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    Universal Health Coverage: Why health insurance schemes are leaving the poor behind

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    Author(s)
    Averill, Ceri
    Marriott, Anna
    Publication date
    2013-10-09
    Subject
    Economics
    Health
    Inequality
    Rights
    Keywords
    Health systems
    Finance
    Country
    Brazil
    Georgia
    Germany
    Ghana
    India
    Indonesia
    Kazakhstan
    Kenya
    Mali
    Myanmar
    Netherlands
    Rwanda
    Sierra Leone
    South Africa
    Sri Lanka
    Tanzania
    Thailand
    Uganda
    United States
    Kyrgyzstan
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    Publisher(s)
    Oxfam International
    Document type
    Briefing paper
    Description

    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. Funding through progressive taxation and international aid is the key to achieving Universal Health Coverage. Oxfam estimates that improving tax collection in 52 developing countries could raise an additional $269bn - enough to double health budgets in these countries. 

    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. Donors and governments should abandon unworkable insurance schemes and focus on financing that delivers universal and equitable health care for all.

    Pages
    36
    ISBN
    978-1-78077-480-0
    URI
    http://hdl.handle.net/10546/302973
    Additional Links
    https://policy-practice.oxfam.org.uk/publications/universal-health-coverage-why-health-insurance-schemes-are-leaving-the-poor-beh-302973
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