This Bill will not only be to nationalize our private health care and medical aids, but will demolish all our medical services and private sector as well. Unemployment will follow soon in that criteria. Is like “NO farmer NO food”. “NO doctor NO medical treatment” What can the DA and all other parties together do about this? Do government or the politicians really think tax payers will support those that wanted to destroy us? Some time all the tax payers will stop their contributions on all levels as well and tax payers must have the say, not elders and not politicians. They want to destroy all the farmers and then there will be no food on the table, no services and no medical treatments.
Nothing happened in 25 years to stop the racist B-BBEE and AA legislations, as well as expropriation without compensation, discrimination against only the white Afrikaner and Boer minority to destroy them – included the farm and other white terrorist killings/tortures as well? It is still ongoing under the communist regime and Health care nationalization is on its way with everything and will kill all of us. Full #bolshevism.
DA also supported B-BBEE.
The Democratic Alliance’s (DA) and other interested parties’ petition to the Portfolio Committee for Health to extend the public participation process for the National Health Insurance Bill, the deadline has been extended to 29 November 2019 – and that is all, there is no victory. The DA welcomes this victory in the road to fighting the disastrous NHI Bill.
Parliament cannot be used as a rubber stamp station for problematic pieces of legislation. The process needs to be rigorous and needs to place the views of all South Africans at the forefront of decision-making. More importantly, it’s crucial that South Africans are making inputs on legislation that they are clear on. To date, there are still unanswered questions on the Bill and its implications.
These pertinent questions include:
- What will be covered or not covered by private medical schemes;
- What will the package of care that will be provided by the state include? How will the federal system work to ensure all South Africans have quality access to care?
- What is the funding model that will be used? Will South Africans be expected to pay additional personal tax? What would the value of that be?
- What are the other funding sources for this legislation? Has National Treasury costed it and certified that the country can roll this out?
- How will the department ensure quality of care across both public and private health facilities?
The DA encourages all South Africans to make use of this opportunity to lodge views on the Bill. We will ensure that every submission is taken into account and that this process is not simply rushed through. That is why we have established an additional portal to collect petitions on the NHI Bill. Thousands of people have already made their objection to aspects of this Bill clear on the DA’s petition.
Universal Healthcare (UHC) is an imperative, especially in an unequal society like South Africa. However, in achieving this ideal, we cannot destroy the economy, risk brain drain and sentence South Africans further to a life of oppressive taxes.
That is why the DA supports the ideals of UHC. However these must be based on quality care across the board and should not only benefit those who are politically connected.
Nationalizing Healthcare will destroy the lives of our people
By Siviwe Gwarube – DA Shadow Minister of Health
South Africa is one of the countries that spends the most on healthcare, with
an accumulative budget of over R222 billion across all departments and its
The cost of healthcare in our country continues to climb while the economy is
rapidly declining under the pressure of poor economic growth.
One would think, a department with a budget this large would be deliveringthe very least- an adequate level of care.
But all of us in this House know this not to be true.
This is confirmed by the poor health outcomes of the majority of provinces
and lived experiences of the people that we are meant to serve.
25 years later, kusekho abantu abajikiswayo bengancedwanga kwi- clinic
zethu apho kumele bafumane uncedo khona. Eyona nto kumela ukuba 80%
of health issues are dealt with at primary health care level.
Kusekho oomama abaphela bebelekela ezibhedlele kukhanyiswa nge- torch
zee- cellphone kuba kungekho mbane.
There are still hundreds who died in unlicensed NGOs during
the Esidimeni tragedy and thousands who were sentenced to death by a
completely preventable oncology crisis as was the case in KwaZulu Natal,
under Dr Sibongiseni Dhlomo’s leadership.
This is the direct result of poor policy and no consequence management for
provincial departments that underspend and embezzle public money and
the sheer lack of excellence driven leadership at the political level.
Yesterday, the cabinet announced that the NHI Bill has been approved and
will be later presented to Parliament.
It is unclear whether costing has finally been done and whether in its
finalisation, the lessons from the failed pilot projects have been taken on
This Bill comes with a price tag that was estimated at over R259 billion in its
This was later proven to have been a complete thumb-suck by the previous
minister’s own admission.
