The concept is simple but achieving it presents an enormous challenge..

UHC is described by the World Health Organization as health coverage that “ensures all people can use health services without financial hardship”, based around the simple yet powerful paradigm that “all people should have access to the health services they need”.
Obviously such a goal presents enormous financial, social and political challenges, but UHC encourages concepts such as cost-sharing and risk-pooling to meet collective health costs. It also aims to set a benchmark percentage of GDP which should be earmarked by national governments for health expenditure.
Many questions are raised by such ambitious goals. But as with the MDGs, visionary objectives are an essential first step toward societies and governments exploring and prioritising how to achieve them..
Getting to the point..
In this short clip, the World Bank outlines the main goal of UHC and the potential dangers of unaffordable healthcare.
For more information, explore the Lancet series on UHC and the fascinating recent article from Dr Felicia Knaul and her team on UHC and Mexico – its quest to achieve health for all. The Guardian, which outlines a recent UN resolution towards achieving UHC and an interesting example from Rwanda and their Mutuelles community-based health insurance program.
Towards UHC…

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For more on global health, explore Translational Global Health, from Alessandro and PLOS.
Kate Rowan-Robinson
Kate Rowan-Robinson is a Friend of The Conversation.
Registered Nurse/Sexology Student
Healthcare is a right, not a privilige and I am heartened to see the concept being debated in 2013.
Alessandro R Demaio
Australian Doctor; Harvard Fellow & PhD Fellow in Global Health at University of Copenhagen
Thanks Kate, It has been a long time coming but it is finally being seen as a platform for change, equity, sustainability and development. Not to mention health!
Kim Darcy
Analyst
We have had universal health care in Australia for nearly forty years now, so I'm not really sure what this has to do with us.
Kim Darcy
Analyst
Kate, how do you conclude this? Who has this "right" is who is obliged to provide it?
Michael Mihajlovic
Retired
Kim,
How about basic human right of all humans?
How about an obligation by all humans to one-another?
Kim Darcy
Analyst
Michael, what is the authority for these alleged "human rights"? What person/body is responsible for ensuring these "human rights" and against whom?
What is the source of your claim that *i* or anybody else has 'obligations' to every other human on the planet?
Michael Mihajlovic
Retired
Kim,
Please consider the moral and ethical responsibilities of members of an advanced and enlightened society.
Please note this is a global initiative of the world bank.
Kate Rowan-Robinson
Kate Rowan-Robinson is a Friend of The Conversation.
Registered Nurse/Sexology Student
While we have had universal health care (UHC) in Australia for quite some time now, there are still aspects of care that are not affordable or attainable by everyone. I speak from experience of living in a remote area and illness meant long journeys, much time off work to travel to receive care and expensive travel/accomodation if one had no friends or family near where they received treatment. That issue in itself is complex.
However, stepping outside Australia, it is still a human right that…
Read moreKim Darcy
Analyst
Kate, if you choose to live in places doctors and health professionals don't want to work, that is your choice. Suck it up, or move.
Michael Mihajlovic
Retired
Kim,
You come up with some of the most puerile responses.
Why are you doing this?
Kate Rowan-Robinson
Kate Rowan-Robinson is a Friend of The Conversation.
Registered Nurse/Sexology Student
I don't know if you had noticed Kim, but I AM a health professional.
I am also unsure as to whether you actually read the second paragraph of my response, which quoted the UN as stating that UHC should be provided to everyone, regardless of social circumstance. Providing UHC is a complex issue, which is why the UN states that each nations health regulatory body should be responsibe for providing such a scheme as determinants of health differ greatly between nations (ie. Australia's social determinant regarding distance).
Kim Darcy
Analyst
Kate are you seriously saying that as an Australian citizen, you think the World Bank or United Nations is the more legitimate body to decide how to spend our taxes than the parliaments we democratically elect every three years? That is really weird. And scary.
Kate Rowan-Robinson
Kate Rowan-Robinson is a Friend of The Conversation.
Registered Nurse/Sexology Student
I believe we are discussing UHC as a global concept, not just as an Australian concept. As a global concept I believe the UN (along with WHO) are well placed, legitimate bodies to make recommendations in relation to UHC. The World Bank would be well placed to advise on financial systems and funding of UHC. And considering that the UN DOES recommend that each nation should decide how to run its own system (as each nation has differing health needs, values and wants from UHC) I don't find it weird or scary at all.
Mike Hansen
Mr
Michael
Kim Darcy is echoing the far-right views of groups like the American Tea Party or in Australia The Institute of Public Affairs. Basically groups that have been bought and paid-for by the super rich who would prefer tax dollars to be spent on them rather than the bulk of the population.
Right-wing libertarians like Darcy imagine that they are great thinkers who have discovered universal truths - the reality is that they are crude propagandists for the 1%.
Kim Darcy
Analyst
Oh Mike, you've blown my cover. Damn! Yep, that's me, jack-booting through all the public hospitals, stomping on the "99%", while I do the bidding of Neoliberal, Zionist, Imperialist, Tea-Partying IPA reading Neoconservative, Creationist, Chrissy Swan watchers.
Kim Darcy
Analyst
Kate, what I found weird was not that the UN or World Bank say anything, but that you, as an Australian citizen seem to accord these bodies with greater legitimacy over how Australian governments should spend taxpayer money, than the actual Australian Parliament. That's what I find scary. How many more of my fellow citizens are so willing to hand our Treasury over to unaccountable, invisible, foreign, bureaucratic gnomes in Geneva?
Mike Hansen
Mr
Oh that's right Kim. I forgot. You fancy yourself as a great independent thinker - it is just coincidence that your views are in lockstep with the IPA.
Although to be fair to Chris Berg and the IPA they would apply more sugar coating to the following statement.
"Kate, if you choose to live in places doctors and health professionals don't want to work, that is your choice. Suck it up, or move."
They would say effectively the same thing but use the words "freedom", "free market", "free choice" more frequently.
Kim Darcy
Analyst
Mike, as I have no idea who these people are, I'll just have to watch from the sidelines. And yes, people who choose to live in humpy hellholes millions of miles away from cvilisation can hardly expect civilisation to run to them. Yuk! So, they really do have to suck it up Or move.
Robert Peers
General Practitioner
hi kate, hey what's this health professional stuff??? are you trained in health, nutrition and preventive medicine? or are you really a sickness professional, like medicals are?
nurses do not train to treat healthy people--all your experience is surely with sick people, whose diseases have not been prevented by professional dieticians
i have studied nutrition and the causes of chronic disease, for 22 years, and i have also identified an anti-ageing plant molecule that may extend life by a healthy…
Read moreKate Rowan-Robinson
Kate Rowan-Robinson is a Friend of The Conversation.
Registered Nurse/Sexology Student
Hi Robert,
I believe primary health care nurses are trained in preventative health. As a GP I would hope you understand the value of a practice nurse (my previous position). Primary health care nurses aim to prevent disease before its occurance...in a speciality of sexology we would hope to educate people how to prevent STI's and BBV's. My previous area of interest has been major trauma. I've not had the privilige of working as primary health care nurse in trauma, but when I'm more experienced it is my wish.
And for your general information, as a Registered Nurse I would hope I've been trained in health, nutrition and preventative healthcare (I won't say medicine as I'm not a doctor). The discovery of your anti-aging plant molecule sounds exciting and I look forward to the peer reviewed research.
Kate Rowan-Robinson
Kate Rowan-Robinson is a Friend of The Conversation.
Registered Nurse/Sexology Student
Kim, I don't know how to make my point any plainer. The UN states that individual governments are the best placed organisations to provide UHC. I am not advocating for bureaucratic gnomes in Geneva to run our treasury, rather that all treasuries make allowances for UHC. Each UHC system will be decided upon by each, independant nation. How Australia chooses to send our UHC dollars is up to whichever elcted government of the day. I don't find spending taxpayers dollars on UHC scary at all.
Alessandro R Demaio
Australian Doctor; Harvard Fellow & PhD Fellow in Global Health at University of Copenhagen
Should also add this, out Thursday.
"World Bank Group releases 22-country study of universal health coverage".
http://www.worldbank.org/en/news/press-release/2013/02/14/World-Bank-Group-releases-22-country-study-of-universal-health-coverage
Rachel van Someren
logged in via Facebook
We are very grateful to have almost universal health care (in recognition of Kate Rowan - Robinsons good point about rural & remote populations) in Australia.
This is always brought home when friends in the USA exclaim over the fact that a family member was able to have a kidney transplant at no cost to us, through our public health system.
I wonder how long it will be before the USA introduces UHC? Is the 'Obamacare' package close?