancer in women, lung cancer in men, and overall cancer mortality.. Effect of Universal Health Coverage. Countries with universal health coverage were defined as those with legislation mandating universal health coverage, , 90% health-care coverage, and , 90% skilled birth attendance. In analysis adjusting for universal health coverage status, no significant associations were found between cancer mortality and unemployment within the first year of an increase in unemployment for any of the six subtypes, all cancers, or treatable or untreatable cancers.. Association With Public-Sector Expenditure on Health ...
World Health Organization, Cashin, Cheryl, Bloom, Danielle, Sparkes, Susan, Barroy, Hélène. et al. (‎2017)‎. Aligning public financial management and health financing: sustaining progress toward universal health coverage. World Health Organization. https://apps.who.int/iris/handle/10665/254680. License: CC BY-NC-SA 3.0 ...
Ive been blogging a bit about Universal Health Coverage (UHC) recently. In my old wine in a new bottle post, I argued that UHC is ultimately about ensuring that rich and poor alike get the care they need, and that nobody suffers undue financial hardship from getting the care they need. In my Mrs Gauri post, I used my colleague Varun Gauris mother as a guinea pig to see whether the general public feels that UHC is a morally powerful concept and whether it could be expressed in a way that the general public would find accessible. My sense from Ms Gauris comment on the post, is that the answer to both questions could well be Yes. So far so good. Some bad news-resources are finite But before we place orders for colorful placards and huge banners with my suggested slogans Everyone should get the care they need! and End impoverishment due to health spending!, we should break some bad news to Ms Gauri and the rest of the general public: resources are finite, and especially in poor countries the
But what about Canada, the U.K., France, and all the other industrialized countries (remember, thats all of them except the U.S.) that have universal health coverage: If all the commenters claims here were true (theyre not, but entertain me for a moment), what would be motivating those countries to keep such atrociously ineffective systems? Whose interest in Canada is served by keeping a system that doesnt work? Who would be the nexus of political pressure that keeps such bad policy in place ...
In a recent blogpost I asked whether Universal Health Coverage (UHC) is old wine in a new bottle, and if so whether thats so bad. I argued that UHC is ultimately about making sure that
by Common Dreams. We have to evict private insurers and other profiteers from our healthcare system, says U.S. doctor and single-payer advocate.. by Andrea Germanos, staff writer. Providing universal health coverage is a key way to address increasing global inequality, the head of the World Health Organization said Tuesday.. WHO Director-General Margaret Chan made the comment-which echoes previous comments shes made-during a keynote address on the first of a two-day conference on universal health coverage taking place in Singapore.. "Universal health coverage is one of the most powerful social equalizers among all policy options. It is the ultimate expression of fairness," Agence France-Presse quotes her as saying.. Achieving such coverage demands "deliberate policy decisions," she said, adding, "At a time when policies in so many sectors are actually increasing social inequalities, I would be delighted to see health lead the world towards greater fairness in ways that matter to each and ...
In this second post on the uninsured and the potential for universal healthcare, I discuss the pragmatic realities of our current healthcare system, other countries universal healthcare systems, and the incredible lack of understanding amongst the American populace about the differences.. I will not try to sugar coat the first issue, despite my opposition to universal health coverage. Study after study has concluded that the uninsured do not receive the same standard of care in this country as the insured do. Emergency care is obviously available, but ERs and county hospitals are poor treatment centers for chronic illnesses and the likes which, along with un- or late diagnosed major diseases such as hypertension and cancer, account for the increase in mortality seen from the insured to the uninsured.. Here is an article on an Institute of Medicine study on the issue.. What is surprising is that, in surveys, the majority of Americans with insurance believe that the uninsured receive healthcare ...
S 1893, Childrens Health Insurance Program Reauthorization Act of 2007 (Expansion/extension of SCHIP ); S558/HR 1424, Mental Health Parity Act of 2007 (Secure equal treatment for mental health benefits); HR 1038/S 623, Access to Life-Saving Medicine Act (Biogenerics-approving generic Bio pharmaceuticals); S 316, Preserve Access to Affordable Generics Act (Regulate Generic/Brand patent settlements); S 1501/S 1695, Affordable Biologics for Consumers Act (Generic Bio-pharmaceuticals); S 334, Healthy Americans Act (Universal health coverage replaces employer coverage); S 1899, Universal Health Coverage Act of 2007 (Mandatory health insurance coverage); S 242/HR 380, Pharmaceutical Market Access and Drug Safety Act of 2007 (Drug importation-Canada, et al.); HR 1076/S616, HIPAA Recreational Injury Technical/Correction Act (Mandatory coverage for recretional activity); HR 676, United States National Health Insurance Act (National health insurance); HR 1368, Personalized Health Information Act of 2007 ...
Our results demonstrate that there is a significant potential to improve the financial protection of rural Guangxi population through the expansion of NCMS from 2009 to 2013. In these five years, NCMS has raised its premium from 100 RMB to 340 RMB per person, and broaden its reimbursement scope both in inpatient and outpatient services. The dropping down of catastrophic health payments headcounts and the share of OOP in total payment provides evidence to the effectiveness of financial risk pooling intervention by NCMS, and this approach indeed help reduced the financial barriers to health care services.. The healthcare financing systems in Luchuan and Rongxian counties were found to be regressive. It was likely that the regressive nature of social insurance payments was the chief contributor to this since, even though all of the payments were disproportional, the absolute values of the Kakwani index for social insurance were bigger than for other payments (Table 1). The uneven distribution of ...
World Bank Group President Jim Yong Kim called on countries gathered at the 66th World Health Assembly to ensure universal access to quality, affordable health services to help end extreme poverty by 2030 and boost shared prosperity.
The Treatment Action Campaign issued the following news:. Despite numerous legislations and the Constitution that are meant to guarantee the progressive realization of improved access to quality health care services, TAC remains guarded. Five years into the phased implementation of National Health Insurance, there is broad scepticism about whether the...
