“We must always base our commitment in the center of our own being, or else no commitment will be ultimately authentic” (“Environmental Tips”). If one lacks the determination, commitment, and or passion in what they are commit to do; the task will lack quality, equity, effectiveness, and most importantly, appreciation and attention. It is the responsibility of the all workers of a certain job or task to commit their greatest effort, skills and attention in completing the task. To create an outstanding outcome, one must always commit to the process of creation. Before the thirty baht health care scheme was suggested, all poor, or families who earned less than 2000 baht a month, were suppose to receive a Low Income Card but only 21% of them received it. This resulted in the poor buying the 500 baht medical insurance when some were not required to. Therefore, health care was not provided efficiently (“Universal Health Care Coverage”). Some did not buy any sort of health insurance due to the high costs of the insurance compared to their income. A former political party, Thai Rak Thai, included three promises in its campaign. One of the three promises was the 30 baht medical scheme. The campaign showed that the 30 baht medical scheme was to allow all Thai citizens to have access to basic health care and cut down economical problems and concerns dealing with health care in each families. The promises allowed the party to win the 2001 election and Thaksin Shinawatra, leader of the TRT party, implemented the scheme as promised. In April 2001, Thailand became one of the first middle or low income countries to introduce universal healthcare coverage to the population (Towse). The scheme became a favor and seemed to forecast a great benefit to society. Although the 30 baht Medical Scheme has benefited citizens of Thailand in many ways, there are social, economic and political issues and limitations which forestall an effective, standardized and successful health scheme.
Supporters of the health scheme state that the health coverage enables all Thai citizens to have access to basic medical services and furthermore promotes health-seeking behaviors and prevents diseases. The 30 baht Medical scheme enables all Thai citizens, rich or poor, to gain access to a basic health and medical services (Kittikanya). This opens an opportunity for the very poor and groups who have neglected health care to become more involved in seeking health care and improving their wellbeing. The implementation of the 30 baht scheme invigorated the health care sector, which had long been ignored (Kittikanya). This clearly spreads the awareness of the importance of health care and staying healthy to all Thai citizens. The 30 baht medical scheme also promotes children who are under 12 years of age, seniors with the age of 60 years or older, volunteer health workers, and the very poor by allowing an exemption of the user fee for the health care provided (Coronini-Cronberg et al). By promoting the following groups of citizens, it encourages Thai citizens to seek health care more often and persuades Thai citizens to become voluntary health workers which help benefit the society. Therefore, promoting ethical jobs rather than for-profit careers or businesses. Thus, by encouraging more citizens to become involved in health services, it will raise the life expectancy of the country and decrease the major diseases or prevent other diseases within the country. Furthermore, research shows that the proportion of households in the areas with high level poverty in Thailand, such as Khon Kaen, has around 86.1% registered with the health scheme. This clearly suggests that the health scheme has improved health seeking behaviors and encouraged all Thai citizens to use the health scheme as an advantage for their well being (Coronini-Cronberg et al). Despite the fact that health seeking behaviors have improved, the scheme has not provided health care to all Thai...
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