As a strategic purchaser the NHI should be expressly pro-public sector and strategically focus on building capacity in under resourced areas such as clinics and hospitals in poorer urban communities and in rural facilities, writes Dr Lydia Cairncross.
Government has failed in its duty to regulate the private health sector which is “neither efficient or competitive”, according to the Competition Commission’s report on the Health Market Inquiry (HMI) into the private sector.
Government’s National Health Insurance (NHI) Bill is not the only roadmap to quality healthcare for all in South Africa. The Health Market Inquiry into the private healthcare sector report points the way toward an alternative, possibly more effective, approach.
Now is not the time to get stuck in complacency and triumphalism over the gains made in the global HIV/Aids response, says former president of the International Aids Society Prof Linda-Gail Bekker.
A lack of public participation and transparency, and the Minister of Health being given too much power – Tendai Mafuma explores some key concerns with NHI’s proposed governance arrangements.