Brookings September 20, 2019
Universal health coverage (UHC) garners global support, as reflected in the UN Sustainable Development Goals and WHO global priorities. Yet, despite increased domestic financing for health and in spite of loads of evidence about the impact of increased spending on health and economic productivity, countries continue to under-invest in health care. Health spending in low-income countries (including aid and out-of-pocket spending) averaged about $19 per capita in 2016—less than one-fifth of the estimated $100 cost per capita for essential primary care coverage alone. Not only are domestic finances, donor aid, and out-of-pocket spending falling way short of covering cost, the gap between low-income and high-income countries in public spending on health care as a proportion of GDP is actually growing.
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