Universal Health Coverage

In: Social Issues

Submitted By drteju
Words 4458
Pages 18

Long on Aspiration, Short on Detail
Report on Universal Health Coverage
Sujatha Rao

The recommendations of the Planning Commission’s High Level Expert Group on Access to Universal Healthcare are significant because they make explicit the need to contextualise health within the rights. However, the problem with the report is that it does not ask why many of the same recommendations that were made by previous committees have not been implemented. The HLEG neither recognises the problems, constraints and compulsions at the national, state and district levels nor offers any solutions on how to deal with them.


The author is grateful to Sunil Nandraj for his insightful comments and suggestions which helped in writing this article. Sujatha Rao (ksujatharao@hotmail.com) is a former secretary, Ministry of Health and Family Welfare, Government of India.

n October 2010 the Planning Com­ mission constituted the High Level Expert Group (HLEG) on Universal Health Coverage (UHC). The group in its report submitted in late 2011 made sev­ eral recommendations pertaining to human resources for health, access to drugs, social determinants of health, governance, financing, and people’s par­ ticipation. A majority of the recommen­ dations find resonance in earlier expert committee reports. The recommendations made in earlier reports include universal health cover­ age as a right of every citizen (Bhore, 1946; constantly raised by civil society); increasing public health spending to 3% of GDP (National Commission on Macro­ economics and Health – NCMH – 2005, Common Minimum Programme of United Progressive Alliance (UPA) I, 2004); the concept of having a benefit package that is universally available as an entitlement (NCMH 2005); increasing the overall size of the health workforce to achieve the World Health Organisation (WHO) global norm of 2.3 workers for…...

Similar Documents

What Role Does Early American History Have to Play in the Quest for Universal Health Coverage in the U.S. During the 20th Century?

...What role does early American history have to play in the quest for Universal Health Coverage in the U.S. during the 20th century? Fiona Nelson-Lafuse ENG122 Emily Fancy 18th February 2013 INTRODUCTION The topic question for this research paper is, “Most developed countries have universal health coverage. Why doesn’t the United States have universal health coverage? There have been repeated attempts by many different legislators over the past 150 years to introduce some form of universal health coverage to this country; and given the successive failures, it seems crucial to investigate early American history to uncover the origins of this steadfast resistance to universal health coverage; and gain an understanding of the impact those early citizens have had from the time of the Constitution on down through subsequent generations in their quest to keep universal health care off the legislative table. Despite the fact that the Constitution does not explicitly provide for universal healthcare, and there has been constant resistance to any attempts to bring it in, during the period 1900 - 1920, it seemed likely universal health coverage would pass into law – then at the last moment it failed. In the period between 1902 and 1965, 19 attempts were made to push universal health care coverage into legislation; and before this paper moves on to examine the role of social, political and commercial interests in these failures, it is important to consider...

Words: 3168 - Pages: 13

Universal Health Care

...In the wake of Obama Care, United States battled with the questions of universal health care for all. Why do other countries less influential like Cuba have universal health care and we do not? What is the stakes behind not having that kind of coverage for all U.S. citizens? Investigating country of France, there are plenty of reasons why we should as Americans have universal health care. What are some pros and cons of universal health care? Pros of universal health care are the number of uninsured U.S. residents has grown to over 45 million. Health care has become increasingly unaffordable for business and individuals. We can eliminate wasteful inefficiencies such as duplicate paper work, claim approval, insurance submission, etc. Medical professionals can concentrate on healing the patient rather than on insurance procedures, malpractice liability, etc. Free medical services would encourage patient to practice preventive medicine and inquire about problems early when treatment will be light; currently patients often avoid physicals and other preventive measure because of the costs. Cons of universal health care are there is not a single government agency or division that runs efficiently; do we really want an organization that developed the U.S. Tax Code handling something as complex as health care? Free health care is not really free since we must pay for it with taxes, expenses for health care would have to be paid for with higher taxes or spending cuts in other......

