This chapter argues that health is an essential pillar of growth, and that ensuring Universal Health Coverage is a key pre-requisite for equitable and inclusive development. MENA health systems are far from meeting this challenge, because of clear developmental failures and lack of political will, not to mention wars. At present, MENA health systems are fragmented, inefficient, and deficient, delivering often mediocre, urban centered, tertiary care. They exclude large swathes of the population, particularly the poor, resulting in persistent disparities and inequities. Because of privatization, the neglect of public health, and defective social protection, MENA citizens shoulder some of the highest financial burdens amongst developing regions, which worsen and deepen poverty. To meet its health challenges and achieve inclusive development, governments need to revamp their public health sectors, and play a more central role in protecting the poor and vulnerable. MENA must invest in health, equity and development.