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About this Activity

 
Perhaps at no time in the last century has the healthcare environment been more volatile than it is today. Soaring costs, uneven distribution, limited access, and commercial interests have created a landscape in which it is imperative to ask: Is sub-Saharan Africa getting a fair share of new medical technologies — and, more importantly, who is paying the price for that innovation?
 
To help navigate these complex issues, the Medical Education Network is delighted to introduce Dr Harriet Etheredge, Ethics Lead at Genomics UK and affiliate of the Steve Biko Centre for Bioethics at the University of the Witwatersrand.
 
In conversation with MedED Editor Linda Ravenhill, Harriet will explore inequalities in access to cutting-edge medical technologies, examining both the ethical and financial implications. We’ll ask the tough questions: who ultimately bears the cost of medical innovation, and how can we ensure fair and equitable access for all patients?
 
This discussion is essential for healthcare professionals, offering insight into how innovation, ethics, and patient care intersect in today’s rapidly evolving healthcare environment.
 
Don’t miss this opportunity to hear from a leading voice in Bioethics. Be part of the conversation.
 

 

  What You Will Learn


In this one-hour discussion,  Dr Harriet Etheridge and host Linda Ravenhill will explore a number of theme's including:
 

1.  Ethics of Innovation in Medicine

 

-Promise vs. reality of new technologies (e.g. IR, AI-assisted diagnostics, robotics, genomics)

 

-Safety and efficacy: introducing technology where local data may be limited

 

-Local innovation — building African-led solutions versus inbound technology

 

 

2. Equity, Access, and the Cost of Technology 

 

-Public sector: constrained budgets, prioritisation dilemmas (specialised tech vs. essential medicines)

 

-Private sector: fragmented access, high out-of-pocket costs, reliance on medical aids

 

-Donor-driven models: questions of sustainability once funding ends

 

 

3. Payment models in practice

 

-Markup and transparency issues — patients often unaware of what they are actually paying for

 

-Medical aid coverage gaps — when funders don’t yet recognise new procedures

 

-Pay-to-play innovation: Do only those with wealth or insurance benefit from the newest innovations?

 

 

4. The Ethics of Financial Risk

 

-Is it fair for patients to carry the financial risk of innovation?

 

-How can we protect vulnerable patients from financial exploitation when it comes to new technologies
 

-Informed financial consent: patients should understand not only clinical risks but also cost risks before agreeing to new technologies
 

 


About Your Presenter
 

Dr Gareth Bydawell

Dr Harriet Etheredge (PhD) is the Ethics Lead at Genomics UK.  She holds an MSc in Bioethics and Health Law and a PhD in Health Communication from the University of the Witwatersrand and is an affiliate of the Steve Biko Centre for Bioethics, University of the Witwatersrand.

She served as Ethics and Regulatory Manager at Wits Donald Gordon Medical Centre (2015–2022) and contributed to teaching at the Steve Biko Centre for Bioethics from 2021. In 2022, she was seconded part-time to the AgenDA Research Consortium as Head of Ethics and Regulatory Compliance. Since November 2022, she has served as Ethics Lead at Genomics England, overseeing the ethical aspects of genomics research and policy.

Dr Etheredge co-chaired the Wits Human Research Ethics Committee (Medical) and is a widely published academic and ethic speaker. 

About Your Host

 
Dr Dale Creamer

Linda Ravenhill is the Founder and Editor of the Medical Education Network. With over three decades of healthcare experience, she earned an MA in Journalism from the University of the Witwatersrand, where her research focused on medical narratives surrounding end-of-life care in the elderly. 


She worked in clinical publishing with the South African Medical Association before founding her technology and digital publishing company in 1999. Her work has been widely recognised for its innovation and impact at the intersection of digital healthcare and medical communication. She was a finalist in the 2011 Cartier Women’s Initiative, served as a Ford Global Ambassador, and was a social entrepreneurial candidate for the Wavelength Foundation. In 2016, she was recognised at the Reuters EyeforPharma awards for her contribution to healthcare, specifically for creating the South African Rare Diseases education platform.

 



About Your CPD Accreditation

This activity review is accredited for 1 Level 1 Ethics point on completion of at least 90% of this webinar.

HPCSA-registered healthcare professionals
On completion of both activities, HPCSA-registered healthcare professionals will receive 1 Level 1 Ethics CPD point.
The Medical Education Network will submit a record of your completed activities to the HPCSA at the end of each month. You will receive a notification email from us informing you that this has been done.

Non-HPCSA-registered healthcare professionals.
If you are a non-HPCSA-registered healthcare professional, this activity may contribute to your accreditation requirements. Please keep a record of your certificate obtained on passing this questionnaire for submission to your respective Registration Council.  For more details on the number of points you will be awarded, please contact your Council directly.

 

 

 

 

 


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