Professor Alex van den Heever holds the Chair in the field of Social Security Systems Administration and Management Studies at the Wits School of Governance.The world of practical policymaking has five basic prerequisites for success – that is, of course, if you care about the public interest.
It is, therefore, a matter of considerable concern that not one of these five prerequisites has been complied with in the National Health Insurance policy process. Instead, it has been characterised by a disregard for submissions and evidence, and an overemphasis on rubber-stamping. Second, there is no evidence of medical scheme beneficiaries running out of benefits and needing to be “dumped” on public hospitals. It is somewhat surprising that no systematic report exists showing that this is a problem. Contrary to this assertion, major medical expenses are mostly covered as prescribed minimum benefits, which schemes must cover in full. It is therefore impossible for members to run out of benefits.
When signing the NHI Bill, the President continued this polarising tradition by arguing irrationally that medical scheme members are somehow privileged and spoilt. The NHI proposals are premised on the government being able to raise an additional R300-billion in tax revenue, which, even if phased, is impossible. The money is needed as the proposals seek expressly to deny income earners the right to cover their own healthcare, regardless of the ability of the state to ensure adequate access to it.
The point is the election. Promising the voting fodder free stuff, paid for by somebody else, easily convinces the backward and uninformed to vote for the ANC. When, not if, when, the Health Wakanda fails, you can likewise bet that Ramasofa and the rest of the lying, thieving, dim-witted cadres will blame imaginary white racists for yet another Wakanda spaceship crashing and burning, and their equally dim-witted voters will fall for it.
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