Foster Nicole D, Benjamin Kimberley, Parwani Pramiti, Perehudoff Katrina
University of the West Indies at Cave Hill Faculty of Law, Bridgetown, Barbados.
Independent Scholar, Barbados.
J Law Med Ethics. 2025;53(S1):35-39. doi: 10.1017/jme.2025.3. Epub 2025 Apr 16.
From its beginnings in the 1978 Declaration of Alma-Ata, universal health coverage (UHC) has been constantly evolving, notably so within the last ten years. Although the 2015 Sustainable Development Goals, which identify both UHC and social protection among its targets, represent an important juncture in this evolution, several States are unlikely to meet the 2030 target deadline. This article traces the history of UHC and social (health) protection in global health law, focusing on their development over the past ten years. It concludes by reflecting on what the future of UHC and social (health) protection should look like and what is needed to fully realize their potential to achieve equity and to meaningfully contribute to the betterment of people and planet, highlighting human rights, One Health, legal and financial considerations as key for the future.
自1978年《阿拉木图宣言》首次提出以来，全民健康覆盖（UHC）一直在不断发展，尤其是在过去十年间。尽管2015年可持续发展目标将全民健康覆盖和社会保护均列为其目标，但这一进程中的一个重要转折点，不过仍有几个国家不太可能在2030年目标截止日期前达标。本文追溯了全民健康覆盖和全球卫生法中的社会（健康）保护的历史，重点关注它们在过去十年中的发展。文章最后思考了全民健康覆盖和社会（健康）保护的未来应是怎样的，以及需要采取什么措施来充分发挥其实现公平的潜力，并切实为改善人类和地球状况做出贡献，强调人权、一体化健康、法律和财政考量是未来的关键因素。
