#12 What Most Countries Get Wrong About National Health Insurance | w Masimba & Jonty Roland | BHF 2025
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In this episode, we sit down with Jonty Roland, a global health policy expert based in Cambridge, to explore the realities of National Health Insurance (NHI) reform across the world. Drawing on his work supporting countries at different stages of their journey, Jonty shares practical insights into what it takes to move from policy ambition to real-world impact.
The conversation unpacks why many healthcare systems struggle to deliver on the promise of universal coverage, highlighting common pitfalls such as “magical thinking” in policy design, the challenge of aligning public and private sectors, and the often-overlooked importance of strengthening the provider side of reform.
We also explore key themes such as the “missing middle,” the role of competition in healthcare systems, and why simply increasing funding does not always translate into better outcomes.
This episode offers a grounded and thoughtful look at the complexities of NHI — and what countries can learn from each other as they navigate this journey.
Connect with Jonty on these platforms:
https://www.linkedin.com/in/jontyroland/
Insight LinkedIn: https://www.linkedin.com/company/insight-actuaries-&-consultants/
Instagram: https://www.instagram.com/insight_za/
Visit our website: https://www.insight.co.za/
The conversation unpacks why many healthcare systems struggle to deliver on the promise of universal coverage, highlighting common pitfalls such as “magical thinking” in policy design, the challenge of aligning public and private sectors, and the often-overlooked importance of strengthening the provider side of reform.
We also explore key themes such as the “missing middle,” the role of competition in healthcare systems, and why simply increasing funding does not always translate into better outcomes.
This episode offers a grounded and thoughtful look at the complexities of NHI — and what countries can learn from each other as they navigate this journey.
Connect with Jonty on these platforms:
https://www.linkedin.com/in/jontyroland/
Insight LinkedIn: https://www.linkedin.com/company/insight-actuaries-&-consultants/
Instagram: https://www.instagram.com/insight_za/
Visit our website: https://www.insight.co.za/
