Abstract
The marginalized people who are non-Thai nationals consisted of stateless people, undocumented
migrant workers and refugees. These 500,000 people were still excluded from universal health coverage.
Poor health outcomes, 6 times less access to care, outbreak of infectious diseases especially malaria and
burden of hospitals’ budget were its consequences. By the literature review and analysis, the policy issues
to include all non-Thai nationals people in Thailand in universal health coverage were formulated as
follow; 1) the expansion of people with citizenship problems scheme to include the stateless people who
were in the registration system but still had no legal status, 2) the extension of undocumented migrant
workers scheme to accept the enrollment of stateless migrant workers and 3) the establishment of the new
reimbursement health insurance scheme for humanitarian purposes for the rest of non-Thai people who
could not join the two former schemes. The additional budget was 716.8 million Bath /year or 0.66% of
Universal Coverage Fund budget. However, the people with citizenship problems scheme should permit
its members to change their registration to their real living or working place for the real access to care.
Universal health coverage should be the right of everybody.