Words: 2834 - Pages: 12

Universal Health Care

...more than 45 million Americans did not have health care insurance. The United States is the only industrialized major nation in the world without health care, and the debate about changing that has become a popular issue recently. The sharp difference between the two sides is a difference in ethical values; those for universal health care desire to see the government help others, mainly the lower class, and those who do not, wish that private companies be allowed to continue taking advantage of the status quo for profit. In this paper, I will argue why the Government should put in place The Universal Healthcare Systems.[1] Chapter 1 I think as a US citizen everyone should be entitled to healthcare, especially the ones who don’t have the financial stability to afford it. The lower class should have healthcare because they suffer, which is not ethically right. Without some form of health insurance, purchasing prescription drugs would not be possible. Many Americans, such as those with diabetes cannot survive without certain prescription medications. Now you wonder why I would say something like this well how many people you know who have medical conditions but unable to go to the doctor because they don’t have the finances to pay for a doctor's visit. The lower class is more prone to diseases and illnesses with can cause early departure. A universal healthcare system will benefit the......

Words: 724 - Pages: 3

Universal Health Care

...Universal Health Care is defined as the belief that all citizens should have access to affordable, high-quality medical care (Anderson, 2013). Currently there are 46 million that do not have health coverage in the United states and this would drastically increase to 72 million if a health reform was not passed (The Economic Case for Health Care Reform, 2012)Why the United States is the last to adopt this government mandated insurance coverage, is possibly one of the most widely asked question around the nation. This, however; is all in the process of changing and will be completed by 2014 with the passing and implantation of Obama-care. There are three systems or levels of coverage under Universal Health Care; Single Payer, Two-Tier, and Insurance Mandate. Could one of these be beneficial to the United States and what is in store for the United States as we moved toward the change? The Single Payer Tier of the Universal Health care program is paid for by the government and pays all coverage except for the copays acquired at the appointment and for prescriptions (Anderson, 2013). Single Payer as the name suggest, is funded by one public agency and from a single fund. When medical fees are accumulated, all services are paid for by a single government source. It does not specify the type of delivery, or who the doctors can or will work for. Single-payer systems create contracts for healthcare services from private organizations or can own and employ the healthcare......

Words: 1148 - Pages: 5

Health Care Coverage for Non-Us Citizens

...HEALTHCARE COVERAGE FOR NON-U. S. CITIZENS Lisa H. Stokes HCS/545 December 2, 2013 Professor Charles Barron Healthcare Coverage for Non-U. S. Citizens Lack of health care coverage is a serious issue for the citizens of the United States. Imagine if you were a non-citizen, or even worse, an illegal immigrant to this country. In 2005, the United States population included 36 million foreign-born residents (Lee & Choi, 2009). In this same time, non-citizens were 1.6 times less likely to access health care compared to the citizens (Lee & Choi, 2009). Non-citizen refers to foreign-born people legally in the United States, and follow the same rules and rights as US Citizens, but do not have the right to participate in political issues (Lee & Choi, 2009). Illegal immigrants will describe persons who have entered this country without proper authority or who no longer have a valid visa (Lee & Choi, 2009). The effects of health care, or the lack of health care, affect persons in the United States regardless of status of citizenship. Disease and accidental injury do not discriminate based on citizenship, nationality or financial class. Treatment of disease and injury currently does vary greatly. Access to Health......

Words: 1804 - Pages: 8

Dental Coverage for an Essential Health Benefits Requirement

...Assignment #1: Dental Coverage HPAM-GP 4831-001 Health Economics New York University Spring 2014 ------------------------------------------------- Submitted by: Brian Harvey Date: Tuesday, April 8th, 2014 Memorandum To: Professor of Health Economics From: Brian Harvey Date: April 8th, 2014 ------------------------------------------------- Re: Dental Coverage for an Essential Health Benefits Requirement ------------------------------------------------- The purpose of this memo is to recommend whether and what type of dental coverage should be included in an essential health benefits requirement for adults. A) Provision of Dental Coverage Given the many complexities and potential pitfalls with providing health insurance, the decision of whether to include dental coverage in an essential health benefits requirement is a difficult one. To do so, we need to a) evaluate the need for dental health insurance for adults in an essential health benefits requirement, b) review this need in light of stated policy objectives, and c) explore the potential pitfalls in health insurance implementation. As Glied and Remler illustrate, a key problem in health care is “illness and accidents are unpredictable but costly events, and therefore health insurance is desirable”. However, these particular problems may not be as prevalent in dental care, and may not constitute the same type of policy problem. While dental care is an important aspect of health, the need......

Words: 892 - Pages: 4

Employer Health Coverage

...Employer Health Coverage: Cost Control Karleen M. Lindsey HCR/230 May 9, 2014 Heather Csanky Employer Health Coverage: Cost Control Health insurance benefits are a large factor that employees consider when looking for employment. Employers are looking to provide insurance that is cost effective for the employer. Choosing what type of insurance to provide can have different effects on the profitability of the employer. Here is a comparison of the cost effectiveness of employer-sponsored health care and self-funded health plans. In employer-sponsored health plans the employer buys health insurance from an insurance company. The human resources department manages the group health plan (GHP) and they negotiate costs and different coverage plans with the insurance company and then select what is offered to the employees. This helps the employer save money by negotiating for deals and choosing what will be offered to employees. The employer can carve out specific items during negotiations, like prescription drug coverage in order to save money. GHP’s also include riders. These are certain options that the employer doesn’t pay for. Riders are purchased by the employee directly from the insurance company to cover things like vision and dental services. GHP’s have open enrollment periods in which employees choose the coverage options they desire. This is the only time coverage changes can be made. Thus, the employer saves money during the year......

Words: 563 - Pages: 3

Universal Health Care

...Universal Health Care, perfect system or not, it’s about damn time. Todd Wantz   Universal Health Care, perfect system or not, it’s about damn time. Universal health care is a much needed viable entity that is essential in today’s society. So many individuals do not have enough or even any health care. Does society care for each other or should we just “throw out” the downtrodden who cannot afford to have proper health care. There are many reasons why our health care system is out of touch with the reality of today’s economy. Universal health care might not be the perfect solution, but it is better than what we have now and it is the only viable option available to us at this time. There are many reasons to change our health care system; many of them are top of the list of reforms that need to be accomplished. This writer feels that one of the main problems with our health system is the fact of all the frivolous lawsuits that frequent any health care procedure. Instead of the health system worrying about the individual that they are treating, they are more worried about the final results and if there is any chance of a lawsuit. It is understood that things happen, but the way the lawyers feel is that it doesn’t matter if it was right or wrong, let’s do what we need to squeeze every little dime out of the health care providers. As a result more and more health providers will not treat the individual unless they have awesome health insurance. So for the majority of the......

Words: 1568 - Pages: 7

Universal Health Care

...Article Write Up: Pros and Cons of Universal Health Care In this article the pros and cons of universal health care are described with great detail. Universal health care is health care that is subsidized by the government; another name for it is “single-payer” health care. This form of health care is offered in most countries to all its citizens. The advantages of universal health care is it gives people that can not afford health care the health care services they are in need of. In the instance of universal health care, the plan covers everyone, mostly for people who have a hard time finding health care. Second advantage, is that “the entire population spreads around the cost of the health care so everyone can at least get the basic care that they need.” A third major advantage is that citizens can get free treatments for basic conditions without concerns for cost. The cons of this health care are that it often results in lengthy waiting time for patients, and therefore, not every patient will receive the services needed. Additional, patients with higher incomes may be weary of their money being spent on others health care. A third con is the inedible fact that some people may attempt to abuse the system. Lastly, universal health care almost always has many rules and regulations, and also eliminates the free market for health care where prices may actually be lower. In conclusion, I personally feel that universal health care would be inefficient due to the...

