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Purpose

Bangladesh has an outdated healthcare system that has not changed since its independence in 1971. The aim of this paper is to look into how the Bangladesh healthcare system can be reformed.

Design/methodology/approach

This paper is literature‐based and a personal reflection on one country's health system.

Findings

Widespread dissatisfaction exists in the population and amongst doctors about healthcare delivery.

Practical implications

Major issues causing healthcare user dissatisfaction are discussed and recommendations for reform are suggested.

Originality/value

The paper provides an independent account of one country's healthcare policy and practice.

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