Surcharge Tobacco Taxes - The Thai Health Promotion Foundation by Dr. Prakit Vathesatogkit

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Population Groups Classify According to Health Status

Healthy

Having Risk behavior but not yet sick

Sick and seek care

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Health Promotion (Proactive)

Conventional Health Care system (Reactive)

MOF & MOH : Health Financing Reform policy (1996)

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Appoint working groups to study; 1. Health Insurance, scheme

- to provide health security.

2. Setting up Health Promotion Institute to promote health

- to decrease health care cost.

The 2nd policy was intended to compliment the 1st policy.

Two Complementary Act in Health Financing Reform

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1. Health Promotion Fund act 2001   Establishing a health promotion fund to come from

additional 2% of tobacco and alcohol levy (surcharge tax)

  An autonomous state agency for fund administration

2. The National Health Security act 2002 (UHI)   National Health Security Office to buy services from

healthcare provider

2013 Budget = 120 million USD.

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Source MOH 400 NHSO 309 Civil Service insurance 45 Local gov. 198 Other gov. agencies 7.6 Total 959.6 ThaiHealth 114 =% of total HP Budget 11.8%

Service based

Project based

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