siripen supakankunti takemi program in international health harvard school of public july 1997 1 i introduction insurance thailand particularly voluntary is still under early development and has yet to seriously address the question equity care expenditure last five years increased rapidly without clear evidence quality increase provision private services raised high cost efficient allocation resources only income groups can afford access a better this widens gap inequality systems are complicated thus need state play an appropriate role sector musgrove 1996 concluded that general government employ different instruments affect market outcomes creating disseminating information regulating activity mandating certain actions by individuals or firms financing related delivering those through facilities staff at present there various plans aim solving problems number schemes were initiated now reconsideration economic socio pattern have