y Health system reform o the founding of national health care systems and the extension to middle income nations of social Insurance systems the promotion of primary health care achieve affordable universal coverage ◆ supply- oriented demand/supposed needs oriented 29May2018Health system reform  the founding of national health care systems and the extension to middle income nations of social insurance systems  the promotion of primary health care achieve affordable universal coverage  supply-oriented demand/supposed needs oriented 29 May 2018 7