Tax-funded single payer, publicly delivered health services

In its side event organized at the Prince Mahidol Award Conference (PMAC2016), PHM called for the revitalization of Comprehensive Primary Health Care as articulate in the Declaration of Alma Ata 1978 as a base for tax-funded single payer health system that primarily depend on public health service provision. Speakers emphasized the need for careful use of cost-effectiveness analysis to inform priorities, the irreversible privatization and commercialization process promoted by the monetary institutes and consolidated by free trade agreements and highlighted the equity dimension while designing health systems. See presentation: (1) Universal health care: Understanding the debate (Amit Sengupta, India), (2) Dominant approaches to priority setting for UHC undermine the global policy of primary health care (David Sanders, South Africa), (3) Priority setting for universal health care:The macroeconomic context (David Legge, Australia), (4) Two opposite projects for health systems in Latin America (Rafael Gonzales, Mexico), and (5) Summary and emphases (Fran Baum, Australia).

PHM Watchers challenge drift in WHO at its Executive Board Meeting

PHM's 'Watching Team' was at the WHO’s Executive Board (25-30 Jan in Geneva) where it continuously challenged the drift in the WHO through statements read out in the meeting, policy briefs circulated to delegates and live straeming through skype of comments on proceedings of the meeting. See the interventions made by PHM's Watchers: 1) A look at the Margaret Chan's opening address; 2) Trojan Horse of Private Sector interests at the WHO; 3) Reflections on the Ebola crisis; 4) Look beyond cooking stoves for a plan on air pollution; 5) For an effective global plan on vaccination; 6) SSFFC: Hard to pronounce, harder to definePHM's integrated commentary on the issues in the etire agenda before the Executive Board can be accessed here and Policy Briefs on specific issues are available here. More here about the PHM's WHO-Watch Program.

 

Priority setting for universal health care -- PHM Position Paper

This paper reviews contemporary policy debates regarding priority setting for universal health coverage (UHC) in the context of instabilities in the global economy and the neoliberal program for managing those instabilities. PHM recognises the importance of universal health coverage (UHC) although our endorsement is qualified because of the diversity of interpretations of UHC circulating, some of which, such as the World Bank’s multi-payer, stratified access, mixed delivery model, PHM does not support. PHM endorses the need for equity and efficiency in the allocation of resources for health care and population health programmes including in the implementation of UHC. Health system design (funding and delivery configuration) is the major determinant of equity and efficiency in resource allocation and health care delivery. More specific approaches, discussed below, include: first, the use of ‘defined benefit packages’ in insurance dominated systems; and second, the methods and mechanisms through which equitable and efficient resource allocation can be promoted in tax-funded, public delivery systems.. Download the full paper here.

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