OPINIONISTA: Why South Africans need National Health Insurance

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OPINIONISTA: Why South Africans need National Health Insurance By Khwezi Mabasa and Lebogang Mulaisi

We present four compelling reasons, based on documented research and extensive health worker policy dialogues, which justify why South Africans need the NHI.

These figures also debunk the myth of limited resources within the system. South Africa’s health expenditure exceeds the World Health Organisations recommended health expenditure of 5%. The NHI seeks to address this structural inequality within the system by providing an alternative Universal Health Coverage model.

South Africa requires a preventative health paradigm and system, which is not over-dependent on curative health technologies and interventions. The NHI provides the building blocks for such a system through prioritising and institutionalising a primary healthcare model. It focuses on health service decentralisation through community healthcare workers, school health teams, and district health structures.

Although human resources for health is the biggest single component of the health system, on which more than 50% of health funding is spent, it is often not well planned due to numerous complex and interwoven issues. This reality informs the NHI’s emphasis on the primary healthcare model, which requires additional community health care workers and nurses.

 

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Tipical African 'I want, I demand, it is owned yo me. If I don't get it it burn, I wreck or I steal or corrupt' We have a totally f$ed up country, with compliments of the anc

Government hospitals cant treat a headache and now they want to run NHI - Dont piss down my back and say its raining.

Shem. A thinly veiled propaganda piece reiterating the woes of the govt scheme. These noble ideals could be applied into it, and should be. This is another attempt to make “poor people well (rich) by making well (rich) people sick.” It doesn’t work like that, and helps no-one.

It didn't work in the USA called Obama care. NHI is for the private healthcare and practitioners to take over government's failures.

First and most important thing. Get the government medical facilities to function adequately. Once that is working as it should. Reacces. But South African government always does things back to front.

I also need a pink unicorn for my birthday please? Just because people need/want something doesn't mean it's practically possible. Magical thinking! If we wish it, it will happen..

NHI is an important goal vis-a-vis good health care for all. But with a disfunctional government prone to corruption the risks are enormous. The people can't fly to Singapore for treatment if all breaks down. A hybrid model of public/private is the safe, smart step. Then reassess

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