National Health Insurance Scheme will put your health in ANC hands
5 August 2019
Taxpayers should be concerned about the recent announcement by Dr Zweli Mkhize, the minister of health, that the final National Health Insurance Act (NHI) will come into effect before March 2020. The implementation of this law will in effect mean that the ruling ANC will have the power to decide what treatment you need, who should provide it and where you should receive it. It is also widely expected that it will result in a shocking tax increase.
The NHI envisages a national, single-paying health system for South Africa that will dictate the service levels, price and scope of healthcare. According to Mkhize, in terms of the NHI, healthcare will be the same for everyone and healthcare workers will be available to provide services on an equal basis. If this intended equal level were of a high standard, the NHI might not have been so undesirable, but the level of public sector healthcare is so appalling that very few facilities will qualify to provide services in terms of the NHI. According to a report by the Health Standards Compliance Office, only five of 696 state hospitals and clinics that were surveyed in 2016-2017 complied with the health department’s norms and standards to achieve an 80% pass rate.
According to the June 2017 NHI White Paper, this scheme will apply to the treatment of cardiology, dermatology, neurology, oncology, psychiatry, obstetrics, gynaecology, paediatrics, orthopaedics, and surgery – including organ transplants. This means that the ANC will be able decide who a woman’s gynaecologist should be, as well as where and by what method her baby should be born. At the primary healthcare level, the NHI will provide, among other things, sexual and reproductive healthcare, the rehabilitation of oral health, and mental health treatments.
This can mean that the state will decide on your behalf what contraceptive you should use, whether your child needs orthodontics or not, as well as whether you really need to use antidepressants. Is this the type of power we want to put in the hands of the state? Especially in light of the distinction the current government is making between races?