The NHI Act is facing a slew of legal challenges from multiple organisations. For this special series, Spotlight combed through court papers, and spoke with legal experts to pin down what specific arguments litigants are betting on.
The courts have spoken. The health ombud has issued devastating reports. The Auditor-General has again put damning evidence on the table. Civil society has protested. Yet, the devastating crisis in Gauteng’s health system shows no sign of improvement.
Since President Cyril Ramaphposa signed the NHI Act into law last year in May, eight different groups have challenged it in court. One common argument is that it is irrational and unreasonable to restructure the health system when there’s no money to do so. In this feature, Spotlight dissects how the argument is being applied, and whether it has any chance of success.
With a new head, there is quiet optimism in some circles that a turnaround in the Free State Department of Health’s fortunes could be on the cards. Masechaba Sesing talked to Spotlight’s Ufrieda Ho about her plans for the department.
Recent media reports over the future of NHI have been contradictory and hard to make sense of. Chris Bateman chased up those in a position to know where things stand – it seems the ANC has not in fact made any major concessions on NHI. There is however agreement that medical schemes won’t be phased out in the next few years, something that likely wouldn’t have happened in any case given the poor state of the economy and the long timeline for NHI implementation.
Whether or not the ANC and DA can find common ground on the future of medical schemes is set to be a major test of South Africa’s Government of National Unity. Ahead of a Cabinet lekgotla where the issue is expected to be on the agenda, momentum has been gathering behind a compromise option. Chris Bateman reports.
From the ongoing political and legal battles over NHI, to the far-reaching health impacts of political change in the United States, it is set to be another tumultuous year for healthcare in South Africa and around the globe. Here’s Spotlight’s top four healthcare questions for 2025.
From the NHI Act to major advances in HIV prevention, it has been another busy year in the world of healthcare. Spotlight editors Marcus Low and Adiel Ismail recap the year’s health developments and identify some key trends in fewer than 1 000 words.
As health department officials move to set up National Health Insurance’s basic structures, including its board, several experts say the scheme remains a pipe-dream, doomed to the same fate as Gauteng’s aborted e-tolls project. In this Spotlight special briefing, Jesse Copelyn outlines three possible scenarios for how NHI might pan out over the coming years.
The idea of mandatory medical scheme coverage for employed people has made a comeback after the case for it was made at a recent conference. Chris Bateman unpacks how a system with mandatory medical scheme membership for the employed might work and asked experts whether it represents a viable alternative to government’s NHI plans.
The Northern Cape health department has had several heads of department in the last five years. Spotlight unpacks the implications of this leadership instability and asks what it means for good governance in the public health sector.
Former ANC member, now with ActionSA, Kgosi Letlape was recently elected to parliament’s health committee. Biénne Huisman spoke to the past president of the Health Professions Council of SA about leaving the ANC, healthcare in the country, gender-based violence, and the murder of his daughter.
