{"id":803,"date":"2023-05-02T18:00:31","date_gmt":"2023-05-02T11:00:31","guid":{"rendered":"https:\/\/www.pacificprime.co.th\/blog\/?p=803"},"modified":"2023-05-03T11:12:38","modified_gmt":"2023-05-03T04:12:38","slug":"the-challenges-of-thailands-public-healthcare-system","status":"publish","type":"post","link":"https:\/\/www.pacificprime.co.th\/blog\/the-challenges-of-thailands-public-healthcare-system\/","title":{"rendered":"The Challenges of Thailand&#8217;s Public Healthcare System"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Hailed as having one of the most efficient and successful healthcare models in Southeast Asia, Thailand is home to thousands of public and private medical facilities and is recognized as a global destination for medical tourism.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This could not have been achieved without the support of a stable and sustainable public healthcare program \u2013 the universal coverage system (UCS) \u2013 which helps share a considerable amount of burden in the private healthcare sector.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to the <\/span><a href=\"https:\/\/www.ghsindex.org\/country\/thailand\/lobal-Health-Security-Index.pdf\"><span style=\"font-weight: 400;\">2021 Global Security Index Report<\/span><\/a><span style=\"font-weight: 400;\">, Thailand ranked 5th in the world in terms of countries with the <\/span><a href=\"https:\/\/www.pacificprime.co.th\/blog\/thailand-ranks-6th-for-the-worlds-strongest-health-security\/\"><span style=\"font-weight: 400;\">strongest health security<\/span><\/a><span style=\"font-weight: 400;\">. During the peak of the COVID-19 pandemic in 2020, Thailand was widely praised for its successful prevention and control of COVID-19.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Thailand&#8217;s impressive ranking achievement reflects the country&#8217;s remarkable resilience and healthcare development over the past 50 years. However, despite the undeniable benefits of the UCS, which boasts affordable costs and robust government backing, there are still some challenges to be faced.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In this article by <\/span><a href=\"https:\/\/www.pacificprime.co.th\/\"><span style=\"font-weight: 400;\">Pacific Prime Thailand<\/span><\/a><span style=\"font-weight: 400;\">, we will discuss the challenges faced by the public healthcare scheme and why securing private health insurance is the best recommendation for expats and their families living in Thailand.<\/span><\/p>\n<p><span data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;&quot;}\" data-sheets-userformat=\"{&quot;2&quot;:573,&quot;3&quot;:{&quot;1&quot;:0},&quot;5&quot;:{&quot;1&quot;:[{&quot;1&quot;:2,&quot;2&quot;:0,&quot;5&quot;:{&quot;1&quot;:2,&quot;2&quot;:0}},{&quot;1&quot;:0,&quot;2&quot;:0,&quot;3&quot;:3},{&quot;1&quot;:1,&quot;2&quot;:0,&quot;4&quot;:1}]},&quot;6&quot;:{&quot;1&quot;:[{&quot;1&quot;:2,&quot;2&quot;:0,&quot;5&quot;:{&quot;1&quot;:2,&quot;2&quot;:0}},{&quot;1&quot;:0,&quot;2&quot;:0,&quot;3&quot;:3},{&quot;1&quot;:1,&quot;2&quot;:0,&quot;4&quot;:1}]},&quot;7&quot;:{&quot;1&quot;:[{&quot;1&quot;:2,&quot;2&quot;:0,&quot;5&quot;:{&quot;1&quot;:2,&quot;2&quot;:0}},{&quot;1&quot;:0,&quot;2&quot;:0,&quot;3&quot;:3},{&quot;1&quot;:1,&quot;2&quot;:0,&quot;4&quot;:1}]},&quot;8&quot;:{&quot;1&quot;:[{&quot;1&quot;:2,&quot;2&quot;:0,&quot;5&quot;:{&quot;1&quot;:2,&quot;2&quot;:0}},{&quot;1&quot;:0,&quot;2&quot;:0,&quot;3&quot;:3},{&quot;1&quot;:1,&quot;2&quot;:0,&quot;4&quot;:1}]},&quot;12&quot;:0}\"><div class='code-block code-block-5' style='margin: 8px 0; clear: both;'>\n<p><a href=\"https:\/\/www.pacificprime.co.th\/compare-quotes\/?campSource=PPTH-Blog&utm_source=blog&utm_medium=content_banner&utm_campaign=Blog_Banner&utm_content=general\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-414\" src=\"https:\/\/www.pacificprime.co.th\/blog\/wp-content\/uploads\/2024\/07\/Blog-Banner_Thailand_3.jpg\" width=\"1138\" height=\"493\" \/><\/a><\/p><\/div>\n<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">The Universal Coverage Scheme in Thailand<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Implemented in 2001, the UCS has miraculously turned the insured population rate in Thailand from 25% in 2001 to almost 100% today, which allows at least 50 million citizens to access essential health services and major benefits at a very affordable cost. In fact, it was regarded as one of the most ambitious healthcare reforms ever undertaken in a developing country.