Ramaphosa’s choice of Director-General for Health will test his commitment to building a capable state

When push comes to shove, President Cyril Ramaphosa’s talk of building a more capable state hasn’t always been backed up by the appointment of committed and capable people to key government positions. His decision regarding a new Director-General for health will say a lot about how serious he actually is about addressing the country’s many health challenges, argues Spotlight editor Marcus Low.

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Health in 2025: The year in fewer than 1 000 words

The year’s biggest health story by far has been the cuts to US aid for health and US support for health research. But it’s also been a year of important HIV prevention developments, NHI court cases, ongoing crises in some of our provincial health departments, and some first steps toward accountability for the corruption at Tembisa Hospital.

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EDITORIAL | The rot runs deep: Gauteng Health’s dance of impunity betrays the people it is meant to serve

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.

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EDITORIAL | Behind the Life Esidimeni headlines is the suffering of human beings who deserved better

While we focus here on the nine deaths that Judge Mmonoa Teffo found to be unnatural, there were 144 deaths associated with the Life Esidimeni tragedy. Ultimately, these were human beings and for the world to know what happened to them is better than the world not knowing.

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EDITORIAL | Motsoaledi’s return could work, but he needs a DG who can say “no minister”

In some respects, Dr Aaron Motsoaledi was the right person for the job when he was appointed as South Africa’s Minister of Health in 2009. But in 2024, the healthcare context in the country looks very different. Spotlight editor Marcus Low asks what we might expect from this new chapter with Motsoaledi in the top health job.

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