Ensuring that levels of public funding for health care are adequate, public revenue flows are predictable and revenue is raised in a way that does not unfairly burden households is essential to safeguarding equitable access to needed health services. In many countries the national health budget was reduced as a result of the crisis due to deliberate adjustments, rises in unemployment or a combination of the two (Mladovsky et al. 2012) Countries are likely to find it difficult to cope with budget shortfalls if demand for publicly financed health care is rising, entitlement to publicly financed health care is means tested and incomes are falling, automatic stabilisers are absent and public spending as a share of total spending on health care is low.


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