Home Health 12 reasons why you should be worried about government’s national healthcare plans

12 reasons why you should be worried about government’s national healthcare plans

8 min read
50
0
11
Healthcare

Solidarity Research Institute has highlighted 12 of the biggest lingering concerns around the planned National Health Insurance (NHI) scheme, pointing out some seemingly insurmountable challenges that are yet to be addressed in any capacity by the government.

In June, health minister Aaron Motsoaledi presented both the National Health Insurance and the Medical Schemes Amendment Bills.

The new legislation will pave the way for more access to medical healthcare through National Health Insurance (NHI), and represents a massive shake-up to both the governmental and the private healthcare systems.

However, while the bills outline the general plan for the NHI, they both lacked any details – particularly on how the scheme will be funded, and how government plans to cover the many pitfalls inherent to its plans.

According to Solidarity researchers, Nicolien Welthagen and Morné Malan, the NHI faces a host of problems – not only the pertinent question of funding.

These are outlined in the 12 points below:


Funding

Solidarity has previously noted that the costs associated with the NHI in the white paper has been understated – and Motsoaledi himself has admitted that the estimates were just guesses. The group anticipates that R369 billion in extra tax would need to be collected by 2025 to cover the NHI – after which, R156 billion will be needed every year.

This means an additional tax of 5% of GDP will be required, with an automatic tax addition of 1%-2% being considered, or even an automatic deduction by employers of 1.5%-4%, or premium being charged.


Financial management

The NHI as it is envisioned will become the largest state institution in the history of South Africa, Solidarity said. Given the state’s track record of mismanagement and corruption at state-owned companies, this is a massive point of concern.


State control

Healthcare providers will be forced to work in the public sector, with rates determined by the NHI, Solidarity said. While this will bring equal pay, it will remove incentives for providers to perform, and competition will effectively disappear. This would also present Constitutional hurdles, as people will be forced onto the NHI and to pay for it.


Accreditation

South Africa’s 33,000 private healthcare bodies will have to be accredited by 2025. There is no indication of how or through whom this process will take place.


Effectiveness

The bureaucracy and red tape introduced by the scheme will hamper effectiveness. Orders, repairs, shortages – everything – will be delayed because it will all have to be channelled through one central body.


Managing assets

The state will be the sole purchaser, but there is no indication how the purchasing and managing of assets, medication and equipment will be handled. A central fund has to be managed perfectly to be effective, Solidarity said. If there are any errors, the potential for drastic consequences is greater.


Maintenance

The question of who will maintain infrastructure and equipment is unanswered. There is also little to no incentive for hospitals and private practitioners to maintain equipment that is not funded by themselves, or linked to some tangible reward, Solidarity said.


Current service levels

Current studies have shown that South Africa’s public hospitals are already in a terrible state – linked to poor management, lack of skills, and non-compliance with health policies. Most South African hospitals are non-compliant with health standards, and less than half have sufficient staff.


Increase in patients

The NHI making private hospitals open its doors to the greater public means an increase in patients. An increase in patients will require an increase in medical staff. There are already shortages of qualified medical staff in South Africa, Solidarity said.


Disease load

South Africa has an “extraordinary” disease load due to the HIV and TB epidemics. An increase in patients at private hospitals will cause treatment to deteriorate.


Training

The health department plans to remove teaching hospitals from provinces so they can be handled nationally. No further information around this has been revealed. Emergency services will also change. However, where training will take place, or how, or how many new medical professionals will be processed remains a mystery.


Major shortage of human resources

It’s estimated that 25% of medical professionals who finish their training in South Africa leave the country, Solidarity said. At present, South Africa trains 1,200 doctors a year at 8 medical facilities. The country has a shortage of 83,000 healthcare workers. Solidarity said that filling all empty posts would come at a cost of R40 billion.

 

Reference; Guardian Ng

Load More Related Articles
Load More By 
Load More In Health

50 Comments

  1. Laser facial

    October 10, 2018 at 2:34 am

    大部份曾經生育或經歷更年期的女性都會面臨私密深處及外觀鬆弛問題,不單會影響自信心和伴侶的親密體驗,更有機會造成容易積菌及尿滲等健康問題。全港首部 Venus Fiore閨密儀 RF射頻 私密緊緻療程 專門針對私密各處包括陰道、陰唇及陰阜的專用治療頭,全面改善鬆弛問題;每個治療頭均採用一次性即棄治療蓋,確保衛生。還有ATC自動控溫綜合系統,讓療程的治療溫度被有效監控,療程自然更安全、更有效達至預期效果。全港首部 Venus Fiore閨密儀 RF射頻 私密緊緻療程Venus Fiore集中為女性私密之處提供最到位的呵護,專注重整陰道健康、收緊鬆弛陰唇和改善陰阜肥大問題。關鍵在於Venus Concept的王牌─糅合多極射頻與磁力脈衝的(MP)2磁頻專利技術,發揮提升細胞活躍度、重塑同時增加膠原蛋白、刺激毛細血管新生等作用,達至調整陰道濕潤度、pH值的效果,更重要的是顯著改善陰道彈性,使其回復年輕狀態。

