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In Switzerland, a country with universal healthcare insurance coverage and little incentive to develop new healthcare strategies, chronic disease management programs are scarce.
Although the issue of multiple coverage has been dramatized by stories of poor, very elderly persons who have purchased numerous Medigap plans, beneficiaries who purchase coverage from more than one source are likely to be relatively young, more highly educated, and financially better off.
To achieve truly affordable coverage, society must be able to contain the overall cost of health care, and health insurance must be progressively financed, meaning that those who are best able to pay for coverage should pay the largest share.
Our findings suggest that China's health insurance system has been effective in boosting healthcare utilization and lowering OOP hospitalization expenditure, but there still remain challenges due to the less generous rural scheme, shallow outpatient care coverage, lack of insurance portability, and an underdeveloped primary healthcare system.
In doing so, policy makers can come closer to achieving universal coverage — access to appropriate healthcare for all at an affordable cost — the ultimate goal of social health insurance.
We recommend a universal healthcare coverage; a system that everyone can access healthcare.
Communities that have both high insurance coverage and extensive CHC capacity tend to have the best access, although the former appears more important.
Health insurance coverage is more structured for employed people who are in
Moreover, in the context of a well-funded healthcare system with universal coverage centered on individual choice, at least some of our participants believed a fully sufficient threshold of health insurance coverage was achieved.
Health insurance coverage has an impact on health care utilization.

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Jeju University's green activities can have a positive impact on students, as evidenced by research on the influence of green universities on students' sustainable lifestyles. Additionally, studies have shown that both guided and self-guided forest therapy programs can significantly improve university students' mental health, indicating the positive effects of nature-based activities on students. However, the fear of COVID-19 may hinder students from fully benefiting from outdoor green spaces, potentially impacting their quality of life. Therefore, while Jeju University's green initiatives can positively influence students' sustainable behaviors and mental well-being, factors like the fear of COVID-19 need to be considered to maximize the benefits of these activities.
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