Cons of universal healthcare From an individualistic perspective, the greatest argument against universal healthcare might be that each individual would likely lose a degree of choice. Under privatized care, individuals can choose their health insurance from different plans that fit their needs.

In 2001, African Union countries set a target of allocating at least 15% of their budget each year to the health sector, known as the Abuja Declaration. As recently as February 2023, African leaders recommitted to implementing the Abuja Declaration Target. In 2021, South Africa, Cabo Verde met the target.

Under a single-payer system, all health costs are paid by the government using tax revenue. This allows countries to control costs, in part, by having the government play a stronger role in negotiating prices for healthcare. Health insurance is universal and offered by a single entity.

Universal health coverage (UHC) means that all people can obtain the health services they need without suffering financial hardship. As Sustainable Development Goal (SDG) 3.8, UHC is tracked jointly by the World Health Organization and the World Bank with biannual Global Monitoring Reports.