Essay on South Africa: National Health Insurance Feasability

Essay on South Africa: National Health Insurance Feasability

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The National Health Insurance (NHI) was proposed by the African National Congress (ANC) in 2007 but until now, proposals such as these have not been taken seriously as South Africa has tried to achieve a health system that provides health care accessible to all. The core intention of this reform of the NHI is to raise up to 5% of Gross Domestic Product (GDP) in additional taxes to achieve a total public spend equivalent to 8% of GDP. The ANC have procured 4 documents to date regarding the NHI and some proposals contain important financial and related efficiency implications which are not clear. The NHI has put forth many recommendations which will be discussed further.
Objectives of National Health Insurance:
The NHI plans to provide progressive development of a health system including its financing mechanisms into one that ensures that every citizen is able to access health services and furthermore it also ensures that everyone is protected from monetary difficulties pertaining to these health services.
The National Helath Insurance aims to provide better accessibility to good health care to all South Africans irrespective of their employment status. They also wish to bring together risks and funds so that fairness and social cohesion will be attained through the creation of one fund.

The NHI wants to establish an ‘NHI Fund’ which will collect revenue, pool the revenue and purchase all health services in South Africa. This fund will be managed by a Chief Executive Officer that will be appointed by the Minister of Health “similar to the way the SARS (South African Revenue Service) Head reports to the Minister of Finance”4. The NHI Fund wants to operate as a separate body from the civil service of South Africa as this is prac...


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...rd medical aid.
Another point of concern is the fact that those who are rich do not benefit from the NHI much. Those who earn in the upper brackets in society will pay more tax than low income earners. However, because those who are rich can afford to pay extra, they will more likely spend extra on personal medical aid and thus still receive better treatment than those who cannot afford it.
Gender and NHI
1st for women.. etc. more affordable for
Race and NHI

Bio medical approach and NHI
The NHI incorporates not only the biomed approach but also the psycho-socio environmental model. It seeks to provide holistic medical care to patients that not only focus on treatment of the specific ailment, but also on social, environmental and subsequent factors.
Psycho-socio environmental approach and NHI



Works Cited

[1]: http://www.kznhealth.gov.za/comms/pmtct4.9.12.htm

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