Intended for healthcare professionals

Letters Universal health coverage and drug quality

Universal health coverage: drug quality and affordability can go together

BMJ 2019; 367 doi: (Published 15 October 2019) Cite this as: BMJ 2019;367:l6004
  1. Raffaella Ravinetto, senior researcher1,
  2. Catherine Dujardin, health officer2
  1. 1Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium
  2. 2Belgian Directorate-General Development Cooperation and Humanitarian Aid, Brussels, Belgium
  1. rravinetto{at}

In her thoughtful essay, Elizabeth Pisani warns against some possible unwanted consequences of the efforts to achieve universal health coverage.1 In particular, an unconditional push for the lowest possible prices of essential drugs may lead some manufacturers to apply cuts to quality assurance costs, thus increasing the risk of poor quality drugs or of manufacturers’ withdrawal from the market.1

The …

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