The National Health Insurance (NHI), a much-debated initiative, took a significant stride toward implementation as the National Council of Provinces (NCOP) approved the contentious NHI Bill on Wednesday. However, dissatisfaction echoed from opposition parties and private healthcare entities, including the Hospital Association of South Africa (Hasa).
Hasa, representing the nation’s private hospitals, expressed “disappointment and concern” over the NCOP’s decision to pass the bill without considering numerous constructive suggestions from business representatives and healthcare stakeholders.
The lack of clarity surrounding the role of medical schemes, the absence of a detailed funding plan, and unresolved issues like the shortage of healthcare professionals and public health facility inadequacy raised alarms for Hasa.
Health Minister Joe Phaahla, in a parliamentary debate, hailed the bill’s passage as a “landmark moment” for the country’s healthcare system, envisioning universal health coverage through the phased implementation of NHI. He emphasized that the NHI is rooted in the principle of “ubuntu,” creating a fair, efficient, and accessible healthcare system for all, irrespective of socioeconomic status.
The Western Cape stood as the lone province opposing the bill, which will now head to President Cyril Ramaphosa for likely approval, initiating the establishment of the proposed single NHI fund.
Critics argue that the NHI, with its single state-run medical fund, may reduce the role of medical schemes and pose corruption risks similar to state-owned enterprises. Phaahla outlined the initial steps post-promulgation, focusing on establishing the autonomous NHI fund, guided by the Public Finance Management Act.
The Democratic Alliance (DA) dismissed the bill’s passing as an inadequate resolution to healthcare challenges, citing concerns about funding feasibility and strain on the national budget. Gerrit Pretorius, DA MPL and chairperson of the Western Cape standing committee on health and wellness, accused the ANC of “stealing the soul of South Africa” with the bill’s passage.
Phaahla acknowledged the positive outcome of the NCOP vote and emphasized the commitment to implementing NHI guided by constitutional values, principles of social justice, and the right to health. The bill’s passing marks a pivotal moment in South Africa’s healthcare landscape, though dissenting voices continue to highlight potential pitfalls and uncertainties.