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What's In, What's Out - Designing Benefits for Universal Health Coverage (Paperback)
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What's In, What's Out - Designing Benefits for Universal Health Coverage (Paperback)
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Vaccinate children against deadly pneumococcal disease, or pay for
cardiac patients to undergo lifesaving surgery? Cover the costs of
dialysis for kidney patients, or channel the money toward
preventing the conditions that lead to renal failure in the first
place? Policymakers dealing with the realities of limited health
care budgets face tough decisions like these regularly. And for
many individuals, their personal health care choices are equally
stark: paying for medical treatment could push them into poverty.
Many low- and middle-income countries now aspire to universal
health coverage, where governments ensure that all people have
access to the quality health services they need without risk of
impoverishment. But for universal health coverage to become
reality, the health services offered must be consistent with the
funds available and this implies tough everyday choices for
policymakers that could be the difference between life and death
for those affected by any given condition or disease. The situation
is particularly acute in low- and middle income countries where
public spending on health is on the rise but still extremely low,
and where demand for expanded services is growing rapidly. What's
In, What's Out: Designing Benefits for Universal Health Coverage
argues that the creation of an explicit health benefits plan a
defined list of services that are and are not available is an
essential element in creating a sustainable system of universal
health coverage. With contributions from leading health economists
and policy experts, the book considers the many dimensions of
governance, institutions, methods, political economy, and ethics
that are needed to decide what's in and what's out in a way that is
fair, evidence-based, and sustainable over time.
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