What is the National Health Insurance (NHI) Bill? | Ramaphosa, ANC, private healthcare, corruption
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- Опубліковано 31 тра 2024
- In today’s episode, we are joined by guest analyst, Mighti Jamie, who unpacks the National Health Insurance (NHI) Bill that President Ramaphosa recently signed into law this week.
📚 Today’s Episode Features:
1. NHI Bill
2. Similar policies abroad
3. Private healthcare & medical doctors
💡 Special Guest - Mighti Jamie: With his finger firmly on the pulse of the nation’s socio-political landscape, Mighti Jamie brings his formidable knowledge to our channel, offering a fresh perspective on the complexities of each topic.
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_______
00:00:00 - Introduction
00:00:22 - What is NHI?
00:09:24 - Corruption
00:12:54 - NHI abroad
00:14:59 - Best case scenario
_______
Credits:
Director: Bongani Nkosi
Producer: Oratile Kekana
Production Manager: Noluthando Mkhize
DOP and Editor: Bongani Nkosi
2nd camera operator and assistant editor: Lesego Kgobe
Photographer: Bongani Nkosi
Social Media Manager: Oratile Kekana
About me: Dr Sizwe Mpofu-Walsh is an author, scholar and founder of the Sizwe Mpofu-Walsh Xperience (SMWX), a digital, youth-centred current affairs platform. He holds a DPhil in International Relations from the University of Oxford and is a Lecturer in International Relations at Wits.
![[ICYMI] 'We won't work with ANC under Ramaphosa' - MK's Nhlamulo Ndhlela](http://i.ytimg.com/vi/n4V1UhuRfyY/mqdefault.jpg)
The fund system is completely unnecessary. The current health system provides free care to the poor and its only flaws are ANC corruption and mismanagement. They are funded from the provincial health budgets and revenue from patients that do not qualify for full subsidy. A central fund system requires even more management. Some private doctors milk the private funds and they'll do he same with NHI at the taxpayer's expense. The rural problem is inherent to living in the middle of nowhere - you simply cannot operate a public or private hospital in a sparsely populated area. The problem of remoteness can be solved by introducing mobile facilities or patient transport, which can be funded through the health budget. Simply get rid of the problem, which is the corrupt and incompetent ANC - we have that rare chance in less than two weeks.
Transnet - looted - dysfunctional
Eskom - looted - dysfunctional
Postoffice - looted - dysfunctional
Denel - looted - dysfunctional
Water and sanitation - dysfunctional
Health Dept - dysfunctional
Home affairs - dysfunctional
The list goes on...
What makes anyone think this will be any different? ...
Fair point.
SAA- Bankrupt
Including all their municipalities, instead of fixing whatever that is broken and not working in the country they rush to NHI, right now they are challenging a court order to provide electricity yet they rush to NHI. Sick
basically everything government touches
I cannot see the NHI ever working, based on the track record of the current government. Wish I could think differently.
What recourse do citizens have to oppose this suspicious NHI?
Given the horrible track record of @MYANC with money, this may be a brilliant idea on paper, but thinking that this is steered by ANC is a failure before it even takes off.
Striving for equality is such nonsense, pie in the sky. People will never be equal, there will always be someone who's better than you when it comes to resources, looks, health, location, strength, IQ, etc. So pulling everyone down to one horrible level, is just a bad idea and it's immoral.
Thanks for explaining this thing for laypeople like many of us. I think that the idea is noble but the track record of our ANC government is so bad that nothing good will come off this - it will be another reservoir for money to be burned (stolen).
Thanks Jamie for what I think is the best summary I have listened to of what the NHI is all about
It is very sad that in South Africa when we talk about health we only talk about allopathic medical health services or only focus on the diagnostic or clinical aspects of healthcare. South Africa does not take a proactive approach when it comes to health which causes a ridiculous health burden on our healthcare system. Multiple negative health outcomes can be prevented if professions like Environmental Health which helps prevents the diseases, healthcare services are not only treating an illness but rather preventing it, which prevents outbreaks and reduces the demand on clinical care.
Like the sugar tax thing. Increasing the price of an unhealthy product doesn't actually dissuade consumers. It just makes them sacrifice more for it. It helps only to dissuade the casual consumer, like those who buy cool drink once a week.
Primarily health care.
Absolutely. Functional medical doctors are rarely covered as it is. It's a corrupt scheme ruled by Big Pharma.
Love the idea/practice of moving away from allopathic medicine and developing educational strategies early on with our youth as to the importance of health as a form of building legacy and wealth. Capitalism is indeed a big barrier to the collapse of allopathic medicine since latter is based on a profit motive not to mention big pharma.