There was a wide-ranging discussion of how and whether universal health coverage should be reflected in the Urban HEART indicators. There was a broad agreement that there should be at least one amongst the core indicator set that deals with universal health coverage, given the global focus on it, but its hard to identify what the key domains of UHC are. Its generally regarded as having three dimensions - access to health services, utilisation of health services and financing of health services. There was recognition across the workshops that whilst UHC financing clearly has an impact, it often lies beyond the scope of local government to influence. They have a greater role in access and utilisation, often by providing co-funding or premises and in some cases payments to cover the direct health care costs of the poor ...
On Sunday April 7, the World Health Organization has chosen the theme of universal health coverage to spread awareness amongst decision-makers in health, including ministers of health and other government decision-makers, to commit to taking action to address gaps in universal health coverage in their countries ...
When sick, while the patient is already loosing health, they need assistance to recover. In such a situation, if required health services are not available or available but not good in quality or available but expensive to afford, it causes distress to the patients. In such circumstances where people continue to fall sick, but are unable to access the system due to various systemic challenges, it may cause prolonged sickness and disease burden in the country. In addition it also causes financial burden to the household. For example, around 39 million (30.6 million in rural and 8.4 million in urban areas, respectively). Indians fell into poverty as a result of out-of-pocket (OOP) expenditures in 2004-05.2. The solution could be two-fold: 1) the country must make available a healthcare system that is capable of providing quality services to its majority population; and 2) the country establishes mechanisms that ensures peoples access to this healthcare system irrespective of their paying ...
Roundtable Discussion on Universal Health Coverage in Latin America and the Caribbean: Health Benefits Plans AHF President, Dick Salvatierra facilitated a Roundtable Discussion on Universal Health Coverage in Latin America and the Caribbean: Health Benefit Plans. The meeting was held in Washington, DC at the Melrose Hotel.
The MENA Health Policy Forum is an independent, non-profit organization orginally registered in Switzerland in 2008 with membership drawn from health policy researchers and policy experts from the MENA countries. As of March 2016,the forum has been registered in Egypt. ...
PubMed Central Canada (PMC Canada) provides free access to a stable and permanent online digital archive of full-text, peer-reviewed health and life sciences research publications. It builds on PubMed Central (PMC), the U.S. National Institutes of Health (NIH) free digital archive of biomedical and life sciences journal literature and is a member of the broader PMC International (PMCI) network of e-repositories.
Participants identified that historically, the focus around provision of UHC has been on financing. However, this means there are still significant issues around quality of UHC, fragmentation of healthcare systems management and organisation of healthcare providers, the influence of political factors in UHC provision, and the need for clear assessment metrics to measure global progression on this issue.. Delegates outlined that improved research capacity, improved adoption of digital technologies, and more focus on effective human resources for training of healthcare providers should be made priorities to improve quality of care provided. They highlighted the opportunities that more collaboration could provide - better sharing of success stories and advocacy approaches, improved integration of quality of care into academic curricula, and establishment of mentorship programmes.. In the long term, it was felt that more governance and accountability is needed around quality care provision, and ...
May 22, 2012. This week health ministers from around the world are meeting at the Sixty-fifth World Health Assembly (WHA) to discuss health issues that impact people everywhere. World Health Organization (WHO) Director-General Dr. Margaret Chan opened the meeting on Monday by calling for universal health coverage.. "Universal health coverage is the best way to cement the gains made during the previous decade. It is the ultimate expression of fairness. This is the anchor for the work of WHO as we move forward," said Dr. Chan. ...
CURE International India began its service from April 2009 with a goal to eradicate disability caused by clubfoot in India. At present over 28,000 children are enrolled in this program nationwide. With over 150 children being born with clubfoot in India every day, the role of CURE International India in establishing free clubfoot clinics is very relevant and significant. Through this initiative, CURE International India aims to enlighten the public that clubfoot can be treated and if neglected, leads to permanent disability.. CURE International India Clubfoot program utilizes the Ponseti Method of treatment. The Ponseti Method has been recognized by the WHO, the American Academy of Pediatrics and the Pediatric Orthopedic Society of India as the preferred method of correction and is ideally suited for any developing country because of its inexpensive, non-surgical approach. At the global level more than sixteen countries now have formal, organized statewide programs making this treatment ...
Dear Americans, I know youre being bombarded by anecdotes about Canadian health care right now, and the plural of anecdote is not data. The plural of anecdote is apparently television commercials, which I hear youre seeing a lot of right now, some featuring a Canadian whose story might not be quite true.. Most of my anecdotes involve other people. Ive broken my arm, sustained some relatively minor burns, contracted pneumonia and dealt with the aches, pains and ailments that everyone gets, but Ive been fortunate enough to have avoided anything serious.. Not everyone I know has been so lucky.. A friend was diagnosed with leukemia last summer. Since then, she has endured grueling chemotherapy and a bone marrow transplant and is now cancer-free. She is just 26 years old.. A family member recently had knee surgery and is now the proud owner of two titanium knee joints. Only months before, he suffered a heart attack and had quadruple bypass surgery. Hes not just alive, hes enjoying life and his ...
An article published in the Impact section of Huffington Post discusses the importance of palliative care and the need to prioritise it in discussions of
The Guardian, September 15, 2017. Speaking to opponents of universal healthcare in the U.S. today is much like speaking to a moon-landing denier or any other conspiracy theorist - they insist on arguing impossibility in the face of proven reality.. As Bernie Sanders, Kamala Harris and 15 other senators release details of their universal healthcare bill - one that guarantees access to healthcare for all Americans while simultaneously creating cost savings - there will be many healthcare conspiracists claiming that such a plan is infeasible. So as we consider these arguments in the coming weeks, we must always be prepared to make sure they pass the "look!" test.. That is, when someone argues that something cannot be done, we neednt argue. Rather, we simply need to point and say: "Look!". Someone doesnt believe we landed on the moon? "But look! Theres an American flag up there!" Someone doesnt believe we can insure every single American while simultaneously reining in the exorbitant costs of ...
