Mandatory health insurance for SA is an ‘upgrade’ on NHI, proponents say

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. The policy move was previously on the cards in South Africa but faded after the ANC opted for National Health Insurance (NHI) at its 2007 national congress where Jacob Zuma was elected as the party’s new leader. Chris Bateman unpacks how a system with mandatory medical scheme membership for the employed might work and asked local experts whether it represents a viable alternative to government’s NHI plans.

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Eye health services in the public sector are critically impaired – it is high time the health department responds

Despite South Africa producing a substantial number of trained optometrists, the majority of them work in the private sector and in urban areas. This imbalance leaves rural communities underserved and exacerbates health inequities. Does it make sense for us to use public funds and institutions to train people predominantly for the private sector, ask Dr Haseena Majid and Rene Sparks.

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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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Susan Cleary | Let’s be pragmatic – the NHI has constructive and contentious aspects

President Cyril Ramaphosa recently signed the NHI Bill into law. The question is whether this will bring South Africa closer towards Universal Health Coverage. Professor Susan Cleary argues that the NHI is a wide ranging reform with both positive and controversial aspects. The key will be to find a middle ground in order to continue on the journey to UHC.

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#Vote4Health | What 10 political parties have to say on Spotlight’s top 7 health questions

Healthcare is an issue that at some point touches everyone in South Africa. It is also an issue that will impact who people vote for on the 29th of May. To help voters understand just what parties are putting on the table when it comes to healthcare, Spotlight pin-pointed seven critical healthcare questions and put them to 10 political parties.

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Health Budget 2024 fails to address poverty-related health issues and build trust for NHI – SAMRC

The 2024 national budget offer some glimmers but allocations for direct health benefits fall short of making a difference to people’s health and wellbeing. These include a ring-fenced allocation to crack down on corruption in health to inspire trust for the National Health Insurance, taxing accessories for e-cigarettes, a jacked up child-support grant, clarity on plans dealing with climate change and its impacts on human health, and finally greater investment to enhance women’s capabilities alongside the Covid-19 grant, researchers from the South African Medical Research Council write exclusively for Spotlight.

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