South Africa is about to experience a major transformation in its health care system with the signing of the National Health Insurance (NHI) Bill, which aims to provide universal health care coverage. However, the bill has faced opposition and controversy from stakeholders who question its viability, practicality, and potential impact on the economy. Despite this, the signing ceremony represents a significant shift in South Africa’s commitment to social justice and the future impact of the NHI Bill on the country’s health care system and its populace remains to be seen.