1) Lack of political will and understanding of social determinants that undermine access for vulnerable and marginalized groups

2) Insufficient attention has been paid to the interaction of social determinants of health and health financing

3) There is an emphasis on equity, McKee and colleagues were of the opinion that some groups have higher health needs and lower financing capabilities than others; this implies the need for picking the right package for fitting the need of the population and increasing uptake with coverage.

4) The idea is find money, to understand how to mobilize the revenues to provide and sustain coverage; establishment of effective pooling and redistributive mechanisms to ensure equity and financial protection; and building of capacities to manage future expenditures as presented by Reich and co-workers.