I agree with the suggestions you mentioned above to improve healthcare services in Thailand and I would like to share additional ideas. One challenge facing healthcare services in Thailand is the structural issues from above three different schemes. Within hospitals, there is a gap in services and this is leading to inequality among patients for example each scheme has its own set of rules and benefits for instance patients under the Civil Servant Medical Benefit Scheme receive higher benefits as well as there are various types of hospitals in Thailand, including those under the Ministry of Public Health, regional hospitals, specialized expertise hospitals, general hospitals, and others operating under universities or research institutions that this is resulting to be challenges of data exchange and collaboration. I think that there is a need to restructure and consolidate these hospitals to operate and learn from the National Health Service (NHS) in England. The NHS is being the second largest single-payer healthcare system globally, they operate under a unified structure where hospitals, clinics, and other healthcare facilities are centrally organized and managed and patients receive standardized care and access to services irrespective of their location or socioeconomic status. So, Thailand could benefit from studying the successes and challenges of the NHS model and adapting relevant practices to its own context to provide universal healthcare coverage.