Health
New Study Finds Progress Against Chronic Diseases Stalling in Wealthy Nations
A new global analysis has found that progress in reducing deaths from chronic diseases has slowed in recent years, with wealthy Western nations showing some of the starkest contrasts.
The study, conducted by researchers from the World Health Organization (WHO), Imperial College London, and other institutions, examined mortality from chronic conditions such as cancer, heart disease, and neurological illnesses across 185 countries and territories. The findings, published in The Lancet, show that while mortality from these diseases fell in about 80 percent of countries during the 2010s, the pace of improvement was far slower than in the previous decade.
Globally, chronic illnesses remain a major health burden. “The burden of chronic diseases remains unacceptably high,” said Leanne Riley, one of the study’s authors and head of the WHO’s surveillance, monitoring, and reporting unit.
Among wealthy nations, European neighbours emerged at opposite ends of the spectrum. Germany recorded some of the weakest improvements, faring only slightly better than the United States. Though overall mortality from chronic diseases declined, German women in their 30s and those aged 65 to 75 actually saw increases in deaths linked to lung cancer and dementia.
By contrast, Denmark, Norway, and Sweden ranked among the strongest performers, with significant reductions in chronic disease deaths and little sign of slowdown in the 2010s. Researchers attributed these gains to falling mortality rates among working-age adults, with Denmark hailed as the “regional benchmark” for Western nations.
Elsewhere in Europe, Central and Eastern countries generally recorded encouraging progress. Moldova achieved the steepest decline in chronic disease risk, while Russia and several of its neighbours benefited from tighter alcohol control policies.
The report arrives ahead of a high-level meeting at the United Nations General Assembly later this month, where countries are expected to sign a political declaration on tackling chronic diseases and strengthening mental health services. However, experts caution that such commitments often fail to materialize into concrete policies or additional funding at the national level.
Majid Ezzati, a co-author of the study and professor at Imperial College London, stressed the need for targeted investment and better access to proven health measures. “In many countries, effective healthcare programmes may not be reaching the people who need them, and they are being left out of the health system,” he said.
Ezzati highlighted tobacco and alcohol regulation, diabetes medication, cancer screenings, and treatments for heart attacks as critical priorities. The researchers argue that greater attention to equity in healthcare delivery will be vital if countries are to sustain progress and meet global targets for reducing premature deaths from chronic diseases.
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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