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Universal health coverage (UHC) is not a new topic in development discourse and practice. Since the late 1970s, neoliberalism has eroded solidaristic institutions and policies in health systems, shifting regulatory roles and functions in health service provision and care delivery from the public to the private sector. However, a recent shift in international and national health systems discourse has again brought universalism, particularly universal health coverage, to the fore. As many countries make significant strides towards universalism, this introductory chapter summarizes policy-relevant findings and lessons from the experience of eight emerging economies. Illustrating diverse forms of contestation and compromise over the contents of public policies and institutions affecting health outcomes, it highlights that moving towards universal health care is more about politics, institutions, and policies than financial resources. |
