The structural perspective outlined here sheds light on some of the fundamental challenges involved in achieving Universal Health Care (UHC) in this twenty-first-century era of trade and financialized capitalism. This commentary explores connections between the structure of twenty-first-century capitalism and challenges to achieving UHC, discussing three features of today's capitalism: financialized capitalism; trade, intangibles and global value chains; and inequality (as exacerbated by the first two features). The final section discusses the various opportunities for reform to facilitate UHC-from tinkering with the status quo, to deeper regulatory reform and fundamental structural change.

中文翻译：

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21世纪的资本主义：全民医疗保健面临的结构性挑战。

本文概述的结构视角阐明了在二十一世纪贸易和金融资本主义时代实现全民医疗保健（UHC）所涉及的一些基本挑战。这篇评论探讨了二十一世纪资本主义的结构与实现超高压的挑战之间的联系，讨论了当今资本主义的三个特征：金融化的资本主义；资本化的资本主义。贸易，无形资产和全球价值链；和不平等（前两个特征加剧了）。最后一部分讨论了各种改革机会，以促进UHC的发展-从修补现状到更深入的监管改革和根本性的结构变革。