The Lund Report, July 21, 2015. T.R Reid is hoping that Colorado is the first state in the nation to provide a healthcare system that covers everyone. But hed still be happy if Oregon got there first.. "Some state has to get this going and prove that it will work and then it will spread," Reid said.. An author and chairman of the Colorado Foundation for Universal Health Care, Reid will be in Oregon this weekend touting healthcare for all. Advocates in Colorado will put a measure on the 2016 ballot. Though the Affordable Care Act, better known as Obamacare, was intended to get every American insured, the Congressional Budget Office predicts 31 million people will still be uninsured as of 2025.. "The Obamacare solution doesnt get us there," said Reid, who has traveled the world studying universal healthcare in other countries. "Its a national disgrace that we would have 31 million people uninsured in the worlds richest country.". Reid said he thinks the way to universal coverage in the United ...
Dont tell anyone, but American conservatives will soon be embracing single-payer healthcare, or some other form of socialized healthcare. Yes, thats a bold claim given that a GOP-controlled Congress and President are poised to un-socialize a great deal of healthcare, and may even pull it off. But within five years, plenty of Republicans will be loudly supporting or quietly assenting to universal Medicare. And thats a good thing, because socializing healthcare is the only demonstrably effective way to control costs and cover everyone. It results in a healthier country and it saves a ton of money.. That may seem offensively counterintuitive. Its generally assumed that universal healthcare will by definition cost more.. In fact, in every first-world nation that has socialized medicine-whether it be a heavily regulated multi-insurer system like Germany, single-payer like Canada, or a purely socialized system like the United Kingdom--it costs less. A lot, lot less, in fact: While healthcare eats ...
Private sector for public health: It is high time that government must involve private players to deliver universal healthcare. Comment
The Daily Messenger: Cost Of Universal Healthcare for immigrant jihadis...: So, come to Kalifornia, as an illegal immigrant or jihadi, and get free healthcare forever. The residents will pay, at 400 billion a year ...
Sireesha Perabathina - The project pilot tested a model to move closer to universal health coverage in three facilities in Trivandrum district. The model was based on a bottom up approach, which focused on expanding services offered, strengthening primary care centers, and addressing the needs of the catchment population, , healthcare, kerala, national health service, pilot scheme
Many Low-and-Middle-Income countries are considering reviewing their health financing systems to meet the principles of Universal Health Coverage (UHC). One financing mechanism, which has dominated UHC reforms, is the development of health insurance schemes. We trace the historical development of the National Health Insurance (NHI) policy, illuminate stakeholders perceptions on the design to inform future development of health financing policies in Kenya. We conducted a retrospective policy analysis of the development of a NHI policy in Kenya using data from document reviews and seven in depth interviews with key stakeholders involved in the NHI design. Analysis was conducted using a thematic framework. The design of a NHI scheme was marked by complex interaction of the actors understanding of the design, proposed implementation strategies and the covert opposition of the reform due to several reasons. First, actors perception of the cost of the NHI design and its implication to the economy generated
A preliminary analysis of the effect of the new rural cooperative medical scheme on inpatient care at a county hospital. Chiyu Ye; Shengnan Duan; Yuan Wu; Huimei Hu; Xiaofang Liu; Hua You; Linghao Wang; Bogg, Lennart; Hengjin Dong // BMC Health Services Research;2013, Vol. 13 Issue 1, p1 Background China in 2009 committed to reach universal health coverage by promoting three forms of health insurance; NCMS for the rural population, UEBMI for formally employed urban residents and URBMI for other urban residents. NCMS has expanded to near universal coverage in rural China since... ...
The US made universal coverage of health (UHC) an integral health goal in 2012 which is among the Sustainable Advancement Goals targets. will not align with politics aspirations. Where reported insurance of providers CD40 is certainly great Also, quality of treatment is low as well as the poorest fare worst type of often. A couple of strong types of ongoing successes in countries such as for example Bhutan, the Maldives and Sri Lanka. Linked to this achievement are factors such as for example lower OOPE and higher shelling out for wellness. To make improvement in attaining UHC, financial and non-financial barriers to accessing and receiving high-quality healthcare need to be reduced, the amount of investment in essential health services needs to be increased and allocation of resources must disproportionately benefit the poorest. Key questions What is already known about this topic? The United Nations made universal health coverage a key health goal in 2012 and it is one of the Sustainable ...
The US made universal coverage of health (UHC) an integral health goal in 2012 which is among the Sustainable Advancement Goals targets. will not align with politics aspirations. Where reported insurance of providers CD40 is certainly great Also, quality of treatment is low as well as the poorest fare worst type of often. A couple of strong types of ongoing successes in countries such as for example Bhutan, the Maldives and Sri Lanka. Linked to this achievement are factors such as for example lower OOPE and higher shelling out for wellness. To make improvement in attaining UHC, financial and non-financial barriers to accessing and receiving high-quality healthcare need to be reduced, the amount of investment in essential health services needs to be increased and allocation of resources must disproportionately benefit the poorest. Key questions What is already known about this topic? The United Nations made universal health coverage a key health goal in 2012 and it is one of the Sustainable ...
Like many other high-income welfare states such as Canada, the UK and the Netherlands, maternity care in Australia is available through a system of universal health coverage available to all citizens [1]. However, Australia is distinctive in its parallel private health insurance system which operates alongside and in competition with the public sector [1-5]. Approximately 71% of women use the public sector [6] where they receive either midwifery or medically led care. The remaining 29% choose to birth in private facilities under the care of a private obstetrician.. In recent years, a range of government policies and direct subsidies to insurers have increased the proportion of women whose maternity care is provided within the private sector [2-4,7] from 25.4% in 2000 [8] to 29.0% in 2011 [6]. These policies have been criticised as costly and inequitable, favouring the most affluent segments of the Australian population and those in metropolitan areas [3,9-12]. They have also stratified maternal ...
