Policies of The Thaksin Administration - Healthcare Policies

Healthcare Policies

Thaksin initiated two key healthcare policies: subsidized universal health care and low-cost universal access to anti-retroviral HIV medication (ARVs). Thaksin's 30-baht/visit universal healthcare program won the applause of the general public, but was criticized by many doctors and officials. Prior to the program's introduction, a large portion of the population had no health insurance and limited access to healthcare. The program helped increase access to healthcare from 76% of the population to 96% of the population. Unfortunately, the program increased workloads for healthcare employees and caused many doctors to switch to higher paying careers. It has been also criticized for being greatly underfunded. The financial losses caused by the program led some hospitals to seek alternative sources of income, leading to a boom in the medical tourism industry, with 1.3 million foreign patients earning Thailand 33 billion THB (approx. 800 million USD) in 2005.

Post-coup Public Health Minister Mongkol Na Songkhla called the 30-baht program a "marketing gimmick" and claimed that the government would stop charging any fees for visits to state hospitals.

During the Thaksin government, the number of people living with HIV/AIDS as well as the overall prevalence rate noticeably declined, as fewer were being infected. Although successful in expanding access to HIV medication, there are concerns that a free trade agreement with the US could endanger Thailand's ability to produce generic HIV treatments.

Thaksin allowed an estimated 2.3 million foreign workers in Thailand to register and seek health coverage under the Thai national healthcare system. They were also eligible for work permits at the end of the registration period, entitling them to full labor protection. Democrat Party Labour Group Committee Pongsak Plengsaeng criticized the move, claiming that it would lead to unemployment amongst Thais.

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