'Premium' health care is a luxury. A private hospital is probably the most expensive hotel you'll ever stay. I was once in an accident near Paarl, and I was taken to a provincial hospital - did not have a TV - did not need a TV - boredom was not exactly my biggest problem at that time. I also know of these two tier practices run by private doctors where they have a proper reception and waiting room with flowers and paintings, a clean bathroom and they bill the crap out of your medical aid, but just behind the same building there's a queue of plastic chairs where you can wait with R50 or a good excuse why you don't have it and see the same doctor. I don't mind paying taxes for health care and other essentials for the poor and needy - it's the only reason I feel good paying tax, but I don't want to pay for their luxuries or some crooked liar to steal it.
1:06 Bad move by the ANC. Imagine a black person spends his entire life trying to better his life and move into the middle-class...only for his medical aid to get taken away. The ANC will now definitely lose the metros.
Exactly
Sooooo black person are working to make WMC to look better, the private sector to look better?
@@Josephalive101 To be better himself because he has principes based on Faith, Flag and Family.
Thanks for perfect understandable information, only God can rescue us as SA citizens. I am feeling so great for your powerful explaintion.
This reminds me of Venezuela where petrol is FREE... if you can find any.
lol... we will all be equal... equally poor
Great simple explanation backed up with facts, spread the 🔥 and feed the mind 🎉.
Feed your mind with misinformation
@@Josephalive101 there we go, you've got to be the biggest troll.
@@m.x.refrigxolani8365 absolutely
Love the way the guest host said “Ayeye” at the conclusion of the clip. It was absolutely dope! Thanks for elucidating the machinations of the NHI, breaking down the medical lifestyle challenges of the SA population and contextualizing SA medical data vis-a-vis those of the UK & the EU. As I am listening and learning from the US, SMWX is a breath of fresh air. Thanks a million! Mentioning the deployment of the NHI policy by the ANC preceding the upcoming election was critical as well!
Thanks for watching! 🔥
@@Sizwe.MpofuWalsh 👍🏾💯
Everything this ANC has touched has turned to dust...and they dont learn, it's the people voting for that keep giving us this disastrous and destructive party
I trust and hope this is the end of this evil man.
My big concern around NHI is the funding thereof. I've not yet heard a plan regarding where they get the money for it.
I know that the UK spends about £180Billion a year on their NHS (that's more than R4Trillion)
Last financial year, SARS collected R2.15Trillion across all tax revenues (Income, VAT, Import, etc). I'm aware we can't compare UK NHS to our NHI, I'm sure there are big differences in the cost planning, and the estimates I've seen are all over the place, but fundamentally both are an attempt at providing quality healthcare to about 60Million people. There is obviously an enormous difference between what we have and what it will cost.
I don't see how raising taxes alone will cover this. Our upper tax brackets are amongst the highest rates in the world, and increasing those along with VAT, Corporate taxes and others will surely have other negative consequences, like people leaving and thus we lose out on all their tax contributions. Of course, I've left out that this would be the largest single fund in SA's history and I doubt the corrupt gov officials would resist delving in.
I have it that NHI only becomes financially feasible if and when we have more people paying tax. Right now, I just don't see the numbers adding up, and I don't think they do either because they've been pretty vague about it. Are there other numbers/factors I'm missing?
There will have to be a tax and the socioeconomic impact assessment said that there would be a special tax for NHI for employers, employees and companies.
Excellent explanation. This can only work with NO Corruption. Stealing etc. Only VAT can finance this as ALL South Africans should contribute NOT just a few Tax payers
1. We already have Universal Health Care. Government just needed a way to double the budget. But they should compete instead of wanting to monopolize health. It's better for consumers of services.
2. We need the same thing for education. Education gives people a better chance of employment, and therefore, buying services that they need.
3. It's likely that by the time NHI is a reality, ANC won't be governing. Hopefully younger leaders will do a better job.
The destroyer can't build anything. Ramaphosa was not created to do anything good for his fellow people but only for his captors.
Basic concept is good and fair. Have serious concerns about the financing, implementation, quality , maintenance etc given government track record and growing disregard for ethical practice within wider society. As things are at present, I can't see it achieving it's worthy objectives
Indeed Healthcare is already underfunded, qualified Dr's without jobs and the funding to NHI bill, who , when and how ,,?would it materilise and manifest, to a successful Healthcare provider. For now only a paper gets signed!.
