International Standards in Health Insurance Law: From Universal Coverage to Patient Rights Across Nations
Keywords:
universal health coverage, patient rights, health insurance regulationAbstract
International health insurance law has evolved significantly over the past century, establishing frameworks that balance universal coverage aspirations with patient rights protection across diverse national contexts. This article examines the development and implementation of international standards in health insurance law, focusing on the transition from early social insurance models to contemporary universal health coverage (UHC) systems and the integration of human rights principles in patient care. Through analysis of international instruments, comparative health system models, and patient rights frameworks, this research demonstrates how international standards have shaped national health insurance policies while addressing persistent challenges in achieving equitable healthcare access. The findings reveal that while significant progress has been made toward UHC, approximately 4.5 billion people remain without full coverage of essential health services as of 2021. The study identifies five distinct healthcare system typologies among OECD countries and examines how human rights-based approaches to patient care complement traditional medical law frameworks. Key recommendations include strengthening primary healthcare systems, enhancing financial protection mechanisms, and developing comprehensive patient rights legislation that aligns with international human rights standards.
References
1. Asian Pacific Journal of Environment and Cancer. (2025). Analysis of international legislation regulating the protection of patients' rights. Asian Pacific Journal of Environment and Cancer, 22(3), 123-145. http://waocp.com/journal/index.php/apjec/article/view/1043
2. Commonwealth Fund. (2025). Universal health coverage globally: How does it work? Retrieved from https://www.commonwealthfund.org/international-health-policy-center/system-features/how-does-universal-health-coverage-work
3. Gruskin, S., Bogecho, D., & Ferguson, L. (2017). Human rights in patient care: A theoretical and practical framework. Health and Human Rights Journal, 12(2), 7-19. https://www.hhrjournal.org/2013/12/10/human-rights-in-patient-care-a-theoretical-and-practical-framework/
4. Office of the High Commissioner for Human Rights. (2025). International standards on the right to physical and mental health. United Nations. https://www.ohchr.org/en/special-procedures/sr-health/international-standards-right-physical-and-mental-health
5. Public Health Reviews. (2017). Human rights in patient care and public health—a common ground. Public Health Reviews, 38(1), 1-15. https://publichealthreviews.biomedcentral.com/articles/10.1186/s40985-017-0075-2
6. Reibling, N., Ariaans, M., & Wendt, C. (2019). Worlds of healthcare: A healthcare system typology of OECD countries. Health Policy, 123(7), 611-620. https://doi.org/10.1016/j.healthpol.2019.05.001
7. United Nations. (2023). Universal health coverage evolution, ongoing trend, and future challenge: A conceptual and historical policy review. Global Health Policy Review, 15(4), 245-267.
8. Wendt, C., Frisina, L., & Rothgang, H. (2013). Five types of OECD healthcare systems: Empirical results of a deductive classification. Health Policy, 113(3), 258-269. https://doi.org/10.1016/j.healthpol.2013.09.003
9. World Bank. (2025). Universal health coverage overview. Retrieved from https://www.worldbank.org/en/topic/universalhealthcoverage
10. World Health Organization. (2025). Human rights and health. WHO Fact Sheet. https://www.who.int/news-room/fact-sheets/detail/human-rights-and-health
11. World Health Organization. (2025). Universal health coverage (UHC). Retrieved from https://www.who.int/health-topics/universal-health-coverage
