National Health Insurance is now law in South Africa

President Cyril Ramaphosa has made good on his promise to sign the National Health Insurance Bill into law before the 2024 national election, bringing the contentious healthcare system into South Africa’s reality.In his address ahead of the actual signing of the bill, Ramaphosa again hit back at critics of the bill, saying that anyone trying to maintain the status quo was out of line with the global imperative to pursue universal healthcare.

The laws have faced vehement opposition from the healthcare sector in South Africa, as well as from business groups, unions, workers and legal experts. While all support the ideal of universal healthcare, they have taken big issue with the NHI’s path to get there, which opts for dismantling private funding.

Various legal challenges have been pending for weeks, if not months, waiting for the president to make his move. These challenges are now expected to play out in the country’s courts with the likely outcome being aspects of the laws reaching the Constitutional Court.Medical aids and other analysts have noted that, even with the laws now in effect, there are unlikely to be any immediate changes to the healthcare sector.

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