提供全民保健在财政方面是一项挑战，但多数体制现在依靠自费支付费用，而这是公平性和有效性最差的方法。

Providing coverage to all is a financial challenge, but most systems now rely on out-of-pocket payments which is the least fair and effective method.

youdao

全民保健：在公平和高效率的体制中，所有人都必须能够按需获得卫生保健，无论其是否有能力支付。

Universal coverage: For fair and efficient systems, all people must have access to health care according to need and regardless of ability to pay.

youdao

全民保健：在公平和高效率的体制中，所有人都必须能够按需获得卫生保健，无论其是否有能力支付。

Universal coverage: For fair and efficient systems, all people must have access to health care according to need and regardless of ability to pay.

youdao