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August 6, 2018 deur Mareli Rall

What is National Health Insurance (NHI)?

The NHI is a central fund that the state wants to create, which will be executed by the various provincial health departments. The NHI-programme will be funded through additional tax revenue. The public can still belong to their own medical aid, but will still be obliged to contribute to the NHI fund monthly and to be a member of the NHI. The state will also make use of the services of private medical facilities and determine price controls over medication and services. The state will be in control of the entire health sector and medical treatment.

AfriForum is strongly opposed against National Health Insurance (NHI) and is of the opinion that this is yet another unrealistic and socialistic state project that will limit and ultimately destroy the freedom of the public (as healthcare consumers), as well as the freedom of doctors and other health practitioners (as the suppliers of healthcare).

AfriForum believes that the NHI will destroy the private health sector and that all service delivery will be lowered to the level of our current public health sector. Should the state implement the NHI, it will ultimately destroy the private health sector and medical aids by making it unaffordable for members of medical aids to still belong to these medical aids. This will mean that everyone in the country will ultimately be subjected to poor state services due to affordability reasons.

AfriForum furthermore views the NHI as a direct attack on the middle class and on quality medical care in South Africa. We also view this as a desperate attempt to try to compensate for the self-created mess in the public healthcare sector. There are also too few tax payers in the country to fund the NHI, and the economy is growing too slowly to make the NHI sustainable. As a result of a shortage of medical practitioners, medicine and people to fund the NHI, medical care will ultimately be more expensive for everyone.

You can help! Provide your input on the NHI fund and your comments will be submitted directly to Dr Anban Pillay, Director-General of Health (Private Bag X 828, PRETORIA, 0001 or by email at anban.pillay@health.gov.za).


What is the NHI?