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[Comment] Health insurance, assurance, and empowerment in India

In this issue of The Lancet, Vikram Patel and colleagues1 present a balance sheet of universal health coverage (UHC) policy in India. They describe progress and the failures, identify seven challenges, and call for a “restructuring of India’s health-care system” to implement UHC. Their analysis is evidence-based and the prescription reiterates the 2011 recommendations of the High Level Expert Group appointed by the Government of India.2 But UHC in India faces four questions.