This 2019 Global Monitoring Report comes out on the eve of the High-Level Meeting on Universal Health Coverage at the United Nations General Assembly. This level of political commitment is more welcome than ever because it is essential on three fronts. First, to accelerate progress in areas where we have seen improvements. Second, to remove the barriers that are slowing down access to health services in some countries and among certain populations. And finally, the message is clear – we must reverse the trend of increasing financial hardship on people when accessing essential health care.