Thinking of introducing social health insurance? Ten questions

Author(s)/Editor(s): Doetinchem O, Carrin G, Evans D
Publisher/Organizer: World Health Organization, Technical brief for policy-makers
Publication date: Number 4/2009
Language: English, French, Spanish


“Social health insurance (SHI) is one of the possible organizational mechanisms for raising and pooling funds to finance health services, along with tax-financing, private health insurance, community insurance, and others1. Typically in the more mature European SHI systems, working people and their employers, as well as the self-employed, pay contributions that cover a package of services available to the insurees and their dependents. In most cases they are obliged to make these contributions by law. Many governments also pay subsidies into these systems in order to ensure or improve their financial sustainability..."