This latest scandal has made it difficult for a population worn down by corruption to envisage the transformation of the health system into a system of contracting and procurement under National Health Insurance . A focus on governance and transparency under NHI is desperately needed to foster trust in the new system.released on 2 September found, among other things, that PPE was procured at up to five times the market price.
In theory, it is a system that leads to equitable and efficient use of all the resources available, instead of leaving excess capacity in the private sector while the public sector remains crowded and under-capacitated. The fact that so little work has been done to review the submissions that were sent to Parliament in November 2019 raises serious questions about the likely engagement of parliamentarians with the substance of the views of South Africans on NHI. Despite this, the committee intends to hear, in October this year, the 121 organisations or individuals who requested to make oral submissions. The pressure is on to pass the NHI Bill.
The answer must come in the establishment of strong governance systems from the start – and in transparency in all decisions.
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