The Universal Coverage Scheme (UCS), 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 a ...

. 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 (, ; born 26 July 1949) is a Thai businessman and politician who was the 23rd prime minister of Thailand from 2001 to 2006. Since 2009 he has also been a citizen of Montenegro. Thaksin founded the mobile phone operator 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 patient's copayment or copay is the patient's share of the cost for goods or services rendered, with the other share ("co" = with) paid by the patient's insurance company. The patient's co-payment is usually paid directly to the provider, but is ...

of 30

baht The baht (; , ; currency sign, sign: ฿; ISO 4217, code: THB) is the official currency of Thailand. It is divided into 100 ''satang'' (, ). Prior to decimalisation, the baht was divided into eight ''fueang'' (, ), each of eight ''at'' (, ). The ...

(approx. 1 US dollar) per visit, and it became widely known by that name. Thailand became among of the 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 antiretroviral drugs as a strategy to control HIV infection. There are several classes of antiretroviral agents that act on different stages of the HIV life-cycle. The use of mul ...

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

References

Healthcare in Thailand Universal health care Government programmes of Thailand {{Health-stub