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Government Includes Five Income Deciles in Free Insurance; Health Network: We Lack Service Capacity

Feb 7, 2026 February 7, 2026 2 min read 📰 VOA Persian
📋 Key Takeaway

The Iranian government has expanded its free health insurance program to include two additional income deciles, raising concerns from the health network about service capacity. This decision affects 12.5 million people, amidst ongoing criticism regarding healthcare quality and drug shortages.

🔍 Quick Context Guide
💡 Bottom Line: The expansion of free health insurance in Iran raises significant concerns about the capacity of the healthcare system to manage increased demand.

👥 Key Players

Bahram Einollahi MENTIONED
Minister of Health, Treatment, and Medical Education
"Responsible for healthcare policies and implementation in Iran, directly influencing public health services."
Iranian Health Network MENTIONED
Healthcare service providers
"They are on the front lines of delivering health services and are affected by government policies regarding insurance and healthcare capacity."
Families of hemophilia and thalassemia patients MENTIONED
Affected stakeholders
"Their experiences highlight the challenges within the healthcare system, particularly regarding access to necessary medications."

📰 What Happened

The Iranian government has expanded its free health insurance program to include two additional income deciles, raising concerns from the health network about the capacity to provide adequate services. This decision affects 12.5 million people amid ongoing healthcare challenges.

  • The free health insurance now covers five income deciles, increasing the total to 12.5 million people.
  • Concerns have been raised about the capacity of healthcare services to handle the increased demand and the financial strain on the healthcare system.

💡 Why It Matters

🇮🇷 For Iran: The expansion of free health insurance aims to improve access to healthcare but risks overwhelming an already strained system.
🌍 Regional: This move could affect regional healthcare dynamics, as Iran's health policies may influence neighboring countries facing similar challenges.
🌐 International: International observers may view this as a sign of Iran's efforts to address public health needs amid economic difficulties, but concerns about service quality persist.

📚 Background

Iran's healthcare system has faced numerous challenges, including economic sanctions, budget constraints, and a shortage of essential medications, impacting the overall quality of care.

Healthcare access in Iran Impact of economic sanctions on public health
📡 Source: NEUTRAL
📊 Confidence: 70%
The article appears to provide a balanced view of the situation, citing both government actions and concerns from healthcare providers.

The government, following insistence on covering uninsured individuals, has added two more income deciles to the free health insurance plan, prompting the health network to raise concerns that "we cannot provide services to these individuals." According to the newspaper 'Shargh', previously three income deciles were eligible for free insurance, and in this phase, two additional deciles have been included. Bahram Einollahi, the Minister of Health, Treatment, and Medical Education, announced on July 24 that the fourth and fifth income deciles have been added to the population covered by free health insurance in the country. The newspaper describes that in the first phase of this plan, laboratory systems suffered from wear and tear due to unnecessary tests, healthcare staff became exhausted, hospital budgets were spent on repairing imaging devices, and ultimately, the lost budgets were covered through the salaries of doctors, nurses, and staff. The newspaper further emphasizes that adding two more deciles to the free insurance plan has revived an old nightmare. The author stresses that a second wave of unnecessary visits to public centers is on the way, along with a second wave of budget deficits and further encroachment on the rights of healthcare staff. According to the Minister of Health, with the addition of the fourth and fifth deciles to the population of free insured individuals, 12.5 million people in these deciles will now receive free health insurance. Families of hemophilia patients have criticized the import of expensive drugs and the government's 'playing' with their children's lives. Insurance support for thalassemia patients in Iran has 'declined.' The ongoing treatment crisis in Iran has led to a request for a '40% increase' in medical tariffs. The persistent drug shortage crisis in Iran has been highlighted by the head of the Food and Drug Organization, stating that the problem of drug supply is liquidity.

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Translated from the original and edited for English readers. View original source →

Translation confidence: 85%

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