The Health Funders Association is the latest in a range of organisations calling on the president not to sign the NHI Bill into law as he has been saying he will do “as soon as he finds a pen”, as the state of public health signals that South Africa is not ready for it.
Comrie says there is a very long way to go towards building confidence in the public health system and the state’s capacity to effectively manage a single pool of funds as envisaged in the National Health Insurance Bill. He points out that the ongoing delay in finalising Low Cost Benefit Options is denying at least 2.5 million people currently wholly reliant on public healthcare the opportunity to access more accessible private health services. Their rights in healthcare should be protected under the Medical Schemes Act.
“Such a move would erode the current world-class private healthcare system and further threaten the country’s already stretched healthcare provider base.”Medical practitioners have indicated they would no longer feel comfortable remaining in a country where they are effectively employed by the state without the option of servicing patients privately.
The HFA points out that depending on the number of dependents, medical scheme members contribute more each year to South Africa’s public health purse than the value of healthcare benefits the state budgets for each person, while medical scheme members do not draw on any significant public health resources, which they are entitled to.
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