SA’s health system is on its knees: the budget offers no relief

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The constitution guarantees the right to healthcare, but the vehicle for upholding it places elites ahead of the majority

a patient classification system that helps standardise the cost of care. The report highlighted the woeful state of hospital administrative systems. About 40% of hospitals assessed were unable to produce discharge records, among other challenges. Cuts to this NHI indirect grant will compromise efforts to address this.

Then there’s the health revitalisation grant, which is meant to support the building of new facilities and refurbishment of existing ones. Its share of the budget remains static over the next three years. Considering the significant overruns in the management of these projects, this may have been an opportunity to reduce expenditure, while prioritising the strengthening of organisational systems the grant also accommodates. Infrastructure investments are essential to improving the health system.

And the budget, the vehicle for making this constitutional guarantee a reality, should be prioritising the interests of the most vulnerable. Instead, it places the interests of the elites ahead of the needs of the majority.

 

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Clearly the governing party has no clue on how to govern unless there's something I'm missing. Everything is falling apart in this country. Why pretend all is well? The unwillingness to create working systems is questionable indeed.

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