Universal Health Coverage is a health-systems performance outcome where people have access to quality health care where and when they need it, without financial hardship.
In reality, no country has reached this goal yet. But some are making much faster progress than others. Firstly, political leaders prioritized reaching full population coverage rapidly, by providing a universal entitlement to a comprehensive package of publicly-financed health services. Governments have tended to concentrate additional public spending on improving primary care services and strengthening health systems in areas such as human resources, essential medicines, infrastructure, information systems and governance.
Of all these findings, perhaps the most significant is that the cost of launching popular, truly universal health reforms appears to be around one per cent of GDP in public financing: this is what it took for the UK's post war government to launch the NHS in 1948.The policy message for today's leaders, assailed by multiple crises from climate change to the cost of living, is clear.
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