Meri saheli magazine online Published this article The phenomenon of free market (invisible hand) was based on the individual care considered as a private good but in most of developing countries there was no improvement in quality of health care equity and efficiency for the local people while the private insurance companies consultancy firms private pharmaceutical companies and private hospitals earned profits. Nowadays public-private partnership (PPP) modernisation value for money health insurance etc are the buzzwords in most of developed and developing countries. However there are some alternative health systems in Cuba China Costa Rica Malaysia Sri Lanka Rwanda Venezuela and Thailand. Since 2002 there is Universal Health Care (UHC) coverage in Thailand for all people without any charge and now 77 per cent of all hospital beds there are in public sector. Cuba has a sustained drive to ensure cataract operation of all old people at public facilities. There is equitable health service delivery with regulations like three years of compulsory rural service for doctors and nurses and a radical shift in funding away from urban hospitals to primary health care across Thailand and Cuba. Health expenditure in Thailand increased from 1.7 per cent of GDP in 2001 to 2.7 per cent in 2008 higher than that in India. There are 9.4 doctors in Malaysia 11.5 doctors in the Phillipines 12.2 doctors in Vietnam and 18.3 doctors in Singapore for every 10000 population better than India (only 7 doctors for 10000 population ) meri saheli magazine subscription.

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