It seems that the underlying assumption of the National Health Insurance (NHI) Bill, which seeks to force the public and private health systems into a hasty marriage, is that throwing money at the current Health Department Crisis will resolve all problems.
In actual fact, nothing could be further from the truth, and in retrospect, the NHI could cause even MORE problems as Key Medical Personnel such as doctors, anaesthesiologists, etc. are vulnerable to leave South Africa should the Bill be passed.
One problem is that the NHI Bill centralises too much power in the hands of the health minister and does not clarify how the scheme will be governed. The current problems that the Health Sector is facing is due to a lack of governance which has led to poor management of every aspect of public health – finances, human resources, procurement and maintenance – this one of the biggest weaknesses of the sector.
More money in the system will not remedy this. It will simply provide incompetent and corrupt managers with bigger budgets to burn.