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Politics of Healthcare Financing

Politics of Healthcare Financing. Ravi Duggal rduggal57@gmail.com PHA3 Cape Town. Quote….

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Politics of Healthcare Financing

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  1. Politics of Healthcare Financing Ravi Duggal rduggal57@gmail.com PHA3 Cape Town

  2. Quote… • Health is one of the goods of life to which man has a right; wherever this concept prevails the logical sequence is to make all measures for the protection and restoration of health to all, free of charge; medicine like education is then no longer a trade - it becomes a public function of the State ... Henry Sigerist

  3. Healthcare is a Social Good • Recognizing that markets in healthcare fail • Learning from global experience about the criticality of public financing for equity and universal access to healthcare • Health and healthcare are acknowledged human rights and hence demand strong state obligations and actions • Healthcare Financing (HCF) for above must remain under control of the state for sake of equity and justice

  4. Politics of HCF at Country Level • What is the character of the political economy of healthcare and its financing? • Is healthcare financing and provision an organized system? • How politicized is healthcare? Political Champion • Strength and accountability of public finance – Tax:GDP ratio, transparency of budgets, tax expenditures, tax evasion, tax architecture… • Resources for healthcare – taxes, insurance, extractives, donor dependence, philanthropy, OOPs….

  5. Politics of HCF Globally • The political economy of finance capital – tax havens, transfer pricing, FTTs • The Insurance malaise • South-north resource flows – HRH migration, medical tourism, generics.. • Donors and philanthropy contributing to fragmentation of healthcare

  6. Critical Issues on HCF for PHM • Global Level • Engaging global finance capital to net new revenues • Calculate south-north resource flows to swap with debt • Advocating for donor funds to general budgets • Country Level • Pushing for organizing provision and financing of healthcare into a system • Getting a political champion on board

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