The ambition of universal health coverage entails estimation of the number, type and distribution of health workers required to meet the population need for health services. The demography of the population, including anticipated or estimated changes, is a factor in determining the universal needs for health and well-being. Demography is concerned with the size, breakdown, age and gender structure and dynamics of a population. The same science, and its robust methodologies, is equally applicable to the demography of the health workforce itself. For example, a large percentage of the workforce close to retirement will impact availability, a geographically mobile workforce has implications for health coverage, and gender distribution in occupations may have implications for workforce acceptability and equity of opportunity. In a world with an overall shortage of health workers, and the expectation of increasing need as a result of both population growth in the global south and population ageing in the
I spoke not too long ago at numerous venues on behavioural economics, behavioural science, and health. Considering that 2010, health care prices across the whole health care program have grown at the slowest rate in 50 years. The thought of living without universal health coverage terrifies me-but it was not with out opposition when it was introduced back in the 60s: medical doctors and nurses went on strike and had to be mandated back to function by the government. It is nonetheless extremely critical to eat wholesome meals, so that (of course) does not imply consuming pizza each and every evening or getting ice cream for dinner. Even though some Americans see this collective health umbrella as a weakness, I consider simple compassion to be a strength and would not want it any other way. Finally, even though purchasing insurance coverage will price some men and women in the brief time, it is a far better expense to bear than threat getting uninsured. Your income, your insurance coverage ...
The United Nations Sustainable Development Goals commit members to achieving universal health coverage by 2030. Success could massively improve health, while reducing out-of-pocket spending. This spending averages 32% of expenditures on health services (WHO 2014).
Influential policymakers in India seem to be attracted by the idea that private healthcare, properly subsidised, or private health insurance, subsidised by the state, can meet the challenge. However, there are good analytical reasons why this is unlikely to happen because of informational asymmetry (the patient can be easily fooled by profit-seeking providers on what exactly is being provided) and because of the public goods character of healthcare thanks to the interdependences involved. There are also major decisional problems that lead to the gross neglect of the interests of women and children in family decisions. Nearly every country in the world which has achieved anything like universal health coverage has done it through the public provision of primary healthcare (whether in Europe, Canada, or much of East Asia). The Kolkata Group calls upon Indias leaders to recognise the necessity for the state to provide comprehensive quality primary health care for all ...
All involved with womens health and gender wish that access to quality health care for women and girls was easy to achieve at scale. But the attitudes and expectations of many societies limit womens and girls access to resources and skills associated with better health. And health-related vulnerabilities and poor outcomes for women and girls have social and financial costs that hamper the consistency and quality of available health services. To advocate for universal health coverage (UHC), and help countries achieve this worthy goal, health leaders, managers, and those who govern must work to end social biases and gender-based discrimination--whether deliberate or unintended. Among other things, health leaders must support the hiring and promotion of women; advocate for gender-sensitive employment and working conditions; help to reduce womens out-of-pocket healthcare payments (that are generally higher than mens due in part to the high costs of newborn deliveries and reproductive health ...
WHO India Country Office collaborates with the Government of India, other WHO Offices and relevant stakeholders within the framework of the collaborative Country Cooperation Strategy (CCS), to actively support the development and implementation of national health policies, strategies and plans for strengthening the work in the area of NTDs. The WCO-India programme of work supports the Government of India (GoI) in providing technical support in developing national policies, strategies and programmes activities for elimination of NTDs including Leprosy, Visceral Leishmaniasis, Lymphatic Filariasis and Soil Transmitted Helminthiasis, contributing to strengthening the monitoring of the prevention and control of NTDs and facilitating the adoption of evidence-based public health interventions in relevant areas and well as the transitioning of existing programmes and health systems reforms with the aim to promote equity and accelerate the movement towards Universal Health Coverage and NTD elimination. ...
The Union Ministry of Health and Family Welfare has suggested making health a fundamental right, similar to education. This key proposal in the draft National Health Policy, 2015, suggests making denial of health an offence. Thirteen years after the previous health policy, the draft, now in the public domain for stakeholders suggestions and comments, has addressed the issues of universal health coverage, reducing maternal mortality and infant mortality, access to free drugs and diagnostics, and changes in laws to make them more relevant.. ...
At IGHS, we serve as policy advisors and technical resources and create tools and information to enable policymakers around the world to make informed decisions on global health. We organize international collective action around pressing global health issues, from health financing and universal health coverage to malaria elimination and non-communicable diseases. We produce timely evidence-based tools and information, including policy briefs, working papers and commentaries, on key decisions facing global health policy makers.. ...
The World Cancer Declaration "calls upon government leaders and health policymakers to significantly reduce the global cancer burden, promote greater equity, and integrate cancer control into the world health and development agenda." This means we must help communities, facilities, cities, and countries to lead on addressing cancers and reaching the targets by 2025.. Not Beyond Us means empowering women and girls to make healthy life choices. Not Beyond Us means detecting cervical cancers early: screening and diagnosis for all women and girls. Not Beyond Us means treatment for all diagnosed, which will only be achieved through universal health coverage. Not Beyond Us means ensuring quality of life, including palliative care.. The urgency is great. To reduce preventable deaths from cervical cancers and close the global cancer divide, address cancers at all levels of the health system. From national guidelines that help prevent HPV in young girls, to integrated screening programs linked with ...
Engaging the private sector is an increasingly critical theme in global health, because there is no clear way to achieve universal health coverage without it. Perhaps thats why four of the five winners of the first-ever USAID Inclusive Health Access Prize are for-profit companies. Marian W. Wentworth, President and CEO of Management Sciences for Health, discusses the prize, and the movement toward private solutions to provide scalable innovation in global health.. ...
