The Future of
Health Care in South Africa
One
of South Africa’s biggest challenges is to provide its people with an effective healthcare system that
provides quality care to the sick in future. The whole idea is to ensure that everyone has fair
opportunities to benefit from good healthcare.
The
National Health Services isn’t a new idea and in fact, it dates back to 1944 when the Gluckman Commission
put forward the National Health Services that would be funded through the use of taxpayer’s money.
It
didn’t garner much interest as it was felt that it would put extra burden in future on the
middle-income group which was already strained.
During the 1980s and 1990s however, the question as to whether South Africa could afford to fund the
national health insurance program re-emerged.
The question of
funding the future
The
worrying thing about the NHI and South Africa is that if the country were to be able to afford funding its
NHI program, it would require growth in excess of 5% per annum in future.
If
it can’t grow the economy, the shortfall in funding would be too big, requiring the government to borrow
from other countries. Not being able to pay back its debt would simply increase the likelihood of the
country being downgraded and no longer seen as a destination for investment.
There have been talks that the tax base
should be used to fund NHIin future People suggest that If the current tax rebate of private medical
aid members is removed, funding could be raised for NHI but this would affect those who rely on this rebate.
South Africa spends R450 billion on private and public healthcare, supporting 80% of the population.
It
has been worked out that NHI will cost R256 billion but nobody seems to know how funding will take place.
When you consider the low GDP, unemployment, socio-economic status and crime within the government, you
can’t just willy nilly adopt a universal healthcare system that has been successful in other countries.
NHI doesn’t cover everything
One has also got to bear in mind that NHI isn’t going to be equal to having a
comprehensive medical aid. In fact, because of this, there should be room for existing private healthcare
for medical services not included in the NHI.
In the healthcare system, there are a lot of
stakeholders, and both the private- and public healthcare sectors need to be involved so as to address all
the challenges that South Africa has.
If there are certain elements that are
failing, they need to be identified and fixed.
Leaders to lead the way with healthier
lifestyle?
It is important that a national healthcare
system is led by example and education. Lifestyle diseases such as obesity, high blood pressure and diabetes
is just another kind of pandemic in South Africa.
Primary healthcare will need to educate the
population on how to prevent these diseases from developing in the first place. Doing this will reduce
healthcare expenditure on treating these diseases that develop from an unhealthy lifestyle.
South Africans want to see slimmer,
healthier examples of this lifestyle from its very own leaders in government otherwise it is just a case of
empty vessels make the most noise.
IS the NHI viable for South Africa?
The question remains – is the NHI viable for
South Africa? To look at NHI, one has to reflect on the
Covid-19 pandemic. We can be optimistic about the way the pandemic has been dealt with, showing that there
are indeed areas of excellence in the public healthcare sector.
Lee Callakoppen, Principal Officer of
Bonitas Medical Fund, believes that it simply has to work and
that universal healthcare is a right, not a privilege.
Certainly, we need strong leadership and accountability in future so that South Africa isn’t constantly dealing
with investigations into people who use their positions in government to siphon funds intended for
healthcare.
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