I just see our tax and vat going up🤦 instead of creating jobs so that people can afford good health insurance for them selves and their family . Yol coming up with another R350 duplicate.i hope the NHI also accounted for the people that are illegal in the country. Bcz fraud cases will be on the rise
This can only work if rigid spending and logistical controls are put in place. All management and financial operations must be taken away from government.
Medical aid companies should take over these functions .. the government should pay the funds for all citizens that do not have private medical aids … they could fund this by doing away with provincial government, stop funding parties for election campaigns aand by reducing the number of ministers and deputy ministers in parliament… alternatively their salaries and perks must be reduced .. it’s unfair that normal citizens have to pay more taxes etc to fund governments shortfalls and government officials are not put out of pocket.
Basically the multi party system system is a nightmare as far as inefficiency, corruption and mismanagement goes .. we need system change urgently.
I was fortunate enough to be part of the pilot program in the northern Cape, the most important thing about the NHI is that facilities that can get access to the funding scheme need to be categorised as ideal healthcare facilities and these facilities need to comply with all the relevant legislation. That means, even though there might be looting with regard to procurement the facilities in theory would be compliant, thus rendering a standardised system and greater access to all.
Not sure that I understand - how can facilities be smoothly available if procurement is corrupt & money is not flowing where it should?
@@sharonadams9721 For example let’s say you’re a service provider for the disposal of Health Care Risk Waste, you can only loot by charging a fixed rate rather than per kg collected at that facility. Either way, the job is done.
SMWX and Mighti Jamie must just join forces. Since you're both doing a great job individually; it is impossible to imagine what would happen if y'all just unite - just a thought.
Ndiyaxolisa am for multiplicity, I like fishing, one stop shops are boring
If it were all possible, dr Letlape and dr Crisp should come and dissect this issue.
SA Government should come to Brasil and consult here to see how private healtcare and fully funded government healthcare can co-exist and everyone gets medical cover, those that can afford the private care goes there and those that cannot gets treated by the government system which is also of excellent quality and the Gov hospitals here are growing more each year.
R1500 effectively doubles the tax of the working poor. Plus a 3 year wage deal screws them completely
DOPE 🔥
Yes top doctors are leaving... a top cardiology surgeon who operated on my wife two weeks ago, told us that he is emigrating to Canada this month... and he said many others are planning to leave
We wait one whole day for government ambiance. We need to do foundation work before promised which will take l0 years if they get it right today is 5 months i lost my dear husband. Before the bill got signed they should have visited all goverment hospital and clinic.
Why are you not on the ballot?
“the number of blessings that have been dished out in Sandton, Rosebank, Midrand and Pretoria are exponential at this particular point.” Bars! 😂
😂😂😂
Said it with a straight face 😅
Firstly they don't maintain the hospital builds,,, secondly they don't hire Doc or nursery ... They need to start with the foundation ...fix RSA eating our money!!!
My brother. Please also tap into the energy bill that just got signed.
With the onset of this NHI here many more doctors will leave for greener pastures
Oh shame ANC is desperate.
Where are they going to find funds?
This is just a paper without action shame 😂
Yes!!! Agree 100% !!!
From tax payers, even if it takes tripping tax it will happen 😊
I donk really understand the negetive issue against nhi
Our government has never been in favour of us, everything has always been to sponsor their investments and families.
Just a few years ago there were scandals regarding the billions which were allocated for COVID, the health department leading all departments with corruption.
So that could explain the negative reactions behind this bill.
Following my comments, what is the major cause of alcohol abuse, millions of people have no work, so people have no direction. And who caused the joblessness, only one answer = anc. The anc have grossly failed its people.
Can you present a statistics bases on total number of people per race vs percentage on medical aid in the same race. E.g. Total coloured population 1 million, total coloured people on medical aid 10.
If everyone should be treated the same .. everyone should have jobs so that everyone can contribute to NHI.
There aren’t enough tax payers to support governments lavish spending. There’s 4 times as many grant recipients as personal income taxpayers.
SA has 7.1 million taxpayers .. 2 million of those pay 90% of income tax. The number of people receiving grants is 27.8 million.
Our government can the current situation right, do we thing they are preparing other fall and disappointed citizen. I am a penioners. I was taking my sick husband to a O R Thambo hosipatal. He passed on 18 December 2023. One just gets the run around. Because you are penioner you to old .To sum in simple language we can help you. So take this meds. We needs dedicated nurses Drs and administrator first not a bill to be signed.
What does SMWX stand for? Like the meaning of the name?
That's Sizwe initials
SizweMpofuWalshXperience.
Sizwe Mpofu Walsh Xperience.
ahh i see thanks guys
Stand for EFF propaganda mouth piece
Election Gimmick: Yes. No money to pool for now. If managed well, the NHI would be a great system, and I would support it. But with the ANC track record, good management is unlikely for now.
