14/09/2023
NHI( National Health Insurance) update:
Ps: You might want to read this, it might decide your vote.
This is still a bill, and the Parliament hasn’t passed it yet. The minister to be in charge of it has a lot of power and can do that anytime.
What is meant to do(advantages)
It is meant to revamp the health system in our country because only those service providers who provide good service will be paid, ie there is a scaling to the payments.
It is meant to redistribute wealth, to afford everyone health care.
Funding and provision of health are meant to be separate to improve accountability.
How it is going to be funded?
Well it has not been written in stone yet, but it is suspected it will be collected from taxes, yep no wonder they have been putting it off on the way to the polls, because cash strapped citizens have had enough.
Another option is to take the tax medical savings benefit you get from your medical aid. Well this has been deemed unconstitutional as they can’t tell you how to spend your money.
Registration of service providers:
If you have ever worked with the Government and want to be paid by Treasury you have to register on a particular database, most people know what a pain in the as* that is, so the question is who is going to carry the cost of registrations?
Depletion of Funds.
Most people know what that means, around November most Govt departments have already depleted their budgets, so now what happens to service providers who have to be paid. I think Discovery pays around 5 days so imagine the poor doctors waiting till March the following year after Budget speech in Feb to get funds🥹.
Administration
There has been talks about an Independent body doing the admin and the payouts, knowing Govt, these will be long standing times between payments.
Count
The allocation per province is done by numbers, but it isn’t that easy, for example Kwazulu Natal has high HIV AIDS numbers, not sure if such things or age or even the propensity for maternity been built into this decision?
Issue of Liabilty
That is not addressed at all, that is who do you sue when stuff go wrong, You know with medical aid, the doctors consultation fee includes the indemnity they pay should for instance stuff go haywire , so who exactly has liability here?
Who is a service provider?
If God forbid you are in an ambulance and unconscious and can’t make the decision which hospital to go to, and they happen not to be service providers for some reason,who is going to pay your bill?🤷🏽♀️
Corporate Governance
So the Minister appoints the CEO not the board, so that means only he/she can fire them. With constant reshuffling and corruption you wanna bet how this is going to end?
And with SOE‘s with boards which are not qualified. And there is no specific criterion about their appointments to the board,in the bill, think they would be? Hell, we voted in Zuma😳
Wording of the bill
Some things which are regulations are written into the legislation, with evolving medical procedures, this is going to be a huge problem. This means more court times, and more tax payers money spent.
Benefits
This is a big question mark? What exactly do they pay? Would you still need your medical aid? Can you pay both??
Private sector
Will it survive this? I mean medical aid is getting burdensome for most, so with most leaving for a probably cheaper NHI, what now? What happens to the jobs there?
Foreign Nationals
Only South Africans can be on NHI, but now we all know hospitals are full of foreign nationals, what now? Doctors can’t refuse to treat, what now??
Migration of doctors
Well, they threaten to leave if this is implemented, I think they are bluffing😊. Australia and other common wealth areas have something similar, you just don’t set up tent, there is regulations, but who knows.
Home is home anyways. Don’t let people that have immigrated fool you, it’s not all rosy out there.
We have to fix our own problems to a avoid our kids inheriting them. Considering what Govt has done with all the other parastatals, let’s not even talk about Eishkom, do you want them handling your health?
I don’t know. Think about this and make good choices.
Blessed be!