    Reply

  2. 醫學美容 抗逆 cosmetic.wiki

    October 12, 2018 at 7:18 pm

    SHISEIDO 資生堂-國際櫃 【時尚色繪彩妝系列】時尚色繪尚質光采粉餅SPF15 Sheer and Perfect Compact的商品介紹 SHISEIDO 資生堂-國際櫃,時尚色繪彩妝系列,時尚色繪尚質光采粉餅SPF15 Sheer and Perfect Compact

    Reply

  3. 台灣代購

    October 14, 2018 at 5:32 am

    ALBION台灣官方網站使用條款須知。

    Reply

  4. Restylane乃一系列用於美顏的長效透明質酸產品。 Restylane療程能有效撫平皺紋、美化臉型輪廓及唇部,並可改善膚質及肌膚的彈性。Restylane透明質酸作用原理 Restylane透明質酸均以非動物來源的透明質酸作為原料,獨有的NASHA™專利技術研製而成。微量Restylane透明質酸凝膠到皮膚中,可以讓您的面部肌膚恢復豐盈飽滿。 Restylane透明質酸中的透明質酸與人體內的天然透明質酸十分相似,使用前無需進行皮膚測試,引起過敏反應的機率亦極低。

    Reply

  5. 醫學美容 聚左旋乳酸 cosmetic.wiki

    October 19, 2018 at 12:04 am

    無懼惹蚊!夏季必學的天然驅蚊法 戶外活動最怕是被蚊叮,一般的驅蚊產品都加入了避蚊胺(DEET)的化學成份,長期使用會影響我們的神經系統,一些驅蚊產品為了加長保存期限,甚至加入防腐劑,塗上後皮膚容易出現紅疹或敏感。想用得安全放心,可揀選天然的精油,製作出不傷皮膚又環保的驅蚊產品。

    Reply

  6. 醫學美容 圓形禿 cosmetic.wiki

    October 21, 2018 at 11:47 am

    GOLDWELL 歌薇 【頭髮護理系列】輕絨光煥生能量髮浴 Kerasilk Repower Anti-hairloss Shampoo的商品介紹 GOLDWELL 歌薇,頭髮護理系列,輕絨光煥生能量髮浴 Kerasilk Repower Anti-hairloss Shampoo

    Reply

  7. futbol.run Women's Under-17 - Kristin Kögel

    November 22, 2018 at 12:54 pm

    Liverpool boss Roy Hodgson is set to rekindle his interest in Mario Gomez. He is considering making another move for the Bayern Munich striker in January. Liverpool in battle with Juventus for Bayern Munich striker Mario Gomez

    Reply

  8. minecraft download for free

    May 7, 2019 at 10:01 am

    At this time it seems like BlogEngine is the top blogging
    platform out there right now. (from what I’ve read)
    Is that what you are using on your blog?

    Reply

  9. download minecraft pc

    May 8, 2019 at 1:26 pm

    After I initially commented I appear to have clicked on the -Notify me when new comments are added- checkbox and
    from now on each time a comment is added I recieve 4 emails with the exact same comment.

    Perhaps there is a way you are able to remove me from that service?
    Cheers!

    Reply

  10. free minecraft

    May 9, 2019 at 8:39 pm

    Hi there! This is my first comment here so I just wanted to give a quick shout out and tell you I genuinely enjoy reading your
    posts. Can you suggest any other blogs/websites/forums that go over the same topics?
    Thanks a ton!

    Reply

  11. g

    May 11, 2019 at 1:32 am

    Awesome post.

    Reply

  12. g

    May 11, 2019 at 11:18 am

    Incredible points. Great arguments. Keep up the amazing effort.

    Reply

  13. g

    May 11, 2019 at 3:42 pm

    Hello, i read your blog occasionally and i own a similar one and i was just wondering if you
    get a lot of spam remarks? If so how do you reduce it, any plugin or anything
    you can advise? I get so much lately it’s driving me insane
    so any help is very much appreciated.

