The South African Parliament has approved the National Health Insurance (NHI) Bill, marking a groundbreaking move towards achieving universal healthcare in the country. Despite opposition from various parties, including the Democratic Alliance (DA), Economic Freedom Fighters (EFF), and Inkatha Freedom Party (IFP), the African National Congress (ANC) leveraged its majority in the National Assembly to secure the bill’s passage.
Overhauling the Healthcare System
The NHI Bill proposes a complete overhaul of the nation’s healthcare system. Under the bill’s provisions, most healthcare services, including doctor’s visits and medications, would become free for all citizens. Comprehensive medical schemes, which currently serve approximately nine million South Africans, would be phased out, and medical schemes would be prohibited from covering services already provided by the NHI.
Financing the NHI
To finance the NHI, the government intends to implement an additional tax on personal income and reallocate the savings generated by eliminating tax credits for medical scheme membership. Health Minister Joe Phaahla has passionately advocated for the bill, emphasizing the need to address the current disparities between the public and private sectors of South Africa’s healthcare system.
Criticisms and Concerns
Not everyone is on board with the proposed legislation. DA MP Michele Clarke has denounced the bill as “disastrous,” arguing that it would wreak havoc on South Africa’s healthcare system. Moreover, concerns about corruption have been raised, with some critics drawing parallels to the mishandling of the COVID-19 pandemic. EFF President Naledi Chirwa has gone as far as to label the NHI Bill as one of the ANC’s biggest “scams.”
IFP MP Magdalena Hlengwa warns that the NHI Bill could hinder access to healthcare due to its substantial funding requirements. Hlengwa also raises concerns about the bill granting excessive powers to the health minister, which could lead to undue influence and negatively impact oversight.
Support with Reservations
Despite these criticisms, some parties, such as the GOOD Party, have expressed support for the bill, albeit with reservations. GOOD Party MP Brett Herron acknowledges the bill’s imperfections but emphasizes the significance of its aims. The party highlights the importance of addressing potential barriers to the NHI’s success, including corruption.
Moving Forward
With 205 votes in favour and 125 against, the NHI Bill now moves to the National Council of Provinces (NCOP) for review. The NCOP will hold further public hearings before the legislation is sent to the president for final approval. The NHI Bill’s journey has been fraught with challenges and opposition, but its advocates believe that it represents a crucial step towards a more equitable healthcare system for all South Africans.
