{"id":339245,"date":"2019-09-06T09:56:34","date_gmt":"2019-09-06T07:56:34","guid":{"rendered":"https:\/\/businesstech.co.za\/news\/?p=339245"},"modified":"2019-09-06T09:58:40","modified_gmt":"2019-09-06T07:58:40","slug":"medical-aid-boss-breaks-down-whats-wrong-with-the-new-nhi","status":"publish","type":"post","link":"https:\/\/businesstech.co.za\/news\/business\/339245\/medical-aid-boss-breaks-down-whats-wrong-with-the-new-nhi\/","title":{"rendered":"Medical aid boss breaks down what&#8217;s wrong with the new NHI"},"content":{"rendered":"<p>South African medical aid schemes are concerned about the role they will play under the new National Health Insurance (NHI), according to Fedhealth&#8217;s principal officer, Jeremy Yatt, who was speaking at a Norton Rose Fulbright event in Sandton on Wednesday (4 September).<\/p>\n<p>Yatt said that Section 33 of the new <strong><a href=\"https:\/\/businesstech.co.za\/news\/government\/333817\/how-you-will-be-paying-for-the-nhi-and-what-happens-to-your-medical-aid-everything-you-need-to-know\/\" target=\"_blank\" rel=\"noopener noreferrer\">NHI bill<\/a><\/strong> currently states that &#8216;medical schemes may only offer complementary cover to services not reimbursable by the (NHI) fund&#8217;.<\/p>\n<p>This poses problems as to what illnesses will and won&#8217;t be covered by the system, and where medical aids will have to step in, he said.<\/p>\n<p>&#8220;I can&#8217;t get my head around an NHI system that doesn&#8217;t cover everything,&#8221; he said. &#8220;(You may) have a rare disease such as haemophilia &#8211; which is very expensive &#8211; and the government may decide that they are not going to be covering that.<\/p>\n<p>&#8220;Where are you going to get your cover then? You can go to a medical scheme, and they can say &#8216;we are not sure that we want to cover this&#8217;. We don&#8217;t know what medical schemes are obliged to do.&#8221;<\/p>\n<p><strong>&#8216;How much have they thought about this?&#8217;<\/strong><\/p>\n<p>When issues like this arise, questions must be raised about how much thought has actually gone into the new NHI, said Yatt.<\/p>\n<p>Irrespective of other issues with the proposed system, there are major gaps in the role of medical aids in South Africa, he said.<\/p>\n<p>&#8220;The problem is that we have state facilities &#8211; an existing national health system &#8211; that doesn&#8217;t work.<\/p>\n<p>&#8220;The same people that are in charge of this system will be running the NHI. It almost seems like the idea of equality is to give everyone lousy service.&#8221;<\/p>\n<p>Yatt said that no one in the medical aid industry was against universal health coverage, and that it should be offered to both locals and foreigners.<\/p>\n<p>However, he cautioned that the proposed NHI in its current form could be disastrous.<\/p>\n<p>&#8220;We need to find a way to offer universal health coverage, but to rush through something like this is going to set us back.<\/p>\n<p>&#8220;We have already had a number of doctors asking how this will affect them and enquiring as to whether they should move to somewhere like Australia.<\/p>\n<p>&#8220;We have also had a number of members ask about how this will affect them. This uncertainty is the last thing our system needs.<\/p>\n<p>&#8220;We need to oppose the model that has been given to us, and we need to provide alternatives.&#8221;<\/p>\n<hr \/>\n<p><strong>Read: <a href=\"https:\/\/businesstech.co.za\/news\/government\/338919\/the-bizarre-way-government-plans-to-fund-the-nhi\/\" target=\"_blank\" rel=\"noopener noreferrer\">The bizarre way government plans to fund the NHI<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>South African medical aid schemes are concerned about the role they will play under the new National Health Insurance.<\/p>\n","protected":false},"author":10,"featured_media":96741,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9872],"tags":[26,7075],"class_list":["post-339245","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-business","tag-headline","tag-norton-rose-fulbright"],"_links":{"self":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts\/339245","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/comments?post=339245"}],"version-history":[{"count":9,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts\/339245\/revisions"}],"predecessor-version":[{"id":339275,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts\/339245\/revisions\/339275"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/media\/96741"}],"wp:attachment":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/media?parent=339245"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/categories?post=339245"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/tags?post=339245"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}