Words: 304 - Pages: 2

Universal Coverage Health

...Universal healthcare coverage in Indonesia One year on January 2015 Written and produced by www.eiu.com/healthcare an Economist Intelligence Unit business healthcare Universal healthcare coverage in Indonesia— One year on Contents Abbreviations 5 Introduction 6 Indonesia’s version of Universal Healthcare: What is the JKN? What about the KIS? 8 Challenges with Indonesia’s version of Universal Healthcare 12 Teething problems—A short-term affair? 12 Balancing the budget—Fiscal sustainability 13 Chronic undersupply—Another barrier to providing truly comprehensive services 15 How should the healthcare industry prepare in the short to medium term? 17 Healthcare service providers: Pockets of opportunity 17 Med-tech and pharma: Spotting opportunities and tailoring product offerings 19 © The Economist Intelligence Unit Limited 2015 1 Universal healthcare coverage in Indonesia— One year on Foreword Ivy Teh, Managing Director at Clearstate, an Economist Intelligence Unit business. 2014 marked a watershed year for Indonesia, the world’s fourth populous country, with the election of the popular reformist politician, Mr. Joko Widodo, as its president. The year also saw the rollout of the long-delayed universal healthcare scheme (UHC). Indonesia intends to phase-in the world’s largest single player health care insurance program from 2014 to 2019, reaching universal coverage for all......

Words: 5651 - Pages: 23

Universal Health Coverage Study in Shifang China.Pdf

...elbadroffa gnidivorp fo esimorp sti seveihca CHU taht erusne ot laitnesse era .lla ot erachtlaeh 1 World Health Organization. Sustainable health financing, universal coverage and social health insurance. World Health Assembly Resolution. Geneva: WHO; 2005. 2 United Nations. General Assembly. Sixty-seventh session: Agenda item 123. Global Health and Foreign Policy: 2012 Dec 6. New York, New York. Available from: http://pnhp.org/blog/2012/12/13/united-nations-passesresolution-supporting-universal-coverage. 3 World Health Organization. Research for universal health coverage. World Health Report: 2013; Geneva: WHO; 2013. 4 World Health Organization [Internet]. Main messages from World health report 2013: Research for universal health coverage [updated 2013 Aug 19; cited 2013 Aug 28]. Available from: http://www.who.int/whr/2013/main_messages/en/index.html 5 Xinhua News [Internet]. Universal health coverage key to social stability: WHO official. [updated 2013 Aug 16; cited 2013 Aug 20]. Available from: http://news.xinhuanet.com/english/health/201308/16/c_132634288.htm 6 Public policy: Policy on Deepening Healthcare Reform System in People’s Republic of China, 2009 No. 6 ( 2009 Apr 6). Available from: http://www.gov.cn/jrzg/2009-04/06/content_1278721.html In Chinese. tecnaL ehT Yip WCM, Hsiao WC et. al Early appraisal of China’s huge and complex health-care reforms. 2012; 379: 833-842. 7 8 Cisco and Sichuan Provincial Government (CN).......

Words: 4456 - Pages: 18

Healthcare and Universal Coverage

...bureaucrats,” (Williams, 2012). The problem comes due to our entitlement generation. I do believe that basic health needs should be given to all people. Due to constant medical and technological growth, healthcare is more expensive and more advanced. I do not think that all advanced medicine needs to be provided equally to all people. Basic healthcare needs to be identified and provided for all individuals, but the individual can purchase “luxury” healthcare at leisure. Our generation feels that they are entitled to every aspect of healthcare. The healthcare market is a business like any other and the conglomerates and insurance companies want to make money, mostly at the expense of the physicians. In a perfect world “incentives are in alignment among providers, patients, and society…The Institute of Medicine’s goal to forge a healthcare system that is safe, effective, patient centered, timely, efficient, and equitable.” Unfortunately, the intrinsic incentives for system components (doctors, hospitals, and patients) necessary to accomplish this task are not feasible. (Kereiakes, 2004). In my opinion, the task of universal healthcare is going to be hard to accomplish. Our nation was developed on the free market system and has been that way ever since. We constantly are looking at other nations for healthcare advice and how they are functioning on universal healthcare. The fact of the matter is, that they are also provided basic healthcare and have to wait......

