Right to medical care and the right to, a standard of living adequate for the health are included in the Universal Declaration of Human Rights by the UN general assembly.1 However, high cost, poor access to the health care and inadequate quality are the main hurdles in providing free and adequate health care at affordable cost to all people. In USA, the recent legislation “Patient Protection and Affordable Care Act” commonly called as “Affordable Care Act” or "Obamacare”, focused more on affordable and quality health insurance.2

Successful health system requires resources in order to provide health services to people. The cost of health care comes from health financing which considers as how resources are generated and used in a health system. This principle is in line with WHO universal health coverage policy.3

Pakistan is the sixth most populous country in the world with approximately 190 million population, with around 64% of the population living in the rural areas.4,5 Health service delivery system in Pakistan was federally administered in the past, however after 18th amendment there was devolution of power from federal government to provincial governments which shifted the implementation of health programs through provincial governments. This created an opportunity to do reforms within system in order to make people friendly policies so that the goals of equitable health system can be achieved.