Universal health coverage: a quest for all countries but under threat in some

Martin Mckee, Dina Balabanova, Sanjay Basu, Walter Ricciardi, David Stuckler

Risultato della ricerca: Contributo in rivistaArticolo in rivista

67 Citazioni (Scopus)


Over the past 50 years, health care has been making a growing contribution to population health in many countries. Yet its benefits are still denied to many people worldwide. This article describes how many countries, both developed and developing, have pursued the quest to achieve universal health care. This has been an explicitly political process. In Europe, it emerged from a belief in solidarity, a fear of revolution, and a changing view of the role of the state. In developing countries, progress was more erratic, characterized by debates about the affordability of universal health care, until it was realized that functioning health systems were essential to deliver development goals. Throughout, the United States has been an exception. An analysis of progress toward universal health care, combining a review of existing theories and new empirical analysis, identifies five factors as important: the strength of organized labor and left-wing parties, adequate economic resources, absence of societal divisions, weakness of institutions that might oppose it (such as organized medicine), and windows of opportunity. Having noted the substantial benefits accruing from universal health care, the article concludes with an analysis of how universal health care is under threat in some European countries and a warning about the risks posed by current radical austerity policies.
Lingua originaleEnglish
pagine (da-a)S39-S45
RivistaValue in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
Stato di pubblicazionePubblicato - 2013


  • Delivery of Health Care
  • Developed Countries
  • Developing Countries
  • Europe
  • Humans
  • Politics
  • United States
  • Universal Coverage
  • World Health


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