The MdM 2019 Observatory Report of Medecins du Monde analyses the state of Universal Healthcare Coverage (UHC) in Europe and highlights those who are left behind in European health systems. Based on data and testimonies collected in seven European countries (Belgium, France, Germany, Luxembourg, Sweden, Switzerland, and United Kingdom), the report highlights current gaps and formulates recommendations in order to bring European health systems in line with UN and WHO standards, including for vulnerable and marginalised individuals.