What the National Health Insurance won’t fix

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If the circumstances in which a health system has to work aren’t fixed, simply passing a law to give everyone access to healthcare won’t change things for the b

Lost your password? Please enter your username or email address. You will receive a link to create a new password via email.Lost your password? Please enter your username or email address. You will receive a link to create a new password via email.The recent passing of the National Health Insurance Bill into law is hailed by government as a significant step towards equal access to good healthcare for all. But South Africa's health system needs more than just the right laws.

For this, there have to be conversations in which every level of society can participate — not only those whose voices are typically heard, but also those whose voices are seldom heard, such as the youth and the elderly. Building trust means moving away from running the health system in a top–down way, whether in management or how people are served. Instead, delivering health services should be more intentional and creating solutions with local communities should become the norm rather than the exception. Instead of a system that focuses almost solely on illness and curative care, we need one that equally values and invests in wellness and preventing disease.

 

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