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other public health fundings include the Civil Servant Medical Benefit Scheme (CSMBS), the Worker Compensation Scheme (WCS), and the Social Security Scheme (SSS). However, the UCS covers the majority of the population with inpatient, outpatient, and emergency care coverage.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you are an expat, then you can expect to pay a fee for medical services at government hospitals, unless you have expat health insurance, group health insurance coverage, or a Social Security Card.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Together, these schemes give the majority of the population some form of medical coverage, and those that wish to go to a private health provider can do so by securing private health insurance.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Challenges Faced by the UCS<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As impeccable as it may seem, just like healthcare models in other countries, the UCS is faced with a myriad of concerns; chief among them being financial issues and aging populations, which is why the government has been pressed to revamp the scheme. The main challenges include:<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Aging Population<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Thailand is among the fastest aging countries in the world. 12 million of Thailand&#8217;s 71 million citizens are classified as elderly, according to the <\/span><a href=\"https:\/\/www.who.int\/southeastasia\/news\/feature-stories\/detail\/thailands-leadership-and-innovation-towards-healthy-ageing\"><span style=\"font-weight: 400;\">World Health Organization<\/span><\/a><span style=\"font-weight: 400;\">. Since 2005, the Land of Smiles has been referred to as an &#8220;aged society,&#8221; with 10% of the population being 60 or older. The aging population is predicted to rise to 28% over the next decade, making Thailand a &#8220;super-aged society.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Elderly citizens are more likely to develop chronic or even critical diseases, such as cancer, diabetes, high blood pressure, and cardiovascular disease than their more youthful counterparts. These non-communicable diseases (NCDs) usually require large budgets to treat effectively, not to mention the additional geriatric resources needed for elderly care.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The Thailand Development Research Institute (TDRI) has even warned that the aging society will push the country\u2019s healthcare costs to THB \u0e3f1.4 trillion per year within the next 15 years.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Growing Budget<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Increasing financial pressures have made more people question the sustainability of the Thai healthcare system. These pressures do not stem only from long-term care expenditure for the aging population, but also from diminishing general tax revenue in Thailand that is expected in the near future due to a shrinking labor force.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Last year presented significant challenges for the Thai government and the National Health Security Office (NHSO), which is responsible for managing the Universal Coverage Scheme (UCS). The COVID-19 pandemic escalated the situation by causing a drop in revenue and budgetary allocations for pandemic response efforts. This placed immense pressure on the government to manage budgetary concerns.