The debate over National Health Insurance (NHI) is fundamentally dishonest. On the one side there is a stubborn refusal to face economic reality. On the other, there is a refusal to recognise that the system of unequal access must change.

Universal healthcare systems are becoming more common. Rwanda introduced one in 2000, providing basic benefits that now cover 92% of its population. Thailand introduced a scheme in 2001 that by 2011 covered 98% of the population. While definitions shift, one group of academics counted 58 countries that now have universal health schemes.

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