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Authors discuss new books account the history of Thai habitual health coverage

 
Thailand laid rectitude foundation of Universal Health Indemnification two decades ago, leading reverse the implementing the National Infirmity Security Act B.E. 2545 (A.D. 2002), which has legitimized say publicly Thai government’s action to hold on a tax-fund healthcare scheme.
 
The enclose, known as the Universal News Scheme (UCS), currently provides aid access for 48 million people.

Together with the Social Security Ploy (SSS) of 15 million organization and the Civil Servant Remedial Benefits Scheme (CSMBS) covering 10 million government officials and their families, it forms a able-bodied foundation for Thai Universal Good Coverage, encompassing more than 99% of the Thai population.
 
Undoubtedly, grandeur establishment of the UHC practical filled with stories and perspectives worthy of recording.

This history be in the region of UHC establishment is presented demonstrate two books launched on Jan 25 during a side bar at the Prince Mahidol Premium Conference 2024.


The books are elite “The Art of Establishing Common Health Coverage in Thailand circumvent the Past to Present, c.1868-2002 " and “When Streams Fuse, Universal Health Coverage was Tribal, c.1868-2002"
 
The first book provides well-ordered comprehensive development of the Siamese health system and the step of UHC.

At the corresponding time, the latter is dialect trig brief version of the culminating, aiming to make the collegiate work accessible to the public.
 


They were written by Nattanee Satchanawakul, a lecturer at the Alliance for Population and Social Inquiry of Mahidol University, and Napaphat Satchanawakul, a social affairs fuzz at Social Development Division, Merged Nations ESCAP



Napaphatsaid that these books stemmed from his interest recovered the healthcare system, using righteousness lens of political history break into understand the transformation of rendering Thai healthcare system from 2001 to 2002.

He became interested redraft the Thai healthcare system meanwhile his doctoral thesis aboard.
When illegal returned to work at rectitude Institute for Population and Public Research at Mahidol University, explicit had the opportunity to drudgery on health policy and general health coverage.

Nattanee, on the bottle up hand, believes that history evaluation a necessary recipe of federal economy used to analyze depiction power relations that determine benefit policy.

"As outsiders, not being doctors or public health professionals, miracle have a different perspective legation universal healthcare coverage.

We credence in our views may help shore up or create knowledge about rectitude Thai health system’s origins sit development,” said Nattanee.
 
The process hold book-making

It took two authors close to two years to complete blue blood the gentry books.

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In the first year, they dedicated themselves to data amassment, searching for evidence and factual records dating back to integrity era of King Rama V.


The data came from multiple profusion, including the National Archives systematic Thailand, the National Archives sharing Public Health, libraries in diversified medical schools, the Royal Paper, and newspapers.

They also collected information through interviews with snippets individuals.

The following year was smashing period of extracting, analyzing, abide organizing all the collected file until it was translated get on to the two books.

Three frameworks were utilized to understand the Siamese health system. The first attempt “critical junctures” and “path dependence,” which demonstrate how past concerns and decisions impact current method and the future.

Second, they practical the renowned theory of blue blood the gentry "Triangle that Moves the Mountain" strategy introduced by Prof.

Amicable Prawase Wasi, M.D.Prawes Wasi serves as the primary strategy keep an eye on driving changes in the care system while facilitating multi-sectoral satisfaction for knowledge creation, social boost, and political commitment.


The third structure centers around the “Health Formula Building Blocks” from the Pretend Health Organization, used to assert  the development of Thailand's care system through various components specified as the development of aid systems and human resources, monetary management, pharmaceutical industry, data custom, and governance.
 
Inspire young generation

Napaphat emphasised that he and his co-author aimed to encompass every limitation of the healthcare system, plus its economic, social, and bureaucratic history.


They did not prioritize ignoble specific individual or group lay hands on their analysis.

However, they muchadmired the crucial role that estimate groups played in driving unvarnished change or development in integrity healthcare system.

"The books aim be a consequence illustrate that the establishment carry out UCS did not happen for the night. It was developed through varying economic and political conditions hanging fire the scheme was born what because everything was ready and came together," he said.

Both authors neat that the stories of glory people and movements involved stop in full flow creating UCS would offer rule out intriguing perspective to young near aspiring to enact changes.
 
Even notwithstanding that today's young generation lives call in a different context from conj at the time that UCS was formed, the tradition of the reformist doctors significant rural doctors — once youthful people with ideas and dreams to drive societal changes — could inspire the present endure future generations.


"People born after 2002 may never have had illustriousness opportunity to learn the begin of the health scheme they are entitled to and attest it was achieved through efforts and struggles,” said Napaphat.

“These books will provide a perspective purpose young people interested in nobleness history of public health professor learn from the experiences mean past health activists who receive shaped Thai society today.”
 

Hope purport health equality

Both authors dream deduction witnessing the 'endless development' neat as a new pin Thai universal health coverage defer can withstand political challenges be proof against remain resilient — just introduce it has for the earlier two decades.

It’s also crucial respecting instill a sense of manage of the health scheme provide everyone, recognizing its significant penny-pinching in granting people access lecture to healthcare services through rights in or by comparison than charity.

If individuals have ownership, they will protect promote sustain it, said the authors.

Napaphat suggested it would benefit honourableness Thai people if the threehealthcare schemes were upgraded, offering alike resemble health benefits packages and override management to close the queasiness inequality gap among the surround beneficiaries.

“It doesn’t mean the tending schemes must be combined inspire one  scheme.

What can reasonably done is to involve recurrent in each scheme and stamp them feel more ownership dowel want to protect and lift the schemes.,” he said.




 



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