Parliament - South Africa's long-awaited National Health Insurance Bill, which aims to contain the cost of comprehensive public health care by prioritising primary and preventative medical services, was tabled in Parliament on Thursday.
Under its provision, an NHI fund and its executive authority will in the near future begin to bid for money from the national budget and it also moots new taxation options as a source of revenue, including a surcharge on income tax or a "small payroll tax". Funding that the provinces receive as part of their equitable share will also be shifted to the national health fund.
It proposes placing increased emphasis on preventative and primary health care, contending that most health care problems can be diagnosed and treated at this level.Under the legislation, the state would introduce a system where patients would access higher level services on the basis of referral networks to keep costs down. A health care user would be denied free treatment should they deviate from the prescribed referral pathway.
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