Why do we have the Limpopo health MEC railing at a Zimbabwean patient? In my view, the answer lies in distraction. The more a state fails its people, the more it must disguise this failure with scapegoats and bogeymen.
The historian Robert Caro revised the old saying ‘power corrupts’ with the more insightful ‘power reveals’.
This will be the case in societies that have properly anticipated the worst that people can do and have therefore institutionalised governance frameworks that avoid the abuse of power. Of enormous credit to its developers, the very idea of decency embodied in the Constitution is deliberately applied, without exception, to “everyone” and not merely to “citizens”.
As with interprovincial cross-boundary flows, a successful framework required a multilateral government process to ensure that such flows are compensated on an acceptable basis upon the presentation of proof of the expense incurred. After 28 long years, apart from a few exceptions, public hospitals are also unable to properly construct invoices — due to the apparent inability of provinces to procure ICT systems that work or to even develop a costed tariff schedule .
Not only does this obstruct the development of public health strategies; but it also indicates that no one in government is particularly interested in the development of a resilient public health system. Second, you make out the focus of your target to be all-powerful, evil, wily and manipulative while you yourself are virtuous, vulnerable and bravely struggling for the greater good.
This has led to failing health services, failing infrastructure, failing energy production and distribution, failing public transport and the failure to manage the regional movement of people.
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