The head of San Franciscos health department, Dr. Mitchell Katz, has been named to head up LA Countys Health Services Department, ending the agencys two-year search for a permanent director. In his previous position, which hes held for the past 13 years, Katz teamed with mayor Gavin Newsom to launch Healthy San Francisco, an innovative program that provides universal health coverage for all of that citys residents. Katz envisions a similar program for Los Angeles.. ...
The Commonwealth will highlight the links between health and global security in a policy paper that outlines the role of health protection in addressing violence and achieving security. The analysis will be presented to Commonwealth Health Ministers at their 2017 meeting in Geneva next month under the theme: Sustainable financing of universal health coverage as an essential component for global security including the reduction of all forms of violence.
The traditional geographic focus of most field journals on the high-income OECD markets creates a serious gap in professional literature. We aim to exploit this niche developmental opportunity in relation to the Health Economics and Policy challenges among the Third World Nations and core Emerging Markets such as the BRICS and rising Asian economies. Some of these issues are Rapid Population Aging, Prosperity Diseases, Formal and Informal Care for the Elderly, Changes in Life Style and Nutrition, Consequences of Accelerated Globalization (Megacities, Environmental Pollution, Large Scale Migrations, Addiction Disorders Epidemic etc.), Universal Health Coverage challenge, Health and Social Inequalities as well as the impacts of cutting edge medical technologies. In terms of methodological approaches used, we welcome submissions of a variety of Cost and Budget Impact analyses, Resource Utilization and Mathematical Modelling studies, Economic Evaluations alongside Clinical Trials on Efficiency, ...
Health in MENA: Policies for Inclusive Development: 10.4018/978-1-4666-9601-3.ch006: This chapter argues that health is an essential pillar of growth, and that ensuring Universal Health Coverage is a key pre-requisite for equitable and
Irrespective of which ministry proposes it, in 2018, one hopes that health truly finds its way into all policies. This is essential for meeting the pledge to provide universal health coverage by 2030
Cary Adams, CEO of the Union for International Cancer Control, and Katie Dain, CEO of the NCD Alliance. "…Low- to middle-income countries are bearing the brunt of [the cancer burden]. Approximately 70 percent of cancer deaths occur in developing countries, which are the most ill-equipped to cope with this burden. … If we aim to meet our pledge to avoid so many premature deaths from cancer, a strong committed response from national governments will be key. … We must continue to position cancer in the broader health and development agenda, especially around the issue of universal health coverage, and make the case for cancer to receive adequate funding. These global cancer commitments need to translate into national action. … Let World Cancer Day draw a line in the sand and let 2018 be known as the year that we began to close the treatment access gap at the national level. Lets set ourselves firmly on the way to ensuring that at the very least, everyone living with cancer receives basic ...
The global economic crisis has been associated with increased unemployment and reduced public-sector expenditure on health care. In a study reported in The Lancet, Maruthappu et al found that the global economic crisis beginning in 2008 was also associated with a large excess in cancer mortality during 2008 to 2010.. Study Details. The study included data from the World Bank and the World Health Organization. Analysis of mortality data included breast cancer in women, prostate cancer in men, and colorectal cancer in men and women as "treatable cancer" and lung and pancreatic cancers as "untreatable cancer." Multivariable regression analyses controlling for country-specific demographics and infrastructure with time-lag analyses were used to assess the relationship between unemployment, public-sector expenditure on health care, and cancer mortality with and without universal health coverage. Trend analysis was used to project mortality rates on the basis of trends before the unemployment increase ...
INTRODUCTION: estimates indicate that two-thirds of the worlds population lack adequate access to basic medical imaging services integral to universal health coverage (UHC). Furthermore, sparse country-level radiological resource statistics exist and there is scant appreciation of how such data reflect healthcare access. The World Health Organisation posits that one X-ray and ultrasound unit for every 50,000 people will meet 90% of global imaging demands. This study aimed to conduct a comprehensive review of licensed Zambian radiological equipment and human resources. METHODS: an audit of licensed imaging resources, using the national updated Radiation Protection Authority and Health Professions Council of Zambia databases. Resources were quantified as units or personnel per million people, stratified by imaging modality, profession, province and healthcare sector, then compared with published Southern African data. RESULTS: over half of all equipment (153/283 units, 54%) and almost two thirds of all
Last week, Tedros Adhanom, Director-General of the World Health Organization, nominated Robert Mugabe, the 93-year-old president of Zimbabwe as that organizations Goodwill Ambassador for Noncommunciable Diseases, a position currently held by former N.Y. City mayor Michael Bloomberg. WHO ambassadorships are often given to "well-known personalities from the worlds of arts, literature, entertainment, sport or other fields of public life who commit to contribute to WHOs efforts to raise awareness of important health problems and solutions.". In announcing Mugabes ambassadorship, Adhanom said, "I am honoured to be joined by President Mugabe of Zimbabwe, a country that places universal health coverage and health promotion at the centre of its policies to provide health care to all." Adhanom expressed hope Mugabe would "influence his peers in his region to prioritize non-communicable diseases including heart attacks, cancer and diabetes.". When I read about Mugabes appointment, only one question ...
Genetic tests has been suggested to reduce side effects related to Nevirapine(NVP), a commonly prescribed component of highly active antiretroviral therapy(HAART) in developing countries. This clinical trials is designed to determine the efficacy and the cost-effectiveness of this approach in the developing countries setting.. NVP-based HAART and efavirenz(EFV)-based HAART will be provided through Thai national universal health coverage. Information of the prescribed drug will be collected, and monitoring for the compliance with the prescribed highly active antiretroviral therapy will be conducted.. Outcome measurements:. The primary objective of this study is to evaluate the reduction in incidences of NVP associated cutaneous side effects by genotype based personalized prescription. The volunteers will be monitored for any solicited and non-solicited adverse effects for 6 months after drug administration, with first 6 weeks intensive monitoring for cutaneous adverse reactions. Laboratory safety ...
