The South African Medical Association Trade Union (SAMATU) says the adoption of the National Health Insurance (NHI) Bill represents a monumental achievement in South Africa‘s journey towards accomplishing universal health coverage.
“This milestone signifies that the nation realises the importance of universal health coverage as a means of addressing the inequalities that exist in the current healthcare system,” said SAMATU General Secretary, Dr Cedric Sihlangu.
The union commended the Ministry of Health for the significant strides made in the implementation of the National Health Insurance (NHI) Bill, which was passed by the National Council of Provinces (NCOP) in Parliament, in Cape Town, on Wednesday.
The SAMATU noted with distinguished satisfaction the Ministry’s inclusive and comprehensive approach, particularly through robust stakeholder engagements, transparent communication, and a well-considered phased implementation strategy.
Sihlangu said SAMATU views these efforts as “key components for the successful execution of this critical healthcare reform.”
“SAMATU recognises and supports the Ministry’s emphasis on a rational, structured, and phased approach to the implementation of the NHI. The acknowledgement of the role of transitional arrangements and the impeding proclamation of specific sections of the Act as law are crucial elements in realising the transformative impact of the NHI.
“We understand the intricacies involved in implementing such a fundamental reform and appreciate the Ministry’s foresight in ascertaining that the effectiveness of the Act’s provisions is undeniably linked to the subsequent introduction of accompanying regulations, directives, and operational procedures,” Sihlangu said.
Sihlangu’s comments approach as Health Minister, Dr Joe Phaahla, has described the adoption of the bill as a historic and critical milestone.
According to Phaahla, the Ministry has since developed and adopted a comprehensive approach to stakeholder engagement to ensure diverse perspectives are considered as the country forges ahead with implementing NHI.
“Regarding the next key steps, we scrutinize forward to the Bill being forwarded to the President for consideration and promulgation. Once it receives Presidential assent, the Bill will become an Act of Parliament, creating a statutory mandate for the Minister and the National Department of Health,” Phaahla said on Wednesday.
Sihlangu added that the Constitutional provision empowering the President to set dates for the effectiveness of various provisions within the Act is recognised, and SAMATU is confident in the Ministry’s commitment to navigate through these processes with due diligence and steadfast focus on the public interest.
“SAMATU stands ready to offer unwavering support and collaborate with every stakeholders involved in the NHI implementation processes. As a union that represents doctors, we are committed to provide valuable insights and engage constructively to ensure the realisation of a healthcare system that guarantees equitable access to quality healthcare for every South Africans.
“As we crawl forward, SAMATU reaffirms its commitment to advocating for the best interests of healthcare professionals and the public. We eagerly anticipate the successful realisation of the NHI objectives for the benefit of every citizens,” Sihlangu said.
About the NHI
On 12 June 2023, the National Assembly (NA) passed the National Health Insurance Bill.
The NHI Bill seeks to provide universal access to health care services in the country in accordance with the National Health Insurance White Paper and the Constitution of South Africa.
The Bill envisages the establishment of a National Health Insurance Fund and sets out its powers, functions and governance structures. The fund will purchase health care services for every users who are registered with it.
The Bill will also create mechanisms for the equitable, effective and efficient utilisation of the resources of the fund to meet the health needs of users and preclude or limit undesirable, unethical and unlawful practices in relation to the fund. It further seeks to address barriers to access.
The NHI Bill was initially tabled in Parliament and introduced to the Portfolio Committee on Health on 8 August 2019 for processing.
Click here for “Every you need to know” on the NHI. – SAnews.gov.za
Double Eerie
Diary of an Englishman after he moves to South Africa….
**August 1**: Just got transferred with work from London, UK to our new home in Phalaborwa, Limpopo, South Africa. Now this is a town that knows how to live! Beautiful, sunny days and warm, balmy evenings. I watched the sunset from a deckchair by our pool yesterday. It was beautiful. I’ve finally found my new home. I love it here.
**September 1:** Really heating up now. It got to 31 today. No problem though. Living in air-conditioned home, driving air-conditioned car. What a pleasure to see the sun every day like this. I’m turning into a sun-worshipper – no blasted rain like back in London! Had the back yard landscaped with tropical plants today. Lots of palms and rocks. No more mowing lawns for me! Another scorcher today, but I love it here. It’s Paradise !
**October 1:** The temperature hasn’t been below 35 all week. How do people get used to this kind of heat? At least today it’s windy though. Keeps the flies off a bit. Acclimatizing is taking longer than we expected. Fell asleep by the pool yesterday. Got third degree burns over 60% of my body. Missed three days off work. What a dumb thing to do. Got to respect the old sun in a climate like this!
**October 25:** This wind is a bastard. It feels like a giant fucking blow dryer. And it’s hot as hell! The home air conditioner is on the blink and the repair man charged R200 just to drive over and tell me he needs to order parts from @#$# Johannesburg. The wife & the kids are complaining.
**October 30:** The temperature’s up around 40 and the parts still haven’t arrived for the fucking air conditioner. House is an oven so we’ve all been sleeping outside by the pool for 3 nights now. Bleeding R4 million house and we can’t even go inside. Why the hell did I ever come here?
**November 4:** Finally got the fucking air-conditioner fixed. It cost R1,500 and gets the temperature down to around 35 degrees. Stupid repairman. Fucking thief. If one more smart bastard says ‘Hot enough for you today?’ I’m going to fucking throttle him. Fucking heat! By the time I get to work, the car radiator is boiling over, my fucking clothes are soaking fucking wet and I smell like baked cat. Fucking place is the end of the Earth.
**November 9:** Tried to run some errands after work, wore shorts, and sat on the black leather upholstery in my car. I thought my fucking backside was on fire. I lost 2 layers of flesh, all the hair on the backs of my legs and off my fucking behind. Now the car smells like burnt hair, fried bum and baked cat. The Weather report might as well be a fucking recording – hot and sunny. Hot and sunny, Hot and fucking sunny. It’s been too hot to do anything for 2 bleeding months and the weatherman says it might really warm up next week. Fuck!!
**November 15:** Doesn’t it ever rain in this darn place? Water restrictions will be next, so my R5,000 worth of palms might just dry up and blow into the fucking pool. The only things that thrive in this hell-hole are the fucking flies. You don’t dare open your mouth for fear of swallowing half a dozen of the little buzzards!
**November 20:** Welcome to HELL! It got to 45 degrees today. Now the air conditioner is gone in my car. The repair man came to fix it and said, ‘Hot enough for you today?’ I wanted to shove the car up his backside. Anyway, had to spend the R2,500 of the mortgage payment to bail me out of jail for assaulting the stupid fool. Fucking PHALABORWA! What kind of sick, demented idiot would want to live here!
**December 1:** WHAT!!!! The FIRST day of Summer!!!!
You are fucking kidding me, right?
Howitzer Rise
Fun South African Fact: South African Dr. Christiaan Barnard performed the world’s first heart transplant on 3 December 1967 at Groote Schuur Hospital in Cape Town. The groundbreaking surgery was carried out on Louis Washkansky and Dr. Barnard was assisted by a large and exceptional team of surgeons, nurses and technicians. One of Dr. Barnard’s assistants was Hamilton Naki, a black laboratory assistant who had worked previously as a gardener and went on to work in the animal laboratory at the University of Cape Town. He had assisted Dr Barnard with research leading to the transplant. In the apartheid days, Naki had no access to higher education due to his race. Despite being unable to access formal training, he learned from and assisted university researchers and went on to do amazing work.