The legislation will see the nationalization of healthcare, the creation of a
state-owned-enterprise which will be the perfect breeding ground for mass
corruption and sluggish delivery of care.
The NHI pilot projects across the country have failed in a spectacular fashion.
As such, the current Minister and his predecessor, have sat on the report that
will give a fair assessment of the pilot projects.
When I asked the Minister about this report, he said he simply does not care
what it says and it does not matter how much the Bill will cost to implement,
this government will simply push ahead.
Minister, this is quite frankly this a dereliction of your constitutional obligation
and your responsibility to the people of this country.
More concerningly, we are aware that the provinces are yet to be fully
engaged in what will be expected of them in the full rollout of the NHI.
There has never been a constructive discussion about this legislation at the
National Health Council with the 9 provincial MECs and their Heads of
To add insult to injury, over the medium term budget there has been a R9
billion reduction in the investment of our clinics and day hospitals which are
the real interface of healthcare with our communities.
Any legislation that will see the improvement of a health system needs to do
so from the bottom up.
It needs to start at the primary healthcare level and not in the corridors of
Minister, what is clear to me is that you and your government are here to fight
for the ANC and you are after an ideological wins.
On the other hand, DA is here fighting for the people of this country.
Nationalisation of healthcare is not the way to bring about dignity to the
millions who depend on public healthcare.
It will only bring about financial benefit to the politically connected.
Should this piece of legislation be passed in the form presented during the 5th
Parliament, it will a gamble with the lives of millions.
The road to Universal Health Care does not have to be paved with
fundamentally bad policy proposals, failed and expensive interventions.
South Africa can have universal healthcare that will see the entire system
transformed so that it can serve the people who have been left behind for 25
Under the DA health plan, our people would not need to wait up to 15 years
for their lives to improve.
They need not wait for billions of rands that we do not have for them to have
access to a good health system as in envisioned in the Constitution.
The DA would rollout Universal Health Care in 5 to 8 years.
Most crucially, it can be delivered through restructuring and reprioritisation of
the current health budget.
It can be financed through two interventions.
We would remove the medical aid tax benefit afforded to medical aid
clients, availing R17 billion to invest in the following:
Improving Primary Healthcare- the bedrock of a health system;
Investing in maternal and child health;
Improving the provision of emergency services;
With those interventions alone, the health system would drastically improve.
We would not end there.
We would assign every single South African with a subsidy which will allow
them to access to quality healthcare.
It would not matter if you are a private health patient or a public health
patient, you would be afforded quality of care through a standard health
This means, under the DA Health system our people are not relegated to
second class health system.
They will be able to access whatever health facility they want and instantly
the system of insiders and outsiders is done away with.
Chairperson, in order to bridge the gap of those who have and those have
not have access to quality healthcare, the DA would impose a health justice
This would be a cross-subsidisation funding model to provide a standard
package of healthcare that is of quality.
In this way, we would give agency to our people to choose the healthcare
that they want; regulate the private healthcare schemes so that people are
not exploited and ultimately rollout comprehensive universal healthcare that
will not destroy the economy but will be affordable.
Our fight is for the excluded and those who have been victims of a system
that has cost millions their lives.
It is not against the ANC and the minister.
We are bringing solutions to the table that would afford people dignity.
When this Bill is brought before Parliament, we want to ensure that the patient
is at the centre of any reforms.
Anything less than that will be rejected in its entirety
The Democratic Alliance (DA) notes the National Health Insurance (NHI) Bill which was tabled in Parliament.
As anticipated, the Bill has not changed much since the first problematic version was tabled during the 5th Parliament.
The Bill, as it stands will not in anyway, be able to achieve universal health coverage.
The DA is convinced that instead of being a vehicle to provide quality healthcare for all, this Bill will nationalise healthcare, create another State Owned Enterprise and be an additional tax burden to already financially- stretched South Africans.
There are four main problematic elements of this Bill:
The establishment of the National Health Insurance Fundas a public entity or State-Owned Enterprise- the bill explicitly states that the Fund will operate as a public entity which will be constituted by the pooling of funds both from the public and private sector. The minister has sole discretionary powers over this fund. In addition, the board which is appointed by the minister, will be tasked with overseeing this Fund which means there are absolutely no checks and balances.
