Amidst all the challenges we face, there is one thing that is certain, we continue, and we soldier on, as a country and as a nation.
One of those challenges is the current and ongoing energy crisis in the country, which has once again demonstrated the resilience that South Africans have, according to Damian McHugh, Executive Head: Marketing and Distribution Momentum Health Solutions.
He emphasised that “we are solutions driven – businesses and individuals alike ‘make a plan’ to ensure that we can effectively function during loadshedding. We are a nation that is used to stepping up where we need to create public private partnerships to ensure a sustainable service: private education and security, among others, are all examples of this.”
Inadequate healthcare provision
Healthcare is another one, he said. “As a country, we have almost nine million members on private healthcare schemes. This equates to about 15 percent of the population, who are not placing a burden on what is already a highly constrained public healthcare system, and not forming part of the backlog in accessing primary healthcare.”
“Our current percentage of GDP spent on healthcare in South Africa – nine percent – is equitable to that of many first world countries, including Australia, Denmark, Finland, Portugal and New Zealand. Our social-economic make-up, market dynamics, and demographics, however, are not comparable. Our healthcare provision for the vast majority of our country’s citizens is inadequate, with rapidly declining healthcare worker numbers, loadshedding, funding and numerous other factors all negatively impacting the system,” he stated.
“This is the same system though, that with the planned introduction of the current draft NHI plan, will have to service all South Africans – all 60 million of us,” he added.
Healthcare, according to McHugh, is a fundamental right for all. But for us to create and implement a national health system to enable this, we must be mindful of the current constraints and ensure that we move forward in a positive manner.
The motivation for universal healthcare
“The debate of complementary versus supplementary care is at the foundation of the current NHI debate. If the NHI were to be introduced tomorrow, we would all have access to primary complementary healthcare – funded through taxing and other mechanisms. This access would be compulsory for South Africans and mean that no private medical funds could be used for primary healthcare - medical schemes would be prohibited from providing such and would have to adapt their offering,” he said.
“Private medical healthcare would, however, remain in place in a new format, servicing only secondary or specialist healthcare needs until such time as the next phase of the NHI rolls out,” he added.
The motivation for universal healthcare is sound, according to McHugh. He mentioned that we need a more equitable, robust health care system with better access to quality treatment and outcomes. Not just for those in the formal sector that can afford private healthcare. “The concern is that the trust deficit that exists between government, business and the wider population is at an all-time high. Past experiences with Eskom and SAA bring into question the rationality of another national system. So, the key consideration is in how we can implement it?”
Meaningful change and sustainable transformation
“Introducing primary universal healthcare for unemployed South Africans or those who need access to it, funded by a health tax, makes sense. This could be introduced in a phased approach, with government demonstrating its ability to drive meaningful change and creating pockets of excellence to show that sustainable transformation in the healthcare sector is possible,” said McHugh.
Secondary care, he said, could then be introduced to the same group following the successful and sustained roll-out of primary healthcare.
“While we roll out improved access and quality health care to the unemployed or informal sectors the private sector can assist by ensuring the formally employed are covered by current private healthcare solutions. Thus, alleviating some burden on the state and allowing limited resources to be used more efficiently for those currently uncovered. This suggestion is only an interim step to ensure that the system is tested and delivers improved outcomes,” he stated.
“We believe the current private system should be combined but to do so immediately puts unnecessary pressure on the NHI in its interim stage. By altering the phases of roll out, it gives us a chance to BREAK test, adapt and prove that our universal healthcare vision works. As we prove the concept, we take the next steps,” he added.
The reason why this role out plan could work better, according to McHugh, is that it enables private and public working for the same outcome, and we build trust that the system works and improve the trust gap between our citizens and the health system we want to create. “In addition, we potentially don’t lose critical experienced resources from our health economy, and unlike our power challenges, we prevent the disastrous concept of health shedding.”
“In addition, creating local purpose-driven partnerships is key to driving the same positive intent and required skills to uniquely solve for a better future for our society, by improving our healthcare industry. That was the driving force behind Momentum Health Solutions’ partnership with major labour unions, the National Education, Health and Allied Workers’ Union (NEHAWU) Investment Holdings (NIH), the investment company of NEHAWU, the Police and Prisons Civil Rights Union (POPCRU) Group of Companies (PGC), the investment company of POPCRU, as well as individual business leaders in the health industry,” he added.
More health, for more people, for less
“The ability to work together to create more health, for more people, for less, is essential,” he continued.
“Universal health care is a critical consideration for us all. Having access to quality healthcare is a cornerstone to building a healthier economy – a mentally and physically healthy population ensures less burden on the state and on private companies. And having safe, stable, and sustainable healthcare facilities not only provides for our own people, but also attracts foreign direct investment as companies view access to quality healthcare as a key consideration. Transforming healthcare in South Africa requires a collective commitment – but with that commitment we will see tangible results in improving the health of our society and the productivity of our nation,” he concluded.
Writer’s thoughts
It is true that past experiences bring into question the rationality of another national system, however, we cannot deny that we need a universal healthcare system in South Africa and to establish this, we must correct some of the imbalances and improve the delivery of healthcare to all South Africans. Funders should embrace collaboration and acknowledge the need for us to work together for a better healthcare system in South Africa. Do you agree? Please comment below, interact with us on Twitter at @fanews_online or email me your thoughts myra@fanews.co.za
Comments
Added by Jan Swanepoel, 09 Nov 2022If the purpose is to open another opportunity for tenderpreneurs and corruption and giving Government more power, yes, it will achieve that! Report Abuse
If the purpose is to open another opportunity for tenderpreneurs and corruption and giving Government more power, yes, it will achieve that! Report Abuse