Further, the health insurance organization is also the major government financier
and provider of care. This is a compulsory social insurance agency, levying mandatory
payroll contributions on all formal sectorworkers, their employers, and public pensioners.
The health insurance system covers about 50 percent of the population (34.8 million)
including governmental workers, retired workers, students, and pre-school children. health insurance organization
spend about 1.65 billion Egyptian pounds in 2003 to provide its services to the population.
The main problems facing the health insurance organization in Egypt are the large numbers of regulations and the
unrealistic rates of premiumthat have been fixed and unchanged since 1964 (World health organization, 2009).