The Universal Coverage scheme, also known as the gold card or 30-baht scheme, is the largest of the three Thai healthcare programmes that provide

universal health care Universal health care (also called universal health coverage, universal coverage, or universal care) is a health care system in which all residents of a particular country or region are assured access to health care. It is generally organized ar ...

to the country's citizens. It covers the majority of the population, and is directly funded by the national budget and allocated on a mixed per-capita basis by the National Health Security Office (NHSO). The programme was launched in 2002 during the government of Prime Minister

Thaksin Shinawatra Thaksin Shinawatra ( th, ทักษิณ ชินวัตร; ; ; Chinese: 丘達新; cnr, Taksin Šinavatra; born 26 July 1949), is a Thai businessman, politician and visiting professor. He served in the Thai Police from 1973 to 1987, a ...

, based on foundational developmental work by public-health civil servants, especially Doctor Sanguan Nitayarumphong, beginning in the 1980s. At its launch, the programme required a

copayment A copayment or copay (called a gap in Australian English) is a fixed amount for a covered service, paid by a patient to the provider of service before receiving the service. It may be defined in an insurance policy and paid by an insured person ea ...

of 30

baht The baht (; th, บาท, ; currency sign, sign: ฿; ISO 4217, code: THB) is the official currency of Thailand. It is divided into 100 ''satang'' (, ). The issuance of currency is the responsibility of the Bank of Thailand. Society for Worldw ...

(approx. 1 US dollar) per visit, and it became widely known by that name. Thailand became one of the first few middle-income countries to implement universal healthcare, and the system was internationally praised and contributed greatly to Thaksin's political popularity. The system has, since its original implementation, seen various modifications, including the removal of the 30 baht copayment (which happened following Thaksin's overthrow by coup in 2006) and the provision of direct access to

antiretroviral therapy The management of HIV/AIDS normally includes the use of multiple Antiviral drug, antiretroviral drugs as a strategy to control HIV/AIDS, HIV infection. There are several classes of antiretroviral agents that act on different stages of the HIV life- ...

haemodialysis Hemodialysis, also spelled haemodialysis, or simply dialysis, is a process of purifying the blood of a person whose kidneys are not working normally. This type of dialysis achieves the extracorporeal removal of waste products such as creatinin ...

and other chronic diseases. Further reforms are still being considered in order to address financial sustainability issues.

References

Healthcare in Thailand Universal health care {{Health-stub