National Health insurance should be considered as a public policy of social protecction. I mean it is a wright for all people. Therefore, whether private or state, it must guarantee equitable and timely access to comprehensive health services, according to needs of diferents populations and available resources. The key could be a double control: On one side, a strong legal and regulatory framework that explictly guarantee this wright for all and support institutions in charge. On the other side, social oversight and active citizen participation in decition-making spaces.

In our experience, social over-sigth and participation in health services and National insurance Systems (private or state), in adition to strong community organization, it is usually more efective in protecting rights when there is a legal and regulatory framework that defines and protects it. This means that social participation in health should be considered an exercise of active citizenship thath contributes to consolidation of democracy.

Improving vulnerable group participation in a National Health Insurance Scheme is crucial for ensuring that the most disadvantaged members of the population have access to healthcare. Here are some strategies to enhance their participation:

Improving participation of vulnerable groups in a National Health Insurance Scheme requires a multi-faceted approach that addresses economic, cultural, and logistical barriers to access. Regular evaluation and adaptation of strategies will be essential in ensuring the success of such initiatives.