AfriForum, a civil rights entity in South Africa, has expressed its opposition to the National Health Insurance (NHI) bill, citing fears over potential repercussions on the country’s healthcare. They have committed to actively contesting the legislation and mobilizing opposition factions to challenge it in a Constitutional Court lawsuit. The ongoing struggle between different visions for the future of healthcare in the country and the complex interplay between political power, civil society, and constitutional duty are highlighted.