Thread by @WePublicHealth

Robert Yates of @ChathamHouse and @LSHTM comes to us from a sunny London! We are so lucky to have him chat to us about how palliative care can get a "decent crack of the whip" on universal health reforms. #21OPCC

@ChathamHouse @LSHTM "This is an opportunity for radical change. We should be prepared and get organised." But what is Universal Health Coverage? Important to nail down the definition. #21OPCC Simple definition here 👇

@ChathamHouse @LSHTM But the longer definition makes it clear that palliative care is part of the continuum. Wherever you see UHC, we must insist on palliative care not being crowded out by curative services. #21OPCC

@ChathamHouse @LSHTM Who gets covered and who doesn't? The political dimension. Which services? And who is going to pay? The political economy of health. #21OPCC

@ChathamHouse @LSHTM The #palliativecare community needs to recognise the inherent political dimensions of #UHC, and get politically active. We can't ignore it. It's fundamentally about fairness and equity. #21OPCC #LeaveNoOneBehind

@ChathamHouse @LSHTM Health reforms are required right across the board for #UHC. The most important thing to get right is how you finance the health system. And this is political. Market-driven private financing will NOT lead to UHC. #21OPCC

@ChathamHouse @LSHTM The state must force the HEALTHY-WEALTHY to subsidise the SICK AND POOR. Publicly financing the health system is critical, or #UHC will never be attained. #21OPCC

@ChathamHouse @LSHTM Wisdom as always from Gro Harlem Brundtland. Here is her speech from 2019: theelders.org/news/champion-… #21OPCC

@ChathamHouse @LSHTM The case for #UHC of #palliativecare is watertight. And obvious! Palliative care is cost-effective. Yes! As the @Pall_Care_Aus @KPMG report Investing to Save showed clearly. palliativecare.org.au/kpmg-palliativ… #21OPCC

@ChathamHouse @LSHTM @Pall_Care_Aus @KPMG We need to step up our advocacy and political lobbying to get what we need. To fight injustices and inequities. COVID-19 has made that very clear. We can step up our advocacy work with @IAHPC @kpettus @AusPallLinkInt @Pall_Care_Aus #WPPCAN #21OPCC

@ChathamHouse @LSHTM @Pall_Care_Aus @KPMG @IAHPC @kpettus @AusPallLinkInt It is NOT #UHC if palliative care is not available to everyone who needs it. @DrTedros is a passionate supporter and advocate of #palliativecare - we are ready to work with you Dr Tedros! @Pall_Care_Aus #21OPCC

@ChathamHouse @LSHTM @Pall_Care_Aus @KPMG @IAHPC @kpettus @AusPallLinkInt @DrTedros The COVID-19 crisis a catalyst for #UHC or for #palliativecare? Let's hope so....but we've got some work to do.#21OPCC

@ChathamHouse @LSHTM @Pall_Care_Aus @KPMG @IAHPC @kpettus @AusPallLinkInt @DrTedros Look through history. In crisis, when leaders need to demonstrate quick wins, they turn to health reforms. #NHS in the aftermath of #WW2. Thailand #UHC reforms after Asia Financial Crisis #21OPCC China after SARS. Will #UHC have its moment with #COVID19? Time is right! #21OPCC

What is the opportunity for #palliativecare? Pandemic has exposed huge gaps in palliative care. Many countries planning radical overhauls of their systems. Need to keep the pressure on! Here's an Editorial from The Lancet related to this: thelancet.com/journals/lance… #21OPCC

Now is the time for those passionate about palliative care to campaign within Universal Health Coverage reforms. #21OPCC And yes Robert Yates, the palliative care community would love to work with you on this!

Related to Robert's topic, here is an important report from @whpca on #palliativecare, #covid19 and #UHC. #21OPCC thewhpca.org/2020-08-05-08-…

@whpca Robert says "Give it a go. Be brave! Join a political party. Campaign. Go to meetings. Health workers make very effective politicians!....at the end of the day, this is what brings about change!" Thanks so much Robert Yates @ChathamHouse #21OPCC

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