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The cabinet approved a 2.3% increase in the <\/span><a href=\"https:\/\/eng.nhso.go.th\/view\/1\/DescriptionNews\/How-we-manage-the-UCS-fund-in-2022\/373\/EN-US#:~:text=Despite%20this%20challenge%2C%20the%20cabinet,to%203%2C798%20baht%20per%20head.\"><span style=\"font-weight: 400;\">NHSO budget<\/span><\/a><span style=\"font-weight: 400;\"> for the 2022 fiscal year, from THB \u0e3f194 billion in 2021 to almost THB \u0e3f199 billion. The budget will also increase from THB \u0e3f3,719 to 3,798 per person, covering the cost of healthcare services for UCS beneficiaries.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Secure Private Health Insurance<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Expats living in Thailand will greatly benefit from having private health insurance as it grants access to <\/span><a href=\"https:\/\/www.pacificprime.co.th\/blog\/the-challenges-of-thailands-public-healthcare-system\/\"><span style=\"font-weight: 400;\">private hospitals<\/span><\/a><span style=\"font-weight: 400;\"> and facilities, as well as international standards of medical care and treatment. <\/span><span style=\"font-weight: 400;\">Expats with a growing young family can be reassured that their needs will be met no matter their medical issue. Multilingual staff will definitely be on hand to help you navigate through the system, with some hospitals even allocating a guide to help take you through your hospital journey, especially for outpatient appointments.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A suitable private health insurance plan with the right level of coverage and limits will certainly help cover some if not all of the expected costs. Concerned about paying upfront? Get a quote that has direct billing added so you can have peace of mind when settling your medical fees.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Further reading: <\/span><a href=\"https:\/\/www.pacificprime.co.th\/blog\/tips-for-expats-visiting-hospitals-in-thailand\/\"><span style=\"font-weight: 400;\">Tips for expats visiting hospitals in Thailand<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Even though the public healthcare system has developed over the last 50 years, the standards for expats can be inadequate for their specific needs. However, it\u2019s worth mentioning that this does not apply to every public hospital.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Examples of well-established public hospitals include <\/span><a href=\"https:\/\/chulalongkornhospital.go.th\/kcmh\/en\/home\/\"><span style=\"font-weight: 400;\">King Chulalongkorn Memorial Hospital<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www2.si.mahidol.ac.th\/en\/\"><span style=\"font-weight: 400;\">Siriraj Hospital<\/span><\/a><span style=\"font-weight: 400;\">, which have highly-qualified medical professionals that are experienced in their field of work. But due to their popularity, the hospitals can be exceptionally busy as locals flock to these hospitals for medical treatment. Due to their high demand, these hospitals also offer private services for those that want to avoid queues and get seen quicker.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You can learn more by contacting the hospitals or better still, speak to one of Pacific Prime Thailand\u2019s insurance experts who can recommend the right plan that includes coverage for both hospitals and more.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Pacific Prime Thailand is Here to Help<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">With more than 20 years of experience in the field, <\/span><a href=\"https:\/\/www.pacificprime.co.th\/\"><span style=\"font-weight: 400;\">Pacific Prime Thailand<\/span><\/a><span style=\"font-weight: 400;\"> is your trusted partner for all matters related to insurance. We work with both local and international insurers in Thailand and offer a wide range of insurance plans that meet our client\u2019s needs, including <\/span><a href=\"https:\/\/www.pacificprime.co.th\/family-health-insurance\/\"><span style=\"font-weight: 400;\">family insurance<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.pacificprime.co.th\/individual-health-insurance\"><span style=\"font-weight: 400;\">individual health insurance<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.pacificprime.co.th\/maternity-insurance\/\"><span style=\"font-weight: 400;\">maternity insurance<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.pacificprime.co.th\/retiree-health-insurance\/\"><span style=\"font-weight: 400;\">retiree insurance<\/span><\/a><span style=\"font-weight: 400;\">, and more.