On 3rd December, patients across the globe will unite to mark Patient Solidarity Day and reaffirm that patient-centred universal health coverage is essential so that no-one can be left behind.. For the 400 million living with viral hepatitis across the world, this is too often the case, with many suffering discrimination, marginalisation and stigmatisation at all levels of society. But not only are these people being pushed aside, they are being denied access to life-saving medical interventions.. Despite that vaccines and effective treatments for hepatitis B and a cure for hepatitis C exist, 99% of people living with this cancer-causing disease are being denied it.. Earlier this year, 194 governments adopted WHOs first ever Global Health Sector Strategy for Viral Hepatitis (GHSS), which set a goal of eliminating hepatitis B and C by 2030, which, if reached, will reduce annual deaths by 65% and increase treatment to 80%, saving 7.1 million lives globally.. The WHO Strategy came as a response to ...
Universal Health Coverage (UHC), including cashless treatment, can be achieved through greater expenditure and a system of strong, regulatory supervision.
Senegal, classed as one of the poorest countries, adopted universal health coverage on 20 September 2013. With the support of various (...)
At least one country already has a healthcare plan roughly similar to the one President Obama and the Democrats have proposed, with universal coverage, a mandate that everyone buy insurance and a
Israel has a system of universal healthcare as set out by the 1995 National Health Insurance Law. The state is responsible for providing health services to all residents of the country, who can register with one of the four national health service funds. To be eligible, a citizen must pay a health insurance tax. Coverage includes medical diagnosis and treatment, preventive medicine, hospitalization (general, maternity, psychiatric and chronic), surgery and transplants, preventive dental care for children, first aid and transportation to a hospital or clinic, medical services at the workplace, treatment for drug abuse and alcoholism, medical equipment and appliances, obstetrics and fertility treatment, medication, treatment of chronic diseases and paramedical services such as physiotherapy and occupational therapy.[76]. In Israel, the National Health Insurance Law (or National Health Insurance Act) is the legal framework that enables and facilitates basic, compulsory universal health care. The ...
Indias universal health plan that aims to offer guaranteed benefits to a sixth of the worlds population with an estimated cost of 1.6 trillion rupees ($26 billion) will be launched soon.
For the third year in a row, a bill is traveling through the New York legislature with the goal of creating a statewide single-payer healthcare system -
Canada has a highly regionalized system of neonatal-perinatal care.24 Tertiary level NICU and perinatal services are mostly located at university-affiliated teaching hospitals in major cities and serve distinct geographic regions. Regional tertiary level institutions coordinate care with a network of primary and secondary level facilities throughout each geographic region. Centralized transport systems are coordinated either by regional tertiary level institutions or through a single provincial transport coordinating service. Health services are provided through a tax-funded universal health insurance system. We found that 98% of all NICU admissions received prenatal care before delivery, nearly two thirds of NICU admissions (65%) were for preterm infants and nearly one half of NICU admissions (43%) were retrotransferred to a community facility before discharge home. These results suggest that Canadians generally have good access to a highly organized perinatal health care (including preventive ...
Context - Many studies have found that patients with acute myocardial infarction (AMI) who are admitted to hospitals with on-site revascularization facilities have higher rates of invasive cardiac procedures and better outcomes than patients in hospitals without such facilities. Whether such differences are due to invasive procedure rates alone or to other patient, physician, and hospital characteristics is unknown.. Objective - To determine whether invasive procedural rate variations alone account for outcome differences in patients with AMI admitted to hospitals with or without on-site revascularization facilities.. Design - Retrospective, observational cohort study using linked population-based administrative data from a universal health insurance system.. Setting - One hundred ninety acute care hospitals in Ontario, 9 of which offered invasive procedures.. Patients - A total of 25 697 patients hospitalized with AMI between April 1, 1992, and December 31, 1993, of whom 2832 (11%) were in ...
I have a confession: since the election, instead of meditating first thing in the morning, Ive been obsessing over the news. Its a terrible habit. I can see the negative effect it has on my bodymind. I need to Just. Say. No.. Problem is, this is not mere news voyeurism. This is eye-opening, consciousness-raising, holy-fuck-what-could-they-possibly-be-thinking revelations about the minds of My Fellow Americans.. Here, from one of my favorite medicine/science/tech news outlets, is a revealing piece on what a few handsful of voters have to say about the new "repeal and replace" iteration that has just passed the House.. For all yall who hail from ports afar, this is about the current Administrations effort to purge the government, and by extension the health insurance system, of "big government." What is Big Government, you ask? From my observations, it seems to mean "any regulations that protect consumers and/or the environment." Here, give this article a read if you have a moment. Itll ...
Universal healthcare, that is an alleged right to healthcare provided in some form by the Government, seems to be a mainstay in social democratic thought. So much so, in fact, that the UKs NHS is taken as a given, with any kind of proposed healthcare reform couched in terms of improving our Government-funded health service…
India currently spends about 1% of GDP on healthcare. China spends about 3% and the US about 8.3%. That is about to change. If things go as per plan,...
UTIs cannot be cured with herbs. Only the right antibiotic can kill the bacteria. However, if you have a spastic bladder, the irritation and urgency can be helped by certain herbal remedies for some people. But not everyone can or should take them. There is no control over the herbal and naturopathic industry like there is over the drug industry. Batches of herbal "medicines" from the same manufacturer can vary widely in the amounts of active and inactive ingredients. And not everyone has the ability to process those remedies properly anyway. Unless youre under a doctors care (someone who can monitor your kidney and liver function), you should not use "herbal or natural potions".. (Pam mentioned a friend in her email: "Until my friend had a UTI for weeks… shed gone through three or four rounds of antibiotics… even had blood in her urine. The pain, as you know with a kidney infection, is intolerable. Finally a woman at work told her to go to a local herb store and the person there gave her ...
