National Health is now relying on the Development Bank of Southern Africa to fund the rebuild
In the past 10 years, Gauteng Health has had seven MECs and nine HoDs. In the past year, it has been sued for R1,6 billion in medico-legal claims. It has paid out around R300 million. There were 4701 serious adverse events in the province in 2020.
But they do tell a story. A story of unreliable and sometimes outright dishonest leadership. Of squandered budgets. Of people in the system not being listened to. A health right in itself means little without a system to support it. The right to health requires that we adopt an understanding of the health system as a core social institution.compare an effective health system to a fair justice system. They say, “The right to a fair trial is widely recognised to have strengthened many court systems. It has helped to identify the key features of a fair court system [such as independent judges, legal aid, and trials without undue delay].
So the first thing, I would argue, is actually putting the right to health at the centre of the health system in this province. This means more than Batho Pele posters in clinics – displayed but generally ignored. It means making sure contraception is available to all.
An oft-mooted option is a national intervention under section 100 of the Constitution. This section provides for national executive intervention when a province cannot or does not fulfil an executive function under the Constitution. The intervention can take the form of a directive telling the province what it is doing wrong and how to fix it or national assuming responsibility for the province’s obligations.
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