{"id":805287,"date":"2025-01-07T09:06:41","date_gmt":"2025-01-07T07:06:41","guid":{"rendered":"https:\/\/businesstech.co.za\/news\/?p=805287"},"modified":"2025-01-07T09:06:46","modified_gmt":"2025-01-07T07:06:46","slug":"government-wants-to-take-away-peoples-medical-aid-and-healthcare-choice","status":"publish","type":"post","link":"https:\/\/businesstech.co.za\/news\/government\/805287\/government-wants-to-take-away-peoples-medical-aid-and-healthcare-choice\/","title":{"rendered":"Government wants to take away people\u2019s medical aid and healthcare choice"},"content":{"rendered":"\n<p>Sakeliga warns that the government\u2019s National Health Insurance Act (NHI) is an absurd proposal which will have devastating economic repercussions.<\/p>\n\n\n\n<p>President Cyril Ramaphosa signed the NHI Act into law in May 2024 before the South African general elections.<\/p>\n\n\n\n<p>The NHI cost the ruling party dearly at the polls, demonstrating its unpopularity among all South Africans.<\/p>\n\n\n\n<p>However, despite the stiff resistance to the proposed NHI, the government is blindly pushing ahead with the proposal.<\/p>\n\n\n\n<p>Last month, Health Minister Aaron Motsoaledi, said that he intends to introduce the Governance Regulations to the National Health Insurance Act.<\/p>\n\n\n\n<p>These regulations will provide for establishing the structures and processes for the fund\u2019s governance.<\/p>\n\n\n\n<p>This includes the appointment of a Board, Board Committees, statutory Advisory Committees and a Chief Executive Officer.<\/p>\n\n\n\n<p>While the government is barrelling ahead with its NHI plans, many stakeholders are challenging it through legal channels.<\/p>\n\n\n\n<p>On 24 July 2024, the Pretoria High Court declared a section related to the legislation\u2019s provision for a \u201cCertificate of Need\u201d invalid.<\/p>\n\n\n\n<p>This section is linked to the National Department of Health exerting more control over where doctors and medical professionals can practice in the country.<\/p>\n\n\n\n<p>Solidarity argued that the requirement of a certificate of need infringes unlawfully on the right of health practitioners to practise their profession.<\/p>\n\n\n\n<p>Solidarity\u2019s challenge is not the only legal battle the government faces in its implementation of NHI.<\/p>\n\n\n\n<p>The second-largest party in the Government of National Unity, the DA, has always staunchly opposed the ANC\u2019s NHI plan.<\/p>\n\n\n\n<p>When the Bill was signed into law earlier this year, the DA vowed to \u201cchallenge the ANC\u2019s NHI all the way to the Constitutional Court\u201d.<\/p>\n\n\n\n<p>\u201cOur legal team was briefed months ago already and will file our legal challenge against this devasting legislation without delay.\u201d<\/p>\n\n\n\n<p>Several other institutions have also threatened legal action against the government regarding the implementation of the NHI.<\/p>\n\n\n\n<p>Cas Coovadia, the CEO of Business Unity South Africa, said that, in response to the NHI becoming law, the organisation would consider its options, including legal action.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Sakeliga warning about NHI<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><a  data-lightbox=\"post-image\" href=\"https:\/\/businesstech.co.za\/news\/wp-content\/uploads\/2024\/07\/Motsoaledi-NHI.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/businesstech.co.za\/news\/wp-content\/uploads\/2024\/07\/Motsoaledi-NHI-1024x576.jpg\" alt=\"\" class=\"wp-image-782108\" srcset=\"https:\/\/businesstech.co.za\/news\/wp-content\/uploads\/2024\/07\/Motsoaledi-NHI-1024x576.jpg 1024w, https:\/\/businesstech.co.za\/news\/wp-content\/uploads\/2024\/07\/Motsoaledi-NHI-300x169.jpg 300w, https:\/\/businesstech.co.za\/news\/wp-content\/uploads\/2024\/07\/Motsoaledi-NHI-768x432.jpg 768w, https:\/\/businesstech.co.za\/news\/wp-content\/uploads\/2024\/07\/Motsoaledi-NHI.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\">Health Minister Aaron Motsoaledi<\/figcaption><\/figure>\n\n\n\n<p>Sakeliga warned that the NHI&#8217;s outrageous framing attempts to anchor negotiations outside any reasonable window.<\/p>\n\n\n\n<p>It highlighted many problems with the NHI Act, which include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>There is no money for it<\/strong> &#8211; At an estimated R1 trillion per year, the NHI is economically unrealistic and arguably impossible.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Non-cooperation within healthcare<\/strong> &#8211; The NHI is unpopular among healthcare companies, doctors, and patients. This alone would render it defunct.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Litigation<\/strong> &#8211; The NHI Act is legally challengeable on numerous grounds, and several parties are mounting or preparing concerted and complementary litigation from several angles.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Time <\/strong>&#8211; The NHI is not yet in effect, and implementation will likely be very slow, highly inefficient, and face political friction.<\/li>\n<\/ul>\n\n\n\n<p>Sakeliga said that if the NHI Act was implemented, many professionals would exit healthcare, retire early, or emigrate.<\/p>\n\n\n\n<p>Fewer talented young people will pursue medical careers, and critical staffing shortages will begin to create long waiting lists.<\/p>\n\n\n\n<p>The result will be a dramatic fall in healthcare quality and a chronically overburdened healthcare system.<\/p>\n\n\n\n<p>Another problem is that the state will control citizens\u2019 healthcare, and everyone will become an applicant in a state system.<\/p>\n\n\n\n<p>Private medical aids and insurers would largely disappear, leaving the state to control what healthcare people access and when.<\/p>\n\n\n\n<p>To fund the system, the state will have to significantly increase taxes and put an additional burden on the economy.<\/p>\n\n\n\n<p>Sakeliga warned that the state is intent on eliminating healthcare independence, choice, and competition.<\/p>\n\n\n\n<p>\u201cThe NHI threatens to create another Eskom-like monopoly where health-shedding becomes a permanent feature,\u201d it said.<\/p>\n\n\n\n<p>\u201cThe National Health Insurance Act (NHI) is a disastrous proposal and must be opposed until it is undone or rendered practically impotent.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sakeliga warns that the government\u2019s National Health Insurance Act (NHI) is an absurd proposal which will have devastating economic repercussions.<\/p>\n","protected":false},"author":10,"featured_media":772875,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23],"tags":[19423,1293,21309],"class_list":["post-805287","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-government","tag-aaron-motsoaledi","tag-cyril-ramaphosa","tag-national-health-insurance-act-nhi"],"_links":{"self":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts\/805287","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=805287"}],"version-history":[{"count":1,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts\/805287\/revisions"}],"predecessor-version":[{"id":805288,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts\/805287\/revisions\/805288"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/media\/772875"}],"wp:attachment":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/media?parent=805287"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/categories?post=805287"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/tags?post=805287"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}