Difficult talk by practitioners about shortcomings of NHI

DE National Health Insurance (NHI) was not designed to work; instead, it was an ambitious proposal that nobody really had to live up to, but simply remained endlessly promising in the future.

And if implemented, both private and public health systems would deteriorate further, warned Professor Alex van den Heever, a former senior advisor in the Council for Medical Schemes.

Van den Heever did not pledge his words yesterday in his criticism of the NHI during a crisis summit organized by the Solidarity Research Institute in Centurion.

The institute presented its report on research carried out among 3983 health professionals.

According to the draft NHI bill, the fund will be the only public purchaser and financier of health services. The fund will also be a "mandatory prepayment system for health care".

But Van den Heever said: "My central concern with regard to the way in which public and private and health systems function is that there are vested interests that drive it and that the patronage model of the management of health and private systems will continue to exist. . "

He said that the private sector also failed and that there were people who benefited enormously.

"Our problem in the future is that the public and private systems will continue to deteriorate and nothing will change, because there is actually no proposal on the table to tackle something that fails in one of the systems and not a political world to deal with those failures. to grab."

Dr. Chris Archer, a doctor in health care, specializing in gynecology and obstetrics, thought the NHI implementation was a bad idea and had to be discussed.

"I encourage other organizations, particularly the business community, to seriously debate this issue, because that is not the case." Minister of Health Dr. Aaron Motsoaledi has been looking around the country, but there is never a chance to talk about this topic. to debate. & # 39;

Archer, who deals with the impact on specialists and specialist services, said that there was not much to say about the NHI document about specialists.

He said that the possibilities for corruption are enormous if it should be a success. "The NHI proposal is not in the interests of the people in this country," he said.

Research psychologist at the Solidarity research institute Nicolien Welthagen said: "During our research we understood that our people do not have knowledge of the NHI, I sent an electrical questionnaire and we conducted an opinion poll The results were that people do not have the knowledge 93% of the people were concerned that they could (not) implement the NHI, how it will be managed and how it will be rolled out. "

The report presents important findings with regard to the knowledge of healthcare professionals about the NHI, how well informed they were and their opinion on the ability of the state to implement it successfully.

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