26 August 2024, 09:30
Business and healthcare groups have reiterated their refusal to sign the Presidential health compact in its current form. Business Unity SA, the South African Medical Association (SAMA), and the SA Health Professionals Collaboration (SAHPC) stated last Wednesday that their concerns have not been addressed in the second draft of the compact. They are particularly troubled by the continued emphasis on the National Health Insurance (NHI) as the primary instrument for delivering universal healthcare.
While the organisations support the agreement's overarching goals, they question the feasibility of the NHI as the principal means of achieving those goals.
The latest draft of the compact commits the government and other stakeholders to achieving universal health coverage through the NHI and implementing related systems and service improvement plans. However, the updated wording shifts the focus from health system strengthening to NHI implementation without sufficient consultation.
Cas Coovadia, CEO of BUSA, criticised the decision to proceed with the compact without formal discussions on the NHI, describing it as counterintuitive. The groups have called for open and inclusive dialogue with the government, urging revisions to the compact to reflect a broader range of solutions and ensure stakeholder engagement remains central to the reform process.
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