National Health Security Act B.E. 2545 | |
---|---|
Parliament of Thailand | |
Territorial extent | Thailand |
Passed by | House of Representatives |
Passed | 31 August 2002 |
Enacted by | Senate |
Assented to by | King Bhumibol |
Royal assent | 18 November 2002 |
Commenced | 19 November 2002 |
Administered by | National Health Security Office |
Legislative history | |
First chamber: House of Representatives | |
Introduced by | First Thaksin Cabinet |
First reading | 22 November 2001 |
Second reading | 15 May 2002 |
Third reading | 15 May 2002 |
Second chamber: Senate | |
First reading | 30 May 2002 |
Second reading | 31 August 2002 |
Third reading | 31 August 2002 |
Status: Current legislation |
The Universal Coverage Scheme (UCS), also known as the Gold Card or 30-baht scheme, is the largest of the three Thai healthcare programmes that provide universal health care. It covers the majority of the population, and is directly funded by the national budget and allocated on a mixed per-capita basis by the National Health Security Office (NHSO). The programme was launched in 2002 during the government of Prime Minister Thaksin Shinawatra, based on foundational developmental work by public-health civil servants, especially Doctor Sanguan Nitayarumphong, beginning in the 1980s.
At its launch, the programme required a copayment of 30 baht (approx. 1 US dollar) per visit, and it became widely known by that name. Thailand became among of the few middle-income countries to implement universal healthcare, and the system was internationally praised and contributed greatly to Thaksin's political popularity.
The system has, since its original implementation, seen various modifications, including the removal of the 30 baht copayment (which happened following Thaksin's overthrow by coup in 2006) and the provision of direct access to antiretroviral therapy, haemodialysis and other chronic diseases. Further reforms are still being considered in order to address financial sustainability issues. [1] [2] [3]
Health care reform is for the most part governmental policy that affects health care delivery in a given place. Health care reform typically attempts to:
Thaksin Shinawatra is a Thai politician and businessman who served as the 23rd prime minister of Thailand from 2001 to 2006.
Universal health care is a health care system in which all residents of a particular country or region are assured access to health care. It is generally organized around providing either all residents or only those who cannot afford on their own, with either health services or the means to acquire them, with the end goal of improving health outcomes.
Thaksinomics is a term used to refer to the economic set of policies of Thaksin Shinawatra, Prime Minister of Thailand from 2001 to 2006. There has been considerable controversy over the role Thaksinomics has played in Thailand's recovery from the 1997 Asian financial crisis. Among the most prominent advocates of Thaksin's economic policies is Morgan Stanley economist Daniel Lian.
Two-tier healthcare is a situation in which a basic government-provided healthcare system provides basic care, and a secondary tier of care exists for those who can pay for additional, better quality or faster access. Most countries have both publicly and privately funded healthcare, but the degree to which it creates a quality differential depends on the way the two systems are managed, funded, and regulated.
Single-payer healthcare is a type of universal healthcare, in which the costs of essential healthcare for all residents are covered by a single public system. Single-payer systems may contract for healthcare services from private organizations or may own and employ healthcare resources and personnel. "Single-payer" describes the mechanism by which healthcare is paid for by a single public authority, not a private authority, nor a mix of both.
The Massachusetts health care reform, commonly referred to as Romneycare, was a healthcare reform law passed in 2006 and signed into law by Governor Mitt Romney with the aim of providing health insurance to nearly all of the residents of the Commonwealth of Massachusetts.
Government expenditure on healthcare was about 3.1% of its total gross domestic product in 2018.
Healthcare in Thailand is overseen by the Ministry of Public Health (MOPH), along with several other non-ministerial government agencies. Thailand's network of public hospitals provide universal healthcare to all Thai nationals through three government schemes. Private hospitals help complement the system, especially in Bangkok and large urban areas, and Thailand is among the world's leading medical tourism destinations. However, access to medical care in rural areas still lags far behind that in the cities.
Thaksin Shinawatra was the 23rd prime minister of Thailand.
Healthcare in Georgia is provided by a universal health care system under which the state funds medical treatment in a mainly privatized system of medical facilities. In 2013, the enactment of a universal health care program triggered universal coverage of government-sponsored medical care of the population and improving access to health care services. Responsibility for purchasing publicly financed health services lies with the Social Service Agency (SSA).
Tanzania has a hierarchical health system which is in tandem with the political-administrative hierarchy. At the bottom, there are the dispensaries found in every village where the village leaders have a direct influence on its running. The health centers are found at ward level and the health center in charge is answerable to the ward leaders. At the district, there is a district hospital and at the regional level a regional referral hospital. The tertiary level is usually the zone hospitals and at a national level, there is the national hospital. There are also some specialized hospitals that do not fit directly into this hierarchy and therefore are directly linked to the ministry of health.
Health care in Cyprus accounted for 7% of its GDP in 2014. Between 2010 and 2014, health care spending increased from $1,705 per capita to $2,062 per capita. Cyprus has a multi-payer health care system that consists of a public and private sector. The public sector is funded by payroll, earnings taxes, and employer contributions. The public sector healthcare provides social insurance for the employed, self-employed, and for several types of civil servant.
Examples of health care systems of the world, sorted by continent, are as follows.
Government-guaranteed health care for all citizens of a country, often called universal health care, is a broad concept that has been implemented in several ways. The common denominator for all such programs is some form of government action aimed at broadly extending access to health care and setting minimum standards. Most implement universal health care through legislation, regulation, and taxation. Legislation and regulation direct what care must be provided, to whom, and on what basis.
The history of Thailand since 2001 has been dominated by the politics surrounding the rise and fall from power of former Prime Minister Thaksin Shinawatra, and subsequent conflicts, first between his supporters and opponents, then over the rising military influence in politics. Thaksin and his Thai Rak Thai Party came to power in 2001 and became very popular among the electorate, especially rural voters. Opponents, however, criticized his authoritarian style and accused him of corruption. Thaksin was deposed in a coup d'état in 2006, and Thailand became embroiled in continuing rounds of political crisis involving elections won by Thaksin's supporters, massive anti-government protests by multiple factions, removals of prime ministers and disbanding of political parties by the judiciary, and two military coups.
The Egyptian healthcare system is pluralistic, comprising a variety of healthcare providers from the public as well as the private sector. The government ensures basic universal health coverage, although private services are also available for those with the ability to pay. Due to social and economic pressures, Egypt's healthcare system is subject to many challenges. However, several recent efforts have been directed towards enhancing the system.
Healthcare in Rwanda was historically of poor quality, but in recent decades has seen great improvement. Rwanda operates a universal health care system, and is considered to have one of the highest-quality health systems in Africa.
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana is a national public health insurance scheme of the Government of India that aims to provide free access to health insurance coverage for low income earners in the country. Roughly, the bottom 50% of the country qualifies for this scheme. People using the program access their own primary care services from a family doctor and when anyone needs additional care, PM-JAY provides free secondary health care for those needing specialist treatment and tertiary health care for those requiring hospitalization.
Biju Swasthya Kalyan Yojana is a universal health coverage scheme launched by Chief Minister of Odisha, Naveen Patnaik. The program extends coverage to approximately 70 lakh families, with the state government allocating a budget of 250 crore rupees. Services: