South Africa is facing a pressing need to counteract fraud in its public sectors, particularly in health and justice. The Special Investigating Unit revealed probable losses of R3 billion due to fraudulent medicolegal claims, exposing systematic weaknesses within the state’s domains. The Standing Committee on Public Accounts has called for systemwide interventions, including the introduction of a due diligence checklist in the Department of Health and the Office of State Attorney. This is a crucial turning point in South Africa’s battle against fraud and collaboration, highlighting the urgent need for systematic change.