On September 21st, stakeholders will come together at the United Nations General Assembly to discuss the importance of aligning investments on primary health care as a key pathway for achieving universal health coverage (UHC) (1). This event fulfills the agreement to convene a high-level meeting in 2023 included as part of the Political Declaration of the High-Level Plenary Meeting on Universal Health Coverage resolution adopted by the General Assembly in 2019 (A/RES/74/2) (2).Latest reports from UHC 2030 show that the positive trajectory from 2019 to 2021 in country commitments to universal health stagnated starting in 2022, and there was systematic underinvestment in reducing financial barriers to health services across many countries (3). UHC 2030 also found continued country reliance on disease-specific programming and wide variations in progress across countries in increasing the service coverage index (Sustainable Development Target 3.8, indicator 3.8.1) (3). A critical questi