Universal health coverage (UHC) means that all people can obtain the health services they need without suffering financial hardship. The Global Monitoring Report on Financial Protection in Heath 2019 focuses on this second dimension of UHC – financial hardship from out-of-pocket (OOP) health expenses. The report looks at how many people globally are pushed into poverty by OOP payments (so-called 'impoverishing' expenditures) and for how many such payments take up more than 10% or (25%) of their consumption or income (so-called 'catastrophic' expenditures). The data show that there is a long way to go to achieve Sustainable Development Goal 3.8.2 – universal financial protection – by 2030. In fact, in one respect, the situation has worsened: the incidence of catastrophic expenditures has increased over the last 15 years. Today, about 925 million people spend more than 10% of their household income on health care, and over 200 million spend more than 25%. By contrast, the incidence of impoverishing expenditures has fallen in recent years at the $1.90-a-day and $3.20-a-day poverty lines. Even so, in 2015, an estimated 100m people were pushed below the $3.20-a-day line by OOP expenditures.