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The socialist experiment has failed universally, so why...


In a recent article in
Daily Maverick, “Health budget slashed despite vaccine commitments” (26 February 2021), authors Daniel McLaren, Mbali Baduza, Sasha Stevenson and Julia Chaskalson from Section 27 rightly lament the slashing of the latest public health budgets, forced upon Treasury under the weight of the precarious prospects the country now faces. 
Their concerns about inadequacies in providing access to quality healthcare for the poorest and most vulnerable in our society is without any doubt laudable and they deserve commendation for their continued efforts. 
As a cure for these funding problems, they fervently call for the advancement of the National Health Insurance (NHI). The problem, however, with supporting the government’s NHI policy is that it remains, as it has from when the green paper was published in 2011, a red herring.  ....

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What SA's Covid-19 experience tells us about NHI


What Covid-19 revealed about health systems
The impact Covid-19 has had on NHI is an interesting question, but more relevant perhaps is asking what the pandemic has taught us about our healthcare system, argues Professor Alex van den Heever, chair in the field of Social Security Systems Administration and Management Studies at the Wits School of Governance. 
Van den Heever says the pandemic has shown that the centralisation of power often creates what he calls a “single gatekeeper” for activities, such as distribution and procurement. “If you have all your eggs in one basket, and this is what we learned from the Covid-19 experience, is that if they mess up, they mess it up for everybody. That’s the problem with poor centralised designs that you give too much power to a centralised structure, [and] if they fail, it fails for everybody,” he says.  ....

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