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Despite the intentionally identified importance of universal health coverage—as emphasized by its inclusion in the UN Sustainable Development Goals—progress on achieving this goal worldwide has been uneven.

Examining three decades of data from 170 countries, Tara Templin and coauthors considered how democratic and autocratic values inform universal health coverage and health spending.

The authors found a positive association between democratic quality and universal health care coverage, a relationship strongest in low-income countries. The relationship even held amid economic downturns, with democracies more likely than autocracies to maintain universal coverage when access to affordable health services matters most.

For more on global health, find related content on our website.

Today on Health Affairs Blog, Simon Haeder argues for expanding funding for school-based health centers given the essential role they will play in the rollout of COVID-19 vaccines for children.

Michael Alkire and coauthors discuss why COVID-19 was a wake-up call that real change is necessary across the supply chain IT ecosystem—beginning with access to robust and timely data.

Listen to our latest podcasts. On today’s episode of This Week, editors discuss the Supplemental Nutrition Assistance Program (SNAP).

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About Health Affairs

Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.

Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.

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