With Nine Months in office, the President and the Current congress have gone farther towards universal healthcare coverage than at any other time in the History of America. Not since Medicare was voted into being in 1965, against the same objections of the Republican party that it would bankrupt America, that we would get Socialized…
What I advocate, called universal health insurance. In this scenario, nothing changes to the way doctors do business; the only difference is that every U.S. citizen has health insurance from the government.This may sound expensive at first , because there is a tendency to compare the cost this plan with the cost of insuring every American with the regulated market insurance we have now ,which we all know can be very expensive. However, if insurance were provided by the government, the government would seek only to recoup the cost of treatment and administering the program ...
The ESRI works towards a national vision of Informed policy for a better Ireland. This means producing high-quality analysis to provide robust evidence for policymaking, with the goals of research excellence and policy impact.. The ESRI produces research that contributes to understanding economic and social change in the new international context and that informs public policymaking and civil society in Ireland.. Read more.... ...
Get this from a library! Universal Health Care 101.. [Evridiki Tsounta] -- Despite the increasing interest in universal health care, little is known about the optimal way to finance, design, and implement it. This paper attempts to fill this gap by providing some general ...
Universal Health Care/North of Raleigh, NC ratings, quality and inspection report. Compare Universal Health Care/North to other nearby nursing homes in North Carolina.
Senator Edwards, it said your health plan doesnt really provide universal coverage, does it? OBAMA: Absolutely it does. John and I have a disagreement. John thinks that the only way we get universal coverage is to mandate coverage. I think that the problem is not that people are trying to avoid getting health care coverage. It is folks like that who are desperately in desire of it, but they can cant afford it. And I know from personal experience. My mother, when she was between jobs, contracted cancer, and she spent the last few months of her life trying to figure out whether or not she was going to be able to pay for the treatments. It is an outrage. How is that the wealthiest nation on earth cannot afford to provide coverage to all people? And thats why I have put forward a plan. But lets understand this. Everybody here is going to have a plan. Johns got a plan. Ive got a plan. Hopefully, everybody here will provide a plan for universal coverage. But weve had plan before, under a ...
The Centre has tasked an expert group with creating a roadmap for the Universal Health Assurance Mission, an ambitious programme to provide free universal health insurance to those below the poverty line.
Universal health care refers to a system of allocating health care resources where everyone is covered for basic health care services.
Reining in prescription drug prices isnt so much a potential benefit of universal health care, but rather a factor in its affordability and success.
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In 1912, Theodore Roosevelt, the 26th president of the United States (1901-9), formed the short lived Progressive Party, which campaigned on a promise of national health insurance. "What Germany has done in the way of old age pensions or insurance," he said "should be studied by us, and the system adapted to our uses."1 So began the story of successive American presidents trying and failing to achieve comprehensive health reform. On Sunday 21 March 2010, at 10.45 pm in Washington, DC, after a year of rising and falling political fortunes, Barack Obama, the 44th president, brought the story to an end with the passage of a bill that achieves near universal health insurance. The bill will be his legacy.. Three policy imperatives shaped the landmark legislation. The first was to expand health insurance coverage. The US is the only major industrialised nation that fails to guarantee coverage for all its citizens.2 More than 46 million Americans are uninsured, and a recent study estimated that about ...
Universal Health Services Inc. (UHS) reported third-quarter 2016 adjusted earnings of $1.60 per share, missing the Zacks Consensus Estimate by 7 cents.
The public health system in Kenya is in dire state often marred with cartels, corruption, strikes by doctors and nurses, inadequate medical supplies, high maternal and child-mortality rates, long waiting times and poor access especially in marginalized areas in northern and eastern Kenya. Despite efforts to transform the healthcare system, no significant progress is evident with the exception of a vibrant private health sector.. Although you may need to dig deeper into your pocket, you are better served in private health facilities than in public ones in Kenya. The Kenyan government needs to get its act together to not only provide universal healthcare for all, but to ensure accessible, affordable and acceptable quality healthcare in its public sector.. Structure of Health System. The structure of health systems is designed in such a way that basic primary care is offered at lower levels while complex cases are being referred on higher levels. From the lowest level, the structure ...
September, 2014: We are entering another historic moment in a long road to gaining universal healthcare as a right. The second open enrollment period for the Health Insurance Marketplace starts November 1. There will be challenges. Many have seen their relatives, friends and neighbors get covered and see a doctor. So, we expect a rush of new enrollees as well as those who need to renew or change plans. ...
Ideally, access to medical treatment should not depend upon an individuals ability to pay. But this is increasingly the case in countries that cannot assure universal healthcare access to its citizens, especially the poor. Such countries have highly privatised health systems, as in the US , or they have publicly funded health systems that charge formal or informal fees which patients have to bear, as in China . Or they have both systems in place, as in India .. When households do not have the capacity to meet medical expenditure from their own resources, trouble sets in, sometimes with devastating consequences for patients and their families. What follows is a grim set of realities: denial of treatment, incomplete treatment, or treatment at the cost of financial and social wellbeing. Households curtail spending on food, children are pulled out of school and/or forced to work, adults are pushed into labour, people are made to work longer and harder than usual, caregivers are stretched to ...
p,The French healthcare system is a universal healthcare system with no financial barrier to access to health services and cancer drugs. The objective of the study is to investigate associations between, on the one hand, incidence and survival of patients diagnosed with lung cancer in France and, on the other, the socioeconomic deprivation and population density of their municipality of residence. A national, longitudinal analysis using data from the French National Hospital database crossed with the population density of the municipality and a social deprivation index based on census data aggregated at the municipality level. For lung cancer diagnosed at the metastatic stage, one-year and two-year survival was not associated with the population density of the municipality of residence. In contrast, mortality was higher for people living in very deprived, deprived and privileged areas compared to very privileged areas (hazard ratios at two years: 1.19 [1.13-1.25], 1.14 [1.08-1.20] and 1.10 ...
