National Health Insurance and Lesufi’s honest appraisal of public health failures

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Even advice from the Parliamentary Legal Advisor that the NHI Bill is not constitutional has been ignored

Lost your password? Please enter your username or email address. You will receive a link to create a new password via email.Lost your password? Please enter your username or email address. You will receive a link to create a new password via email.Despite what Panyaza Lesufi has said, once Cyril Ramaphosa puts pen to paper, the games will commence, as a slew of lawsuits are in the pipeline ready to outline the NHI’s many fatal flaws. File photo.

Such shameless populism tells observers that panic is enveloping senior ANC politicians, who are fearing that the electorate is no longer buying their false promises.But Lesufi’s subsequent verbal contortions consequently became major confessions on how bad public health services are.Gone are the days that if you don’t have medical aid that you must be mistreated in our hospitals.

However, what this policy stance conveniently conceals is what resources have been available to the government and how they have subsequently performed with them. The picture is far from pretty.Contrary to the narrative of understaffing, from 2006 to 2019 the ratio of public sector medical personnel per 10,000 population improved in all but three out of 28 clinical disciplines.

It is very telling to note that the medical malpractice claims of the Western Cape, managed by the DA provincial government, are nil. Their maternal and infant mortality rates are also substantially lower than every other province. These outcomes are not due to better resources, since the provinces operate on equal per capita budgets, where the national health budget is distributed proportionally using the provincial equitable share.

 

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