Health policy analysis demonstrates that unregulated private healthcare limits equitable access and financial protection, highlighting the need for state oversight and pooled financing.
Key Points
To examine the paradox and feasibility of achieving universal health coverage within an unregulated, market-driven, and donor-dependent healthcare environment.
Synthesized health policy data and healthcare delivery evidence from fragile and conflict-affected settings.
Analyzed the effects of health sector privatization, regulatory frameworks, and financing models on service delivery and equity.
Unregulated privatization structurally undermines health equity, quality of care, and financial protection through high out-of-pocket expenditures and severe urban–rural disparities.
Private market expansion without effective state stewardship, pooled financing mechanisms, and institutional oversight fails to ensure universal health access.