When patients become casualties in war between doctors and medical aids

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There is a war raging between medical aids and healthcare practitioners – and patients have increasingly become the casualties

This week, a section 59 investigation – into allegations that African and Indian doctors were being treated unfairly by medical schemes – heard that their claims were being withheld “arbitrarily” in many instances based on their ethnicity and the colour of their skin.

He said it involved a woman who had a brain aneurysm – swelling of a blood vessel in the brain – and needed immediate surgery. At the hearing Dr Donald Gumede, chairperson of the association, said healthcare practitioners were “inexplicably under siege” and “walking on eggshells” because of the prevailing climate of distrust and hostility from medical aid schemes.

The Health Professions Council of SA – which has 187 000 registered practitioners – said its analytics data showed that although it had more African practitioners registered, it had received more complaints by its white registered practitioners.

 

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