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For the latest health insurance trends, you can <\/span><a href=\"https:\/\/www.pacificprime.com\/cost-of-health-insurance-2021\/\"><span style=\"font-weight: 400;\">download<\/span><\/a><span style=\"font-weight: 400;\"> our free <\/span><a href=\"https:\/\/www.pacificprime.co.th\/blog\/insurance-trends-in-cost-of-international-health-insurance-report-2021-2022\/\"><span style=\"font-weight: 400;\">Cost of International Health Insurance Report 2021-2022<\/span><\/a><span style=\"font-weight: 400;\">, we\u2019ve compiled price data of the international private medical insurance (IPMI) premiums in 100 locations across the globe. Within this report, you\u2019ll find a ranking for the average costs of insurance for individual and family plans. Delve into the latest global and regional insurance trends and key findings along with actionable steps from industry experts.\u00a0<\/span><\/p>\n<p><span data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;&quot;}\" data-sheets-userformat=\"{&quot;2&quot;:573,&quot;3&quot;:{&quot;1&quot;:0},&quot;5&quot;:{&quot;1&quot;:[{&quot;1&quot;:2,&quot;2&quot;:0,&quot;5&quot;:{&quot;1&quot;:2,&quot;2&quot;:0}},{&quot;1&quot;:0,&quot;2&quot;:0,&quot;3&quot;:3},{&quot;1&quot;:1,&quot;2&quot;:0,&quot;4&quot;:1}]},&quot;6&quot;:{&quot;1&quot;:[{&quot;1&quot;:2,&quot;2&quot;:0,&quot;5&quot;:{&quot;1&quot;:2,&quot;2&quot;:0}},{&quot;1&quot;:0,&quot;2&quot;:0,&quot;3&quot;:3},{&quot;1&quot;:1,&quot;2&quot;:0,&quot;4&quot;:1}]},&quot;7&quot;:{&quot;1&quot;:[{&quot;1&quot;:2,&quot;2&quot;:0,&quot;5&quot;:{&quot;1&quot;:2,&quot;2&quot;:0}},{&quot;1&quot;:0,&quot;2&quot;:0,&quot;3&quot;:3},{&quot;1&quot;:1,&quot;2&quot;:0,&quot;4&quot;:1}]},&quot;8&quot;:{&quot;1&quot;:[{&quot;1&quot;:2,&quot;2&quot;:0,&quot;5&quot;:{&quot;1&quot;:2,&quot;2&quot;:0}},{&quot;1&quot;:0,&quot;2&quot;:0,&quot;3&quot;:3},{&quot;1&quot;:1,&quot;2&quot;:0,&quot;4&quot;:1}]},&quot;12&quot;:0}\"><div class='code-block code-block-6' style='margin: 8px 0; clear: both;'>\n<p><a href=\"https:\/\/www.pacificprime.co.th\/compare-quotes\/step-one\/?campSource=PPTH-Blog&utm_source=blog&utm_medium=cta_banner&utm_campaign=Blog_Banner&utm_content=quote\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-417\" src=\"https:\/\/www.pacificprime.co.th\/blog\/wp-content\/uploads\/2022\/05\/PPTH_Gen_01.jpg\" alt=\"Get a Quote CTA Banner\" width=\"1138\" height=\"493\" \/><\/a><\/p><\/div>\n<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hailed as having one of the most efficient and successful healthcare models in Southeast Asia, Thailand is home to thousands of public and private medical facilities and is recognized as a global destination for medical tourism. This could not have been achieved without the support of a stable and sustainable public healthcare program \u2013 the &#8230;<\/p>\n","protected":false},"author":33,"featured_media":1881,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[10],"tags":[433,434,768,313,647,67,72,645,73,614,648],"class_list":["post-803","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-expat-insurance","tag-ban_gen","tag-cta_gen","tag-expat-health-insurance-thailand","tag-healthcare","tag-public-healthcare","tag-thailand","tag-thailand-health-insurance","tag-thailand-insurance-quote","tag-thailand-medical-insurance","tag-ucs","tag-universal-healthcare-scheme"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The Challenges of Thailand\u2019s Public Healthcare System in 2023<\/title>\n<meta name=\"description\" content=\"Thailand\u2019s healthcare system faces several challenges and these are set to grow in the coming years. 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