TAILIEUCHUNG - Reaching universal coverage via social health insurance: key design features in the transition period

With its focus on cost and third party payment, the regulatory program has also managed to shift the public debate. The historical focus on caring for an individual patient has been subsumed in discussions of pricing, cost con- trol, and the merits of using a variety of delivery systems for expanding the third party payments system to an ever- increasing fraction of the population, legal or not. The collateral damage has been high. People have lost sight of the important role that involved consumers spending their own money play in controlling system costs and quality. They also have scant appreciation for the fact that the. | World Health Organization Geneva EIP FER Reaching universal coverage via social health insurance key design features in the transition period DISCUSSION PAPER Number 2 - 2004 Department Health System Financing Expenditure and Resource Allocation FER Cluster Evidence and Information for Policy EIP World Health Organization 2004 This document is not a formal publication of the World Health Organization WHO and all rights are reserved by the Organization. The document may however be freely reviewed abstracted reproduced or translated in part or in whole but not for sale or for use in conjunction with commercial purposes. The views expressed in documents by named authors are solely the responsibility of those authors. Comments and suggestions from Jan van Lente Jean Perrot and William Savedoff are gratefully acknowledged. Reaching universal coverage via social health insurance key design features in the transition period by Guy Carrin and Chris James World Health Organization Geneva .

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