The nightmare of National Health Insurance
22 February 2022
The planned implementation of the National Health Insurance (NHI) Bill is the ANC government’s latest power-hungry attempt to monopolise and centralise its grip on South Africa. The government is window-dressing NHI as a panacea for the poorest of South Africans’ lack of access to quality healthcare. However, the end result of its actions will lead to the disastrous collapse of the entire healthcare system and will have severe consequences for all South Africans.
When studying NHI from a critical perspective, one must wonder how the management (or rather mismanagement) of this centralised fund will differ from that of other state-owned enterprises (SOEs).
Both the Auditor-General and Zondo Commission’s recent findings have been damning in their exposure of mismanagement, state capture, corruption, and inefficiency at prominent SOEs such as SAA, Transnet, and Eskom. Yet, NHI will be managed on a larger scale, leaving the door open for even greater failures and financial losses.
The government has demonstrated a clear lack of will to end systemic corruption in all governmental sectors. It is impossible to calculate how much money has been lost to corruption since the ANC came to power, but recent estimates suggest that R1,5 trillion was lost between 2014 and 2019 alone.