Universal Health Coverage for Non-communicable Diseases and Health Equity: Reflections on the Role of Ideas and Democratic Decision-Making; Comment on “Universal Health Coverage for Non-Communicable Diseases and Health Equity: Lessons from Australian Primary Healthcare”

Document Type : Commentary


Department of Political Studies, University of Cape Town, Cape Town, South Africa


Fisher et al have published a thought-provoking article exploring the complex relationship between universal health coverage (UHC) and equity. This commentary builds on two of the lessons they highlight: the importance of ideas in determining how exactly UHC advances equity, and the political difficulties of addressing the commercial determinants of health. I argue that equity in UHC can be advanced through interventions that address popular prejudices against public health systems, greater emphasis on structural and commercial drivers of ill-health in health professionals’ training, and by ensuring meaningful public participation in decision-making about the institutionalisation and management of UHC. These strategies are important for ensuring that the political, power-laden nature of concepts such as “universality”, “health” and “care” are explicitly acknowledged and publicly debated – rather than continuing the current trend of allowing technocrats to reduce UHC to a matter of efficiently and expeditiously financing curative healthcare services.


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  • Receive Date: 04 June 2021
  • Revise Date: 10 August 2021
  • Accept Date: 25 August 2021
  • First Publish Date: 30 August 2021