    Reply

  14. minecraft download mojang

    May 12, 2019 at 6:07 pm

    Howdy! Someone in my Facebook group shared this site with
    us so I came to give it a look. I’m definitely loving the information. I’m book-marking and will
    be tweeting this to my followers! Great blog and terrific design.

    Reply

  15. g

    May 13, 2019 at 8:29 am

    Hi there! This blog post couldn’t be written much better!
    Reading through this article reminds me of my previous roommate!

    He continually kept preaching about this. I am going to
    send this information to him. Fairly certain he’s going to have
    a very good read. Many thanks for sharing!

    Reply

  16. how to download minecraft free

    May 14, 2019 at 9:36 pm

    Thanks for the auspicious writeup. It actually was
    once a enjoyment account it. Look complicated to more brought agreeable from you!
    However, how can we keep up a correspondence?

    Reply

  17. how to download minecraft

    May 16, 2019 at 6:37 am

    There is definately a great deal to find out about this issue.
    I really like all the points you made.

    Reply

  18. I am not sure where you are getting your information, but
    great topic. I needs to spend some time learning more or
    understanding more. Thanks for fantastic information I was looking for this info for my mission.

    Reply

  19. download games on ps4

    June 8, 2019 at 10:35 am

    Normally I don’t learn article on blogs, but I wish to say that
    this write-up very forced me to take a look at and do it!

    Your writing style has been amazed me. Thank you, quite great article.

    Reply

  20. tinyurl.com

    June 9, 2019 at 9:44 pm

    I am regular reader, how are you everybody? This paragraph posted at this site is really nice.

    Reply

  21. gamefly free trial 2019 coupon

    June 10, 2019 at 10:12 am

    What’s up to all, how is the whole thing, I think every one is getting more from this website, and
    your views are good for new viewers.

    Reply

  22. playstation 4 best games ever made 2019

    June 12, 2019 at 10:26 am

    hi!,I love your writing very so much! share we keep up a correspondence extra
    about your article on AOL? I need an expert on this area to resolve my problem.

    Maybe that’s you! Taking a look ahead to peer you.

    Reply

  23. quest bars cheap

    June 14, 2019 at 1:34 pm

    I love your blog.. very nice colors & theme. Did you design this website yourself or
    did you hire someone to do it for you? Plz respond
    as I’m looking to create my own blog and would like to
    find out where u got this from. cheers

    Reply

  24. quest bars

    June 16, 2019 at 2:09 pm

    Hi it’s me, I am also visiting this website on a regular basis, this web page is truly fastidious and the people are truly sharing pleasant thoughts.

    Reply

  25. tinyurl.com

    June 17, 2019 at 1:20 pm

    Hello colleagues, how is the whole thing, and
    what you desire to say about this post, in my view its actually
    awesome in favor of me.

    Reply

  26. plenty of fish dating site

    June 22, 2019 at 5:58 am

    Hello there! This is my 1st comment here so I just wanted to give a quick shout out and tell you I really enjoy reading through your blog
    posts. Can you recommend any other blogs/websites/forums that deal with the same subjects?
    Thanks a lot!

    Reply

  27. quest bars cheap

    June 23, 2019 at 12:08 pm

    Very great post. I simply stumbled upon your weblog and wanted to mention that I
    have truly loved browsing your weblog posts.
    After all I’ll be subscribing for your feed and I hope you write again very soon!

    Reply

  28. how to get help in windows 10

    June 29, 2019 at 1:28 am

    Hi there Dear, are you actually visiting this website daily,
    if so then you will absolutely obtain fastidious experience.

    Reply

  29. quest bars cheap 2019 coupon

    July 9, 2019 at 7:00 am

    I was curious if you ever thought of changing the page layout of your site?

    Its very well written; I love what youve got to say.
    But maybe you could a little more in the way of content so people could connect with it better.
    Youve got an awful lot of text for only having one or 2 images.
    Maybe you could space it out better?

    Reply

  30. plenty of fish dating site

    July 15, 2019 at 2:12 pm

    I’m really impressed with your writing skills as well as with the layout on your weblog.
    Is this a paid theme or did you modify it yourself? Anyway keep up
    the excellent quality writing, it’s rare to see a nice blog like this one these days.

    Reply

  31. how to get help in windows 10

    July 17, 2019 at 6:41 am

    This is my first time go to see at here and i am actually pleassant to read all at alone place.

    Reply

  32. how to get help in windows 10

    July 18, 2019 at 5:21 am

    What’s up, this weekend is nice in favor of me, since this occasion i am reading this enormous educational
    piece of writing here at my home.

