Health services at public facilities in Fiji were and still are largely free and readily available for the population with limited user fees charged for certain specialized medical procedures. It even offers waivers for said fees to poorer patients. This assessment concluded that out-of-pocket payments were progressive because high-income households utilized private services and paid user fees. On the other hand, those with the worst ability to pay for health care bear the lowest financing burden. To this day, Fiji’s health financing system provides a good example of how to achieve sustainable Universal Health Coverage goals.