Creating a supportive legal environment for universal health coverage

Editorials 482 In this edition of the Bulletin, Marks-Sultan et al. 1 propose that the World Health Organization (WHO) should provide capacity-building for drafting health laws in Member States. They highlight that WHO has the authority and credibility to work with countries to make their national laws easier to access, understand, monitor and evaluate. WHO's new technical support work related to universal health coverage (UHC) laws is a good example of its support for Member States in this important area. Strengthening countries' legal and regulatory frameworks and engaging in universal health coverage-compliant law reforms has been missing from the universal health coverage agenda. WHO calls on Member States to align their health system policies with universal health coverage goals such as equity, efficiency, health service quality and financial risk protection. Strengthening health systems using health laws and legal frameworks is a pivotal means for attaining these goals 2 and achieving sustainable results in health security and resilience. Laws are needed to ensure the equity, quality and safety of health services and financial protection for health system users. A strong legal framework sets the rules for how the health system functions, establishes a legal mandate for access to health services and provides the means by which a national government can implement universal health coverage at a population level. Several governments have already successfully used their health laws in service of their universal health coverage goals. and Uruguay have all legislated a right to health, which entitles their citizens to expanded access to health services. To date, countries' legal and regulatory frameworks have not been systematically assessed for their compatibility with the goals of universal health coverage. Work on law reform so far has only focused on individual laws rather than on creating a supportive legal environment for universal health coverage. In many countries, information is lacking on the extent to which existing national laws support or block the goals of universal health coverage. 3 A different approach is required. WHO thus recommends that countries analyse their existing legal and regulatory frameworks at international, national and local level and assess their compatibility with universal health coverage, with the ultimate aim of ensuring a legal environment that supports the functioning of the entire health system. In practice, the work on universal health coverage law reform is highly technical and political. It involves legal analysis, multi-stakeholder dialogue and policy discussions. 4 A government's capacity …