{"id":791025,"date":"2024-09-13T15:15:24","date_gmt":"2024-09-13T13:15:24","guid":{"rendered":"https:\/\/businesstech.co.za\/news\/?p=791025"},"modified":"2024-09-13T15:15:28","modified_gmt":"2024-09-13T13:15:28","slug":"south-africa-is-in-trouble-and-the-nhi-will-make-it-worse","status":"publish","type":"post","link":"https:\/\/businesstech.co.za\/news\/finance\/791025\/south-africa-is-in-trouble-and-the-nhi-will-make-it-worse\/","title":{"rendered":"South Africa is in trouble &#8211; and the NHI will make it worse"},"content":{"rendered":"\n<p>Ratings agency Fitch says that South Africa&#8217;s government debt\/GDP will likely grow, while the introduction of the National Health Insurance (NHI) poses serious risks to public finances.<\/p>\n\n\n\n<p>In its latest South Africa rating, Fitch affirmed its BB rating with a stable outlook for South Africa. <\/p>\n\n\n\n<p>The group said the country remains constrained by &#8220;low real GDP growth, a high level of poverty and inequality, a high government debt\/GDP ratio, and a rigid fiscal structure that hampers deficit reduction.&#8221;<\/p>\n\n\n\n<p>That said, the ratings are supported by a favourable debt structure with long maturities and mostly local-currency-denominated debt, strong institutions, and a credible monetary policy framework.<\/p>\n\n\n\n<p>Notably, the group forecasted consolidated government debt to rise to 76% of GDP in FY24, 77.8% in FY25 and 78.0% in FY26, which is well above the 2024 &#8216;BB&#8217; median of 55%. <\/p>\n\n\n\n<p>&#8220;This is a slower pace than we anticipated in our January 2024 review, as the government plans to withdraw ZAR150 billion (2% of estimated FY24 GDP) over FY24-FY26 from the Gold and Foreign Exchange Contingency Reserve Account (GFECRA),&#8221; said Fitch.<\/p>\n\n\n\n<p>&#8220;The GFECRA balance was ZAR507.3 billion in January 2024. The temporarily reduced pace of debt accumulation does not affect our assessment that debt\/GDP will not durably stabilise over the medium term.&#8221;<\/p>\n\n\n\n<p>The group also said it forecasts a consolidated fiscal deficit of 4.7% in the fiscal year ending March 2025, followed by fiscal deficits of 4.2% in FY25 and 4.0% in FY26, due to a moderation of general public service and transfer expenditures. <\/p>\n\n\n\n<p>&#8220;Fiscal flexibility is hampered by a rigid fiscal structure, with wages and interest payments representing 49% of total expenditure in FY24 in our forecasts. We expect revenue to remain at around 27% of GDP over the next three fiscal years.&#8221;<\/p>\n\n\n\n<p>The group also expects South Africa&#8217;s current account deficit to widen to 2.4% of GDP in 2024 (far higher than the 1.6% in 2023) before stabilising at 2.6% in 2025 and 2026. <\/p>\n\n\n\n<p>The group believes that import growth will outpace export growth, with rising domestic demand fuelled by the relaxation of energy constraints and lower policy uncertainty. <\/p>\n\n\n\n<p>The group also expects low real GDP growth of 0.9% in 2024, 1.5% in 2025 and 1.3% in 2026.<\/p>\n\n\n\n<p>This is far lower than the median &#8216;BB&#8217; forecasts of 3.2% in 2024, 3.6% in 2025 and 3.5% in 2026. <\/p>\n\n\n\n<p>&#8220;Growth is hampered by a struggling logistics sector, deeply entrenched structural factors, particularly high levels of inequality, poverty and unemployment, and weak investment.&#8221;<\/p>\n\n\n\n<p>&#8220;We expect the weakness to persist, despite robust demographics. Electricity shortages, which dragged on growth in 2022 and 2023, are expected to ease, but sporadic incidents of load-shedding could still occur.&#8221; <\/p>\n\n\n\n<p>Although the group did say that Operation Vulindlela is progressing on reforms, it does not believe that the reforms will meaningfully raise South Africa&#8217;s low economic growth potential. <\/p>\n\n\n\n<p>Looking more positively, the group said that the formation of the Government of National Unity (GNU) following the 2024 elections lowers short-term policy uncertainty, with the ANC and DA broadly aligned on key priorities, particularly on the growth-enhancing agenda. <\/p>\n\n\n\n<p>&#8220;Nevertheless, risks to political stability remain, with some topics, such as foreign policy, social grants and the national health insurance, potentially contentious. Risks are exacerbated by South Africa&#8217;s exceptional level of social inequality.&#8221;<\/p>\n\n\n\n<p>Risks to Fitch&#8217;s forecasts are balanced. <strong>Wages and the NHI Act (if implemented) pose upside risks to its expenditure forecast<\/strong>, while stronger GDP growth could increase revenue.<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong>NHI fight  <\/strong><\/p>\n\n\n\n<p>The NHI is huge point of contention in South Africa, with business people, members of the public, medical aid members, parties in the GNU and parliament&#8217;s legal team poking significant holes into the Bill. <\/p>\n\n\n\n<p>President Cyril Ramaphosa previously said that the NHI would level the playing field of South Africa\u2019s healthcare apartheid\u2014where the private sector only helps a small percentage of the population while the public sector is overburdened and underfunded\u2014through the creation of universal healthcare.<\/p>\n\n\n\n<p>Although President Cyril Ramaphosa signed the Bill into law before the election, there are still significant questions about how the fund will be created. <\/p>\n\n\n\n<p>Estimates show that funding the NHi would require increasing VAT from 14% to 21%, personal income tax by 31%, and an additional payroll tax of R1,500 per month on every working person\u2014or a potential collaboration of all three. <\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Read<\/strong>: <a href=\"https:\/\/businesstech.co.za\/news\/finance\/790985\/south-africa-sitting-on-a-r90-billion-goldmine-of-unclaimed-assets-check-if-you-are-owed-money\/\">South Africa sitting on a R90 billion goldmine of unclaimed assets \u2013 check if you are owed money<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fitch says that even though the outlook for South Africa is positive for now, rising government debt and the NHI present big upside risks.<\/p>\n","protected":false},"author":95,"featured_media":772173,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11121],"tags":[2510,26],"class_list":["post-791025","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-finance","tag-fitch","tag-headline"],"_links":{"self":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts\/791025","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\/95"}],"replies":[{"embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/comments?post=791025"}],"version-history":[{"count":3,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts\/791025\/revisions"}],"predecessor-version":[{"id":791037,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts\/791025\/revisions\/791037"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/media\/772173"}],"wp:attachment":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/media?parent=791025"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/categories?post=791025"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/tags?post=791025"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}