This fund will be nothing more than another SOE that will be completely vulnerable to grand corruption at the expense of the nation’s entire health system.
The nationalisation of healthcare and clear erosion of provincial powers – the Bill completely centralises the provision of healthcare by placing the management of all central hospitals under the national department. This is an undermining of the provincial powers as enshrined in the National Healthcare Act of 2003. This will mean the equitable share of funds to provincial departments is reduced to finance the Fund and will undeniably mean poorer health outcomes for ordinary South Africans.
The additional tax burden that will be imposed on South Africans – the financing model of this Bill will mean the removal of the tax credit benefit afforded to medical aid clients and in addition, impose tax on ordinary South Africans to fund an SOE which is likely open to public looting. As unemployment continues to reach crisis levels, more and more people are battling to sustain a living in South Africa. This additional burden is avoidable under a different financing model.
The complete removal of choice for South Africans – this Bill removes the autonomy of South Africans entirely. It mandates the national department of health as the sole provider of healthcare in the country while all private healthcare providers will be contracted by the state.This means that there is absolutely no choice for people on which services to purchase nor will there ever be competition to drive up the quality of healthcare. Medical aids will cease to be useful as the model makes the state the only provider of healthcare in the country.
The DA’s Sizani Universal Healthcare Plan:
In contrast to the NHI, the DA’s Sizani Universal Healthcare will truly achieve providing South Africans with quality health care, thus achieving Universal Healthcare in line with global trends.
The DA plan would ensure the following:
- It will be funded through the current budget envelop which would include the tax benefit afforded to medical aid clients;
- It would strengthen primary healthcare as the interface of health with many communities;
- It would invest heavily in the provision of maternal and child health services and the training and provision of healthcare professionals;
- It would reinforce the powers of the provinces by ensuring that they are funded and equipped to provide quality healthcare to all;
- Through these interventions, all South Africans would have access to a quality health system that provides them with a standard package of care across all facilities;
- Medical aid companies would be used as a top up measures for those South Africans who choose to use them and who can afford to do so;
- Ultimately this system would increase competition, drive up quality and afford every South African the choice of which medical provider they wish to use.
The DA will fight these problematic elements of this legislation in Parliament. We will request an urgent meeting of the portfolio committee meeting as soon as parliament resumes so that the Minister and the department can do a line-by-line analysis if this Bill. We will lobby civil society and members of the public to take a stand against this Bill in its current form and we will use every avenue available to us to ensure that this disastrous bill does not destroy the health system and the South African economy.
Sounds like DECREASED “nationalization of healthcare” –
#Communism #Bolshevism – everything is broken to the ground.
No farmer No food – No doctor No Treatment – No services – no water – no electricity
DUS – met enige van hierdie planne van die politici is dit duidelik. Watter land het al ooit voordeel uit so iets gepluk? Daar bestaan nie so iets nie, maar vernietigingswerk van die kommunisme gaan steeds voort.
Selfs dit onder die DA, word voordele weggeneem vir eie besluite, juis om nie van die regering of staat afhanklik te wees soos ‘n spul poppe nie, maar die regering se besluite (kommunisme) word wetgewing en afgedwing soos swart bemagtiging, regstelaksie en onteiening.
Klink soos AFGETAKELDE “nasionalisering van gesondheidsorg” – #Kommunisme #Bolsjevisme – alles word tot op die grond afgebreek.
Alle tekens is daar dat dit nasionalisering van gesondheidsorg en -dienste is , maar dit sal gepaardgaan om alle spesialisareas soos die medici wat verskillende vlakke het, ook soos ‘n bom tref. Dis nie altemit nie. Die regering “nasionaliseer” maar in die proses word alles afgetakel – nes die res in 25 jaar afgebreek is.
NHI – National Health Insurance bill
Wat het die oudstes met ons land te doen – hulle hoort nie hier nie.
Elders must create jobs in their own countries and leave South Africa alone. Same with the ANC and others – create jobs for your people and keep the immigrants out, they all have countries of their own.
National Health Insurance – NHI – Elders