According to WHO Director-General Margaret Chan, universal health coverage “is the single most powerful concept that public health has to offer”.2
This global movement follows two other great transitions in health. The first was the demographic transition that began in the late 18th century, and changed the planet in the 20th century through public health improvements, including basic sewerage and sanitation, which helped to reduce premature deaths greatly. Then came the epidemiological transition that began in the 20th century and eventually reached even the most challenged countries in the 21st century. Communicable diseases, from smallpox to poliomyelitis, were vanquished or controlled on a scale never imagined, opening the way for contemporary action to tackle non-communicable diseases.
Now a third great transition seems to be sweeping the globe, changing how health care is financed and how health systems are organised.3, 4, 5 and
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