The Lancet: Universal health care in 21st century Americas
Editorial Board

“Despite considerable progress, the Pan American Health Organization (PAHO) estimates that 30% of the population of the Americas still do not have access to the health care they need because of multifaceted barriers. … The Commission [on Universal Health in the 21st Century] emphasizes that achieving health for all in the Americas will only be possible by ensuring effective financing, enshrining the right to health for all in legal and regulatory frameworks, and pursuing models of care that are based on primary health care. … The Commission is unflinching in its acknowledgment of social inequality as a barrier to health. … The Commission criticizes the consolidation of a worldwide economic model based on globalization and increasing commercialization and urbanization, which it sees has led to climate change, migration, an increase in non-communicable diseases, mental health disorders, road traffic injuries, and violence. … By examining health beyond its social determinants, the PAHO Commission not only delivers actionable recommendations with regional impact but also presents the global order of the 21st century as a barrier to health for all” (4/20).