Anything goes on the path to universal health coverage? No.

Joseph Kutzina In its 2010 world health report,1 the commercial companies, “communities”, viduals with the greatest health service World Health Organization noted that or governments. [...] Fragmentation exists when there there is no single, best path for reform- sidization for the poor, is a necessary are barriers to this redistribution, with ing health financing arrangements to condition for universality.4 So while it perhaps a worst-case scenario where move systems closer to universal health is unfortunately the case that low- and there are different schemes for different coverage [...] And the formal workforce, attention and the message that “anything goes” on certainly, misplaced faith in voluntary resources are focused on already advan- the path to universal health coverage. [...] Thus, increasing the of their reforms by having a single pool that increase access and financial protec- size of the compulsory prepaid pool of for both the formal sector (from contri- tion but are funded predominantly from funds requires transfers from general butions) and the rest of the population general tax revenues (e.g. [...] Developing the skills and be more appropriately conceived (and might have on universal health cover- systems needed for this is at the heart of evaluated) as entry points to move away age objectives in terms of the health strengthening national health financing from passive methods and strengthen system and the population as a whole.12 systems, as it requires ongoing use and purchasing arrangement