Sustainable Visions
I am delighted that Universal Health Coverage has been given a seat at the table. In 1992 when in Ghana, several colleagues and I started research on whether some kind of health insurance mechanism (regardless of whether funded through general taxes, special taxes, premiums or a combination) could be feasible, equitably improve access to good quality primary health care and protect poor households from the impoverishing effects of out of pocket user fees; many discussions were skeptical. It is refreshing twenty years on to see how much has changed in country as well as globally, and the shift in dialogue. A chance is being held out to try and make a difference and we need to take it.