For all the suffering and death the COVID-19 pandemic has caused over the last 12 months, it has arguably also provided a unique opportunity to test some of the mechanisms behind South Africa’s proposed National Health Insurance (NHI) system. The centralised procurement of vaccines and the contracting of doctors, for example, are probably not dissimilar from the arrangements we might see under NHI. Kathryn Cleary asks three leading health experts what lessons, for NHI, we should learn from the COVID-19 response.
A year after the Competition Commission released its Health Market Inquiry (HMI) report, there has been very little action in addressing the report’s findings. Now, a notice the Competition Commission sent to stakeholders in September suggests there may finally be some movement. Elri Voigt reports.
Even as the need for a more equitable health system is being demonstrated, news has broken of large-scale corruption in the procurement of PPE. This makes it difficult for a population worn down by corruption to envisage the transformation of the health system into a system of contracting and procurement under National Health Insurance, writes Sasha Stevenson.
Many types of surgery are being delayed in South African hospitals. HIV and TB testing rates are down. Kathryn Cleary investigates the impact the COVID-19 pandemic is having on ‘normal’ healthcare in South Africa.