Universal access to health is a fundamental human right

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Bonang-Mohale National-Health-Insurance Nhi Opinio News

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Universal healthcare is firmly based on the 1948 World Health Organization constitution, which declares health a fundamental human right and commits to ensuring the highest attainable level of health for all.

Bonang Mohale is chancellor of the University of the Free State, former president of Business Unity South Africa , professor of practice at the Johannesburg Business School in the College of Business and Economics and chairperson of The Bidvest Group, ArcelorMittal and SBV Services. He is a member of the Community of Chairpersons of the World Economic Forum and author of two bestselling books, Lift As You Rise and Behold The Turtle.

There are 30 basic human rights recognised around the world, declared by the then 58 members of the United Nations General Assembly through the Universal Declaration of Human Rights, in Paris, France, on 10 December 1948.

The International Labour Organization has a Strategy on Social Health Protection, recognising that the affordability of healthcare is a key issue in most countries. In high-income countries, increasing costs, financial constraints of public budgets and economic considerations regarding international competitiveness have all made social health protection reform a political priority.

For many years it was commonly thought that introducing and extending social health protection in developing countries was premature because they were not economically mature enough to shoulder the financial burden associated with social security. It was argued that attention should first be focused on macroeconomic growth and that the redistribution through social transfers in cash or in kind should be postponed until the economy had reached a relatively high level of prosperity.

Universal access to health and universal healthcare imply that all people and communities have access, without any kind of discrimination, to comprehensive, appropriate and timely, quality health services determined at the national level according to needs, as well as access to safe, effective and affordable quality medicines, while ensuring the use of such services does not expose users to financial difficulties, especially vulnerable groups.

The South African health system faces a range of systemic and structural challenges, including widespread inefficiencies, staff shortages, variability in skill sets between rural and urban areas and suboptimal care levels and patient management. Limited availability of healthcare resources is another barrier that may reduce access to health services and increase the risk of poor health outcomes. For example, physician shortages may mean longer waiting times for patients and delayed care.

 

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