Deputy Director General of National Health Insurance, Dr Nicholas Crisp says not all state-owned entities are like Eskom.
Despite loud and vociferous lobbying both for and against National Health Insurance in South Africa, the Department of Health says that citizens will ultimately have to trust that the government will get it right.on the NHI this week, Deputy Director General of National Health Insurance, Dr Nicholas Crisp, said that while the risks of universal healthcare becoming another Eskom or SAA are present, it is just as likely for the system to become like SARS or ACSA.
According to Crisp, many of the complaints and pushback against the NHI are rooted in applying concerns about healthcare today to solutions that will only be realised in 15 to 30 years. “But we have to plan for the future – we have to take responsibility for fixing the things that don’t work. We don’t fix them by 1 April next year; we fix them on a continuous and ongoing basis,” he said.
Complexities and inefficiencies bog down public healthcare on a structural level, where provincial health departments have no control over disparate parts – like human resources, infrastructure, etc. In addition, corruption has also become rife. The medical aid industry has raised this on several occasions and the problem has even been flagged as a constitutional issue by Parliament’s legal advisors: implementing the NHI would remove freedom of choice from those who would prefer to seek private healthcare.
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