A healthcare crisis emerges, a report is published, the Eastern Cape Department of Health promises to act. This cycle repeats over and over again without much really being fixed, writes Kathryn Cleary.
The public hearings into government’s proposed National Health Insurance (NHI) Bill had a rocky start in Mpumalanga recently as civil society organisations and some opposition parties slammed the process.
The latest version of the NHI Bill proposes limited access to health care services for population groups such as asylum seekers and undocumented migrants with serious implications for universal health coverage.
As a strategic purchaser the NHI should be expressly pro-public sector and strategically focus on building capacity in under resourced areas such as clinics and hospitals in poorer urban communities and in rural facilities, writes Dr Lydia Cairncross.
Government’s National Health Insurance (NHI) Bill is not the only roadmap to quality healthcare for all in South Africa. The Health Market Inquiry into the private healthcare sector report points the way toward an alternative, possibly more effective, approach.
Government has failed in its duty to regulate the private health sector which is “neither efficient or competitive”, according to the Competition Commission’s report on the Health Market Inquiry (HMI) into the private sector.