Experts have warned the implementation of the NHI could threaten over 130,000 jobs in the public and private healthcare sector, but the Hospital Association South Africa says the devil will be in the details—once we eventually get them.
“The 1994 restructuring was characterised by much upheaval, with people being redeployed, retrenched, or retired,” she said.a mismatch between the skills required to run the insurance scheme and those working in public serviceAdditionally, she said the Health Department will likely not have the required financial resources to accommodate everybody currently employed in administrative positions in the provinces.
The association said the types of jobs that are most at risk depend on what services the NHI will implement through the main fund and what services will be covered by medical schemes.Economist Dawie Roodt also noted that there would likely be more job losses in the private sector while the public sector will retain or even attract “hang-on” admin jobs that do very little to improve healthcare.
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