Goldsmith responds to Krugman. Bill Curry: "The Clintons really dont get it: False attacks and failed strategies as Hillary repeats 2008: Theyre distorting Sanders plans and ham-handedly using Obama and race. Its a dangerous game and a losing plan" An interesting aside about the way the press likes Clinton: "It may explain the boffo reviews of Clintons PBS debate performance, as in the Times headline, Analysis: Clinton Is Cool, Calm and Effective. Pundits praised her superior grasp of policy partly out of habit - it was true of earlier debates - but also because its how they see the world. They should read the transcript. If anything, Bernie does the better job of explaining how hed fund his programs. Hillary wont say how shed pay for Social Security. She says she has a universal healthcare plan but she doesnt. She has a laundry list of programs, one for each demographic, all with unanswered questions about implementation, effectiveness and affordability." 2008: February 26 ...
That president has continued the last ones war policy almost unaltered - except for the new methods he has devised to flout the Constitution - and has done very little to help the millions of Americans facing unemployment or foreclosure, or hold accountable the financial sector that got us into this mess. So we voted the opposition party into power in Congress. In the past year and half, the opposition party has nearly shut down the federal government twice, nearly sent us into national debt default once, and has challenged the president on abortion, gay rights, healthcare, foreign policy, increased taxes on the rich - just about everything but help for the middle class and meaningful economic reform. Last week, after killing the presidents plan to create more jobs, the Loyal Opposition unveiled its own job creation plan: repeal universal healthcare, add a balanced budget amendment to the Constitution, expand offshore drilling, and cut corporate taxes (in a year when GE paid NO TAXES ...
Background:In the era before highly active antiretroviral therapy (HAART), socioeconomic status was associated with survival from HIV disease. We have explored socioeconomic status, access to triple therapy (HAART), and mortality in the context of a universal healthcare system.Methods:We evaluated 1
Or, could they possibly grow into a new business model of a cafeteria style private pay method? Those that have become accustomed to the finer things in life would have to deal with the effects of competition being removed from healthcare. Lets face it: there would not be private rooms and wonderful birthing suites if there was not a competitive advantage to having these. When I first started in healthcare design, labor and delivery rooms were the hottest thing to hit healthcare. Post partum rooms were a mix between semis and privates. Now privates in all unit types are the norm. This was all driven by the consumer having the ability to choose which hospital they were going to have their baby in as opposed to years past when there was no option. VIP services crept into the maternity market first with meals, guest beds and massages. Later other VIP services turned up in other patient units such as cardiac and orthopedics. While we can only wonder what Universal Healthcare will do to the nature ...
Ive got one more thing to say about it, if I may, and that is-I went to the Democratic platform committee in 2000 with Lila Garrett, Tom Hayden [and Gloria Allred] where I offered a presentation that the Democratic Party take a strong stand on universal healthcare. My proposal, unfortunately, was rejected. I brought the same proposal embodied in the Conyers/Kucinich bill to the Democratic platform committee in 2004. Once again, the plan was rejected. Both times the plan was rejected because of the unfortunate influence of corporate interests upon the Democratic Party hierarchy. And so it is urgent that the American people are aware that our political system has frustrated the emergence of healthcare for all because of the tremendous influence which the insurance companies and the drug companies have on our political process. It doesnt mean that this influence is fatal, but people need to know that it exists. " ...
Two developments on the access-to-health-care front today:The Congressionally-created Citizens Health Care Working Group released their long-awaited "Recommendations to Congress and the President." (There appears to be no link to the entire report, only to individual sections and appendices.) As reported by Modern Healthcare:The U.S. should work to ensure all Americans have access to affordable ...
Introduction: Low socio-economic status (SES) has previously been associated with poorer pulmonary outcomes in children with cystic fibrosis (CF). However, previous research has focused on cross-sectional data and longitudinal data are currently lacking for Australia. The aim of this study was to determine the influence of SES on the rate of decline in lung function in children with CF in a universal healthcare setting. Methods: We collated best annual lung function data from children and adolescents who had transferred from the Royal Childrens Hospital (RCH), Melbourne CF service to adult care within the previous five years. SES was determined using the Socio-Economic Index for Areas (SEIFA) from the Australian Bureau of Statistics household census conducted in 2011. SES was categorised according to decile (i.e. 1 through to 10) with 1 representing the most disadvantaged and 10 the least disadvantaged. A mixed regression model was used to assess decline in lung function according to SES ...
Theyd have an workplace in Washington with 10 or 15 operatives backing the Affordable Care Take action and the ones who backed it . The Washington Post: THE ACTUAL FACT Checker: Are Unions OBTAINING A Disproportionate Break From MEDICAL Care Law? The initial anniversary of passing of the health-care rules has resulted in a flurry of bogus statements both for and against what detractors known as Obamacare. Weve looked at a genuine amount of these claims inside our last two articles. But when we noticed Sen. John Barrasso on MSNBCs Morning hours Joe show Monday, wed to do just one single more, since his remarks echoed a recurrent GOP theme . The Boston World: Romney, If president, ID Waive Obamacare" Previous Governor Mitt Romney can be marking the initial anniversary of President Obamas universal healthcare rules by vowing to dismantle it state-by-state. Continue reading →. ...
Although claimed these new measures are not discriminatory, as they will apparently be checking everyones identity, they are. This is all about racial profiling and harassment. This is making the priority of health, someones immigration status. Clinical and administrative staff will not be expected to ask for evidence from patients, but will be expected to pass concerns onto the OVMs for investigation. Universal healthcare only works if it is available to all. This creates a system of racism and discrimination, in conflict with equality policies at NHS Trusts. This Act will target vulnerable people who will not have the means to pay the charges. It will not benefit the NHS financially, as more time, money and effort is introduced into an increased bureaucracy. Whats more, the infrastructure is being put in place that could eventually be used to charge everyone. Economics. One big issue for the implementation of the immigration act in the NHS was Health Tourism which was a drain on the ...