In countries that have universal health coverage, a single entity usually buys drugs in bulk from their manufacturers.

在实行全民医保的国家，某（机构）实体通常从制药商那里批量购买药品。

Out of the countries that have not yet achieved universal birth registration coverage, in 26 countries, a birth certificate is required to access health care, including vaccines.

在尚未实现普及出生登记的国家中，有 26 个国家需要出生证明才能获得包括疫苗在内的医疗保健。

So yes, I do hope this moment will be a spur for that longer-term conversation about improving our health system and really achieving that universal coverage that we so badly need.

所以， 是的，我确实希望这一刻能够推动关于改善我们的卫生系统并真正实现我们迫切需要的全民覆盖的长期对话。