Makedonsko Farmacevtski Bilten (Dec 2014)
Redefinition of the notion of Universal Access to the health care
Abstract
In the last 10 years we are experiencing hidden debate where decision makers do not want to opt for the “unpopular” decisions, which need to be taken if we need a sustainable health systems on a long run. Lessons from the 2008 crisis have proven that policy decisions driven by external global forces that are beyond our controlwere inconsistent and reasonable damaging also on a mid term run. Instead of addressing the core of the problem, in the attempt to reply to the old/new challenges, governments were “fanning the fire”. It becomes obvious that spending more money in uncoordinated way will not solve the problem. Reducing the cost by cutting the fiscal budgets, would further ”squeeze” the capacity of the economies and reduce the demand, which has to be driver to the solution and not the problem. Consequently in a high market developed economies, cutting the health budgets will only temporarily “make up” the state budgets, creating structural financial instability of the Funds both private and State. In this lose-lose situation, with existing misbalances, contracting budgets, increasing demand and sensitive market players responses, there is a high time for redefinition of the Universal access to the health care systems and global policy responses which will on long term create balanced and sustainable growth of health markets.