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Thanks, Monica. I suspect that like UHC itself some of the labels attached to policies and programs aimed at achieving UHC are often misleading. But, yes, SHI is traditionally associated with collecting mandatory contributions through the payroll from formal-sector workers, and yes it has lots of drawbacks—see my Social Health Insurance Reexamined piece That said tax-financed budget-cum-salary systems haven’t worked well in most developing countries; they’ve mostly disproportionately benefitted the better off, and haven’t usually delivered decent quality care. The good news is that we’re starting to see some fresh new approaches emerge as countries use UHC as an opportunity to experiment—see the case studies at