NHI in a time of mistrust

That is what a panel discussion on South Africa’s proposed National Health Insurance system during The Gathering 2020 zoomed in on and so captured a fundamental crack in South Africa’s engagement and discourse on NHI and the NHI Bill.

Heywood agreed that people have often taken dogmatic and premature positions but some often for good reason based on distrust and scepticism especially around the money issues underpinning NHI and the governments “record of failure” in delivering services. He urged that South Africa should fix the leaks in the supply chain in the public sector and put pragmatism above ideology. “The issue is that people take premature political positions, and never let them lay, so if politicians are trying to manage a party more than their country, you will reap what you sow.”

He did, however, agree the public health sector needs fixing. “As taxpayers do not want to pay more money, it will have to be done through efficiencies. The problem in the public sector is that in the provincial administrations we are spending 75% to 78% of our entire health budget on personnel, on cost of employment. That means we’ve crowded out the ability to buy medicines and devices,” he said.

Incompetance and corruption is the undeniable and unsolvable problem, but our ideology will not accept any other solution so let us soften the problem to mistrust which seems solvable?

Suggestion to build trust: Decree that all MP's have to use public medical services. Start implementing NHI for public servants. They all have to pay their medical aid money to the NHI fund and use the NHI services. All of them: president, ministers, minister advisors, bodyguards

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