There are many typologies for a Universal health system, which are often confounding and conflating, namely Universal Health Coverage (UHC), Universal Health care, Universal Access to health care and each of them stem from different political economy epistemologies. A UHS conceived by us is a system which offers comprehensive services based on everyone’s needs by virtue of being human (social justice) without any means-testing thereby catering to the most vulnerable, and irrespective of their ability to pay and will embody equity. UHS provides for greater solidarity, risk pooling and cross subsidisation and promotes social justice in which the rich are made to make progressive higher contributions (burdens are shared by the rich) to the system. Most importantly for the vulnerable, such a UHS provides ‘universalisation of social protection in health’.