Abstract
The success of the universal health care programme in Thailand can be traced to two factors: a big bang approach to policy reform and prior institutional capacity in the form of reformist medical bureaucrats ensconced in the Ministry of Public Health. The big bang approach provided the requisite political power, while reformist bureaucrats provided evidence-based knowledge, past practical experience and institutional networks that were crucial for the forging of the universal health care programme. The combination of political power and bureaucratic capacity has thus led to a universal health care programme that has granted coverage to almost all Thai citizens.
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