PHUMELELE MAKATINI: Medical schemes want to work with SA to bring access to healthcare to all

National Health Insurance has the potential to make or break SA healthcare, depending on the strength of its foundation. With the extensive world-class skills and experience in medical funding on offer within SA’s private sector, the NHI will require working together to develop universal health coverage that will best serve society.

During 2021, medical schemes collected R225bn in membership contributions and paid out more than 91% of this for members’ medical treatment. This efficiency in private healthcare funding is fulfilling a nonprofit social solidarity mandate to care for members' health on a large scale.This closely mirrors the aims envisaged by NHI, and the medical scheme industry can bring this experience and capacity to a collaborative effort to build the NHI we all want for our children and grandchildren.

We fully support the need for universal health coverage and believe there is no time to lose in harnessing the extensive experience and expertise of public and private stakeholders so that we can contribute together to the design of the best possible version of NHI. Even when the NHI is functional it may be decades before it is equipped to offer the comprehensive quality care we would all want for our families.

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