Number of people pushed below the $3.20 ($ 2011 PPP) poverty line by out-of-pocket health care expenditure - Country Ranking - North America

Definition: Number of people pushed below the $3.20 ($ 2011 PPP) poverty line by out-of-pocket health care expenditure. This indicator shows the number of households experiencing impoverishing expenditures, defined as expenditures without which the household would have been above the $1.90 poverty line, but because of the expenditures is below the poverty line.

Source: World Health Organization and World Bank. 2019. Global Monitoring Report on Financial Protection in Health 2019.

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Development Relevance: Universal Health Coverage (UHC) is about ensuring that all people can access the health services they need – without facing financial hardship – is key to improving the well-being of a country’s population. UHC is also an investment in human capital and a foundational driver of inclusive and sustainable economic growth and development. UHC is a target associated with the Sustainable Development Goals (target 3.8), and it relates directly to Goal 3 (Ensure healthy lives and promote well-being for all at all ages) and to Goal 1 (End poverty in all its forms everywhere).

Statistical Concept and Methodology: Out-of-pocket payments are those made by people at the time of getting any type of service (preventive, curative, rehabilitative, palliative or long-term care) provided by any type of provider. They include cost-sharing (the part not covered by a third party like an insurer) and informal payments, but they exclude insurance premiums. Out-of-pocket payments exclude any reimbursement by a third party, such as the government, a health insurance fund or a private insurance company. Out-of-pocket payments are impoverishing at the $3.10 PL (PPP) for a household when consumption gross of out-of-pocket payments is higher than the $3.10 PL, but consumption net of out-of-pocket payments is lower than the 3.10 PL.

Aggregation method: Sum

Periodicity: Annual