Words: 862 - Pages: 4

Universal Health Plan

...Running head: UNIVERSAL HEALTHCARE PLAN Universal Healthcare in America Name NUR 109 Fundamentals in Nursing Front Range Community College Universal healthcare is a controversial, yet important topic facing our country today. According to the author, Marleise Rashford there are approximately 300 million people living in the United States and one sixth of them are uninsured.(2007,p.5) That is approximately 50 million without insurance in our country today. Is this number so large because people are unable to afford it, is healthcare not important to them, or are they not using the government’s current medical systems that are put in place for them to use? These are all valid concerns that need to be addressed. The controversy at hand is putting together plan that will be effective, low cost to Americans and a fair reimbursement for working physicians. One huge advantage of universal healthcare program is that each individual no matter their income or pre-existing condition would be covered. That means everyone in the United States would be able to receive affordable benefits including preventative, surgical, specialists visits, rehabilitative services, hospitalizations, long term care and prescription medications. (Rashford, 2007, p.4) The universal healthcare system works through the primary care physician. The physician would be the patient’s overseer and they help plan routine health screens, early interventions, or......

Words: 1015 - Pages: 5

Affordable Health Care Coverage

...Health care reform was a major topic of discussion during the 2008 Democratic presidential primaries. As the race narrowed, attention focused on the plans presented by the two leading candidates, New York Senator Hillary Clinton and the eventual nominee, Illinois Senator Barack Obama. Each candidate proposed a plan to cover the approximately 45 million Americans estimated to be without health insurance at some point during each year. The difference between the plans was that Clinton's plan was to require all Americans to obtain coverage (in effect, an individual health insurance mandate), while Obama's was to provide a subsidy but not create a direct requirement. After the Presidents inauguration, the President announced to a joint session of Congress in February 2009 that he would begin working with Congress to construct a plan for health care reform. In March of 2009, President Obama formally began the reform process and held a conference with industry leaders to discuss reform and requested reform be enacted before the Congressional summer recess (Patient Protection Affordable Care Act, 2010). Members met for a series of meetings to discuss the development of a health care reform bill. Over the course of three months, this group, consisting of Senators Max Baucus (D-Montana), Chuck Grassley (R-Iowa), Kent Conrad (D-North Dakota), Olympia Snowe (R-Maine), Jeff Bingaman (D-New Mexico), and Mike Enzi (R-Wyoming), met for more than 60 hours, and the principles that they......

Words: 1300 - Pages: 6

Universal Health Care

...Universal Healthcare Systems Abstract In 2007, more than 45 million Americans did not have health care insurance. The United States is the only industrialized nation in the world without health care, and the debate about changing that has become a popular topic recently. The difference between the two sides is a difference in values; those for universal health care desire to see the government help others, and those who do not, wish that private companies be allowed to continue taking advantage of the status quo for profit. In this paper I will argue why the Government should put in place The Universal Healthcare Systems. Health care reform to provide universal coverage was first proposed by President Franklin D. Roosevelt's "New Deal" in 1938, then again by President Harry S. Truman's "Fair Deal" in 1945, by President Richard Nixon in 1971, and more recently by President Bill Clinton's administration in 1993 and during the second presidential debate on Oct 7, 2008, US President Barack Obama, then presidential candidate, said health care should be a “right for every American.” Each attempt faced staunch opposition from varying interest groups and did not result in the passage of universal health coverage legislation. www.healthcare.procon.org In my research it states, it’s no secret that health care costs are spiraling out of control in this country. On average, we now spend more per person on health care than both food and......

Words: 1804 - Pages: 8