Free Hospitalization for All: Not So Ridiculous
- HANOI (AP) — Vietnam is setting its sights on providing free hospital care for all citizens by 2045, a move officials say underscores the nation's commitment to public...
- According to the Ministry of Health, the initiative is projected to significantly improve access to medical services, enabling earlier diagnosis and treatment.
- “Investing in health will bring a very valuable result,” stated a Health vice Minister, emphasizing the long-term strategic importance of the policy.
Vietnam Aims for Universal Free Hospital care by 2045
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HANOI (AP) — Vietnam is setting its sights on providing free hospital care for all citizens by 2045, a move officials say underscores the nation’s commitment to public health and social equity. The aspiring plan, discussed at a goverment meeting in April 2025, envisions a phased implementation, starting with expanded health insurance coverage and culminating in a system where citizens face no out-of-pocket costs for medical treatment.

Expanding Access and Reducing Financial Burden
According to the Ministry of Health, the initiative is projected to significantly improve access to medical services, enabling earlier diagnosis and treatment. This, in turn, is expected to improve treatment outcomes and optimize the use of medical resources. A key benefit will be the reduction of financial strain on individuals and families, potentially lifting many out of poverty.
“Investing in health will bring a very valuable result,” stated a Health vice Minister, emphasizing the long-term strategic importance of the policy.
Key Goals and Timelines
The plan includes several key milestones:
- Ensuring 100% of the population receives annual health checkups.
- Providing basic medical care to 90% of the population between 2026 and 2030.
- Achieving 90% vaccination rates through complete disease prevention services.
- Equipping every citizen with an electronic health record for lifelong health management.
The government also aims to guarantee food safety, promote reasonable diets, and ensure that vulnerable populations, including the elderly, disabled, and underprivileged, receive adequate social care.
Financial Strategies
Securing financial resources for public health is a priority. The government plans to increase investment in health insurance, aiming for 100% coverage. This includes expanding the scope of health insurance benefits to cover disease prevention, screening, and early diagnosis. The goal is to reduce the burden of medical expenses on individuals, with a target of lowering out-of-pocket health expenditures to less then 20% of total health spending and reducing health insurance cost deductions to below 10%.

Legislative and Regulatory Steps
The ministry of Health is drafting a decree to enforce the Health Insurance Act, providing guidance and clarifying details regarding health insurance premiums, benefits, and coverage levels. This decree, expected to be implemented from July 1, 2025, aims to promote universal health insurance coverage.
Additionally,the ministry is working on regulations for medical technology,drugs,and equipment covered under health insurance,with a focus on increasing coverage and payment rates for certain essential items.
Roadmap for Implementation (2026-2035)
The implementation roadmap includes:
- Expanding basic health service package benefits from 20% to 30% of the base salary between 2026 and 2030.
- Increasing coverage for regular health check-ups and early disease detection to 100% for specific risk groups.
- Studying and submitting proposals for gradually increasing benefits to different population segments.
- Analyzing payment rates for technology services, medicines, and medical equipment for various socioeconomic groups.
- Establishing screening and treatment funds,reserve funds,and support funds for severe diseases.
The government also plans to integrate national target programs with health insurance to improve efficiency and prevent waste. Strict controls will be implemented to prevent abuse and ensure resources are used effectively.
By 2035, a comprehensive revision of the Health Insurance act is planned, aiming to create a sustainable and stable framework for universal free medical care.
The Health Vice Minister emphasized that this initiative is not just about health goals but about prioritizing the well-being of the Vietnamese people and ensuring a sustainable future for the nation.
May 6, 2025
Vietnam Aims for Universal Free Hospital Care: Your Questions answered
What is Vietnam’s plan regarding free hospital care?
Vietnam is planning to provide free hospital care to all its citizens by the year 2045. This enterprising goal, discussed in April 2025, represents the nation’s commitment to public health and social equity. The phased implementation begins with expanded health insurance coverage and culminates in a system where citizens won’t have out-of-pocket expenses for medical treatment.
what are the key goals of this initiative?
The initiative aims to achieve several meaningful milestones:
Ensuring 100% of the population receives annual health checkups.
Providing basic medical care to 90% of the population between 2026 and 2030.
Achieving 90% vaccination rates through complete disease prevention services.
Equipping every citizen with an electronic health record for lifelong health management.
The government also intends to guarantee food safety, promote healthy diets, and provide social care for vulnerable groups, including the elderly, disabled, and underprivileged.
how will this plan improve healthcare access?
The Ministry of health anticipates that this initiative will substantially increase access to medical services, allowing for earlier diagnosis and treatment.This, in turn, should lead to improved treatment outcomes and more efficient use of medical resources.
Will this plan reduce the financial burden on individuals and families?
Yes, a key benefit of the plan is the reduction of financial strain on individuals and families. This could play a crucial role in lifting many people out of poverty.
What are the financial strategies to support this initiative?
Securing financial resources for public health is a top priority. The government plans to increase investment in health insurance with the goal of 100% coverage. This includes expanding health insurance benefits
