Document Type : Commentary
Yonsei University, Wonju College of Medicine, Wonju, South Korea
Hongcheon County Hypertension and Diabetes Registration and Education Center, Hongcheon, South Korea
Since 2001, when Uganda abolished user fees to improve the accessibility of healthcare, outof-pocket costs still account for 42% of total health expenditure. Even if universal health coverage (UHC) is achieved on the demand-side, government authorities face political and economic challenges due to soaring burden of diseases. Therefore, this study aimed to reanalyze the implementation process according to three pillars by WHO based on Korean UHCrelated articles. In terms of breadth, the national health insurance in Korea UHC was established from 1977 for employees to 1989 for self-employed. In terms of depth, benefit packages in Korea UHC have expanded from essential medical services to expensive care (Ultrasono, CT, etc.) including benefit period. Finally, in terms of height of coverage, the government has tried to relieve financial burden of households with catastrophes and enhance benefit plan for major diseases till now. This historical legacy for UHC in Korea can pose lessons to policy makers in developing countries including Uganda and Ghana.