We note with concern the stagnation in progress towards UHC as outlined in the 2025 Global
Monitoring Report. The world is no longer on a path towards realising UHC by 2030.
In light of this, relegation of the discussion of UHC to inclusion of focal programs represents a
fundamental failure to discuss persistent inequities in health financing.
Selective programs are bundled together as standalone columns of care under the roof of UHC.
UHC framed in this way remains a siloed, vertical approach to the realisation of Health for All.
Further, when we legitimize disease specific care purchasing, we make space for the interests
of profit, private actors and tech/pharma giants to achieve coverage.
Fragmentation inherently undermines the decentralized community focus envisioned under the
Declaration of Alma Ata nearly 50 years ago.