Professional Documents
Culture Documents
Eduardo P. Banzon
Senior Health Specialist
SDAS - SDCC
Thanks to Joe Kutzin and Inke Matheur of WHO-HQ for their slides
HISTORICALLY
Service provision
Household (HH) out
of pocket
Government
financing
Ministry of
Health
Budget
Salaries
Private
Health Care
Providers
Government
Health Care
Providers
COMPULSION
Compulsory with or without
subsidies?
Full subsidies?
Voluntary with or without
partial subsidies?
SUBSIDIES
% of government subsidies as
to NHI spending
Japan
25%
Hungary
> 50%
Moldova
55% (2008)
Kyrgzystan
Ghana
61%
% of subsidized as of
total "insured by the
NHI
Gabon
60%
69%
Philippines
59% (2015)
Vietnam
43% (2009)
60% (2009)
85%
15%
Allocation for
Health
Allocation for
TobaccoProducing LGUs
100%
Incremental
Revenue from
Sin Tax
80%
Allocation for
Universal
Health Care,
MDGs and
Awareness
20%
Allocation for
Medical
Assistance and
Health Facilities
Enhancement
100%
Incremental
Revenue from
Sin Tax for
Health
2015
2016
Universal Health
Coverage +
80%
24.50
26.97
55.65
Medical
Assistance &
HEFP
20%
5.99
6.77
13.75
30.49
33.74
69.40
Total
Subsidization
subsidies alone not sufficient because rich/healthy will not join; and
compulsion without subsidies imposes a heavy burden on the poor and
sick
COMPULSION
COMPULSION +
(FULL) SUBSIDIES
AS WELL
(COMPULSION)
+ SUBSIDIES