    Reply

  33. plenty of fish dating site

    July 18, 2019 at 9:02 pm

    I was more than happy to find this website. I want to to thank you for your time for this wonderful read!!
    I definitely appreciated every little bit of it and I have you book marked
    to see new information on your site.

    Reply

  34. plenty of fish dating site

    July 20, 2019 at 12:15 am

    Marvelous, what a web site it is! This web site gives valuable information to us, keep
    it up.

    Reply

  35. how to get help in windows 10

    July 20, 2019 at 3:58 pm

    It’s appropriate time to make a few plans
    for the long run and it’s time to be happy. I have
    read this submit and if I could I desire to counsel you few fascinating things or tips.

    Maybe you can write next articles relating to this article.
    I wish to learn even more things about it!

    Reply

  36. how to get help in windows 10

    July 22, 2019 at 4:16 am

    Good day! Do you know if they make any plugins to protect against hackers?
    I’m kinda paranoid about losing everything I’ve worked hard on. Any recommendations?

    Reply

  37. natalielise

    July 23, 2019 at 2:46 am

    We are a group of volunteers and opening a new scheme
    in our community. Your website offered us with valuable info
    to work on. You have done an impressive job and our whole
    community will be thankful to you. natalielise plenty of fish

    Reply

  38. plenty of fish dating site

    July 23, 2019 at 3:49 pm

    I visit everyday some web pages and information sites to read articles or
    reviews, except this blog presents quality based posts.

    Reply

  39. plenty of fish dating site

    July 25, 2019 at 12:34 pm

    I’m curious to find out what blog platform you are using?

    I’m having some small security problems with my latest blog and I would like to find
    something more safeguarded. Do you have any recommendations?

    Reply

  40. smore.com

    July 26, 2019 at 10:32 am

    Hello everyone, it’s my first pay a visit at this web site, and paragraph is truly fruitful for me, keep up posting such posts.
    plenty of fish natalielise

    Reply

  41. dating site

    July 31, 2019 at 3:29 pm

    Hi there friends, how is all, and what you wish for to say about this paragraph, in my
    view its really awesome in favor of me.

    Reply

  42. I feel this is one of the so much vital information for me.

    And i’m happy studying your article. But wanna observation on few normal
    things, The site style is great, the articles is in point of fact excellent :
    D. Excellent activity, cheers natalielise pof

    Reply

  43. plenty of fish

    August 1, 2019 at 7:25 pm

    always i used to read smaller articles or reviews which also clear their motive, and that is also
    happening with this paragraph which I am reading here.

    Reply

  44. This piece of writing presents clear idea for the new users of blogging, that genuinely how to do blogging and site-building.
    pof natalielise

    Reply

  45. plenty of fish dating site

    August 13, 2019 at 4:07 pm

    After looking into a number of the blog articles on your blog, I truly like your way of blogging.
    I bookmarked it to my bookmark site list and will be checking back in the near future.
    Please visit my website too and tell me what you think.

    Reply

  46. plenty of fish dating site

    August 13, 2019 at 7:58 pm

    Hi there would you mind letting me know which web host you’re
    utilizing? I’ve loaded your blog in 3 completely different web browsers and I must say this blog loads a
    lot quicker then most. Can you suggest a good web hosting provider
    at a fair price? Many thanks, I appreciate it!

    Reply

  47. plenty of fish dating site

    August 14, 2019 at 12:05 pm

    Hi there this is somewhat of off topic but I was wondering if blogs use WYSIWYG editors or if
    you have to manually code with HTML. I’m starting a blog soon but have no coding skills so I wanted
    to get advice from someone with experience. Any help would
    be enormously appreciated!

    Reply

  48. plenty of fish dating site

    August 15, 2019 at 12:59 am

    Its like you read my mind! You appear to grasp a lot about this, such as you wrote the ebook in it
    or something. I think that you simply can do with some p.c.
    to pressure the message house a bit, however instead of that, that is wonderful blog.

    An excellent read. I will certainly be back.

    Reply

  49. minecraft games

    August 19, 2019 at 12:00 am

    I seriously love your blog.. Excellent colors & theme.
    Did you create this site yourself? Please
    reply back as I’m wanting to create my very own site and would like to learn where you got
    this from or what the theme is named. Thanks!

    Reply

  50. descargar facebook

    August 19, 2019 at 9:36 am

    Fastidious replies in return of this difficulty with genuine
    arguments and telling all concerning that.

    Reply

Leave a Reply

Your email address will not be published. Required fields are marked *

Check Also

Breaking News: Disney Chanel Star Dies At 20, Cameron;

Disney Channel star, Cameron Boyce has died in his sleep, family sources have said. The 20…