The National Health Security Office (NHSO) secretary-general says hospitals with high patient volumes should receive budget support, and that hospitals' push for funding based on their deficits needs balancing. On the political idea of making gold-card (UC) patients co-pay more, he noted that fixed per-visit fees already exist under law, and warned that higher charges could make patients uncertain about costs, as before the 30-baht scheme. No new rule or deadline was announced. For a Thai SME owner this is background: watch for any co-pay change, since it would affect employee health costs and customer spending on care.