Who said NHI will be implemented 100/ from tomorrow?
@Josephalive101 I read the white paper 2001. It's good, but just being wheeled out for elections.
We will have a mass exodus of health care professionals from the country. This will impact everyone and middle class/in demand skills will also be lost, as this puts their families' lives at risk!! Does this legislation compel ANC and their families to use NHI??? It will meet the objective of total equality - everyone left in SA will be equal in having no access to adequate health care!! 🙄🙄
Imagine people who can't close a pothole say that they'll fund hospitals with billions 😂😂 😭😭!!
EFF said the government must nationalize everything.
Crisp who is a big name behind this is very dodgy too. He is NOT interested in growing the economy and his ideas just lead to the destruction of healthy competition.
Once I heard you saying "on the basis of race", I became very suspicious of what you are about to say on rest of the video. Because that is not true. Access to private health care is based on the affordability, anyone can access it, as long as they can afford it. Thank you.
I thought he will give a balanced and informed analysis. I was watching the CEO of Metropolitan life, he was saying the NHI must be implemented and the stake holders should focus on how best to implement it.
1:17 I think u cannot say that access to premium health care is separated by race, that is a logical miss step. Discovery and other medical aids only care about the color green. Medicals aren't turning blacks away. The race issue is secondary to the economic issue. Yes you are correct that white south Africans benefit from the private institutions disproportionately but to fix that ensure that more black people can afford it. 15 years of a stagnant econmony and poorly done transformation is the cause of the demographic make up of private health care usage.
Truth is we already have universal health care. Anyone can go to a clinic, see a doctor and then continue treatment in theory and we already pay tax for the current health care. Private health care exists because the public version is bad people will self impose a tax upon themselves to not go through the torture that is the public system. But the government sees an opportunity to loot more and also appeal to its base of poor black voters, two birds one stone.
👌 exactly 👏
NFSAS doesn't produce more employable graduates, or is there some statistic I'm not aware of. NFSAS gets glory, but considering those qualifying for tertiary education are the 'cream of the crop' among their peers, we're basically distributing wealth from the have nots to the haves. We spend more on students than on the elderly and disabled. I reckon if we found spare money for education, we'll have more to show for it if we spent on pre schoolers and first graders from piss poor families, not on a laptop for someone who fails his first year in humanities. RSA has had spending deficits since Zuma/Gordhan and we now owe over R4 fuckin' trillion, with no economic growth to show for any of it.
The anc and some will blame jan van Riebeck for the failed medical system.😂
the mic is impeding the tie!
😂😂😂😂
Do you realise that nhi will increase the need for gps? Many people will be covered for gp visits.
Stop spreading negetive misconception.
Nhi is a very good initiative
So Ramaphosa had to wait until elections are close. Create fan fare to sign a bill. Whether it’s real but it’s like stopping loadsheding a months before election.
Will vote MK
The idea here is for you to vote for EFF
UK cannot be an option for the doctors and nurses to run away from the NHI to the NHS. . We NHS become a shambles in last 7 years.
That’s due to 14 years of underfunding by the Conservative govt. The NHS always suffers when they are in power. The Conservative party’s agenda has always been to replace the NHS with a privatised healthcare system
If the UK is struggling is imagine what will happen to SA
South Africa will teach the world how to implement the universal health care system.
@@Josephalive101 I hope you’re right. The only country I have seen with a truly universal public health system is Cuba. With more resources, SA could easily rival theirs.
The vocational training of doctors, nurses and other medical practitioners is in essence subsisidised by the taxpayer. On completion of their studies they should be compelled, as a moral duty, to be deployed to the rural areas to pay off their debt to the taxpayers!
I think we already make them serve two years community service. But maybe that should be bumped up to 3-4
@@caven7056 so how come 800 or more qualified doctors have not been deployed?
Ts bcs of this corrupt ANC, burseries did a good job by funding student doctors and other health professionals but when it comes to placement of these professionals after community service, Governments says there’s no budget to pay them . That’s y we have this high number of unemployed healthcare professionals
Great opportunity for looting.
And who is going to fund this kak
Why always race they work hard forgood health care
It is going to take 10 years for this bill to work. So dont get carried away. You still stuck
Your statistics is hugely flawed
Prove it
The worst journalism ever.
Don't watch or give it your attention!
This is EFF propaganda mouth piece. The very same EFF want the government to nationalize everything including land.
Spread 🔥🔥🔥🔥🔥 #SMWX
#Mighti_Jamie
#AYEYE!