Dr Nicholas Crisp - Case for NHI (and why vested interests are pursuing Operation Fear)

[@scottgordon1781]

Why not just fix all that is wrong in the public sector .

[@dorothywarner8141]

No money for the Cadres

[@Seyahremraf]

If old Nic, his wife, kids, grandchildren and ALL politicians are FORCED to remain in SA without an option to leave when they retire or when they seek medical help I am happy for the NHI to be implemented. First one to leave for external medical care or emigrate gets put in jail? Yeah im here for that.

[@truth-Hurts375]

Why dont you leave ???

[@johanweakley2658]

@@truth-Hurts375 get off this discussion. You're annoying.

[@H3321KG]

​@Ohmylort guess you can't even if you wanted to

[@nedor64]

Totally agree you wont see those in favor of the NHI sitting in ques at a hospital.

[@crispinswainstonharrison9042]

We don’t all have medical facilities in Russia.

[@willgould4417]

Dr Crisps credibility completely disappears when he cites the state owned PIC as a good example of centralization.

[@crispinswainstonharrison9042]

PIC was a feeding trough for so many pigs.

[@crispinswainstonharrison9042]

Unfortunately he lacks commerciality.

[@simonpaulmiddleton]

He tried operating in the commercial space. It might be worthwhile having a look at their books!

[@anthonysalgado5118]

Its going to be a mess , if you think it will work please name me one well functioning profitable govt parastatal . The only well run govt institution is SARS they collect money so the govt can squander it. Now they also want immigrants in on the NHI as well , there is pnly so much money.

[@russelsellick316]

The PIC used to be okay....

[@dk.650]

It’s a move to create a new feeding trough for the anc, cadres, families and friends. Imagine the tenders that will be flying around. Medical services will degrade further than the current situation.

[@dorothywarner8141]

Centralising will be in the hands of a few chosen people who will manipulate what province gets a better quota, prices, of where docter, nurses, medicines, or equipment will be distributed. Forcing those who can afford it,b to travel overseas to get top notch health care. etc. Manipulation on a grand scale.

[@darkgalaxy5548]

The anc will steal it all!

[@steffip7477]

If they can't even make sure the current system works - how are we supposed to believe they can make this work. More opportunity to fill certain pockets - this is going to end like Escom etc - and people's lifes are at risk.

[@russelsellick316]

That's my concern as having been a state patient...

[@Macedonia270]

This is just the new piggy bank for the ANC...They have bled Eskom, Transnet, SAA and all the other cash cows dry...They need more cashflow...to waste on Rolls Royces, Bentleys, Ferraris, G Wagons for the girlfriends, Louis Vuitton, Gucci, epensive alcohol, swiss watches....

[@helensimpson3257]

Truth

[@helenduplessis4166]

Sounds lovely in theory... perfect utopia... Trouble is that there are just too many opportunities to abuse this system. NHI in the UK is struggling and they are a first world country with highly educated people managing all aspects of the system. Where are we finding these competent highly educated people?

[@charlesmeyer61]

But, Dr N Crisp, I want private health care. Not public health care.

[@deniscoyne5671]

Centralization is a nightmare, can you imagine having to work through a call centre , when you urgently need medical care ?!

[@crispinswainstonharrison9042]

Government through incompetence have privatised health a long time ago very successfully. The reversal of this won’t work.

[@grahamshelton6759]

First fix the public hospitals then we can implement the NHI.

[@russelsellick316]

Agreed.

[@marynaleroux138]

Agree

[@johanweakley2658]

When prominent intellectuals sprout waffle like this I dont know whether i should burst into tears or to break into hysterical laughter.

[@truth-Hurts375]

A no brainer will never understand intelligent people....

[@johanweakley2658]

@@truth-Hurts375 I take it you are rating this guy as an intellect. A PhD is no guarantee that there is an ability for common sense thinking. I know a number of plonkers who literally received their PhDs because of time served. You are probably one of these, so knock yourself out following these pseudo academic idiots.

[@mindfcuk101]

This guy is a recruited spokesperson for International Monetary Conglomerates who are Globalists or Totalitarian Despots who want total dominance called Sustainability Greater Good Collectivism which is rebranded Fascism.

[@badduggaboy]

Or "hoist the black flag " a la Mencken

[@dk.650]

Friend went to a state hospital. He needs a hip replacement. Was told it can only be done in 10 years time. This guy says nhi will delive Bett Service. BULL SHIT.

[@Macedonia270]

What we really need to know is when exactly this will be fully implemented and whether or not we will be required to pay more tax (bearing in mind that most of us are already paying the highest tax rates in the world, relative to earnings). If this is going to be implemented, we need clear dates by when we need to emigrate.... I have lived in many countries in Africa and Latin America. I can tell you from personal experience that South Africa is NOT the "most unequal" country in the world. In most, if not all of these countries, inequality if far, far higher than in South Africa. This lie is spread to deliberately create an impression that whites re rich and blacks are poor, for specific political reasons...

[@AndrewMcFarlane_1]

Yet he omits his own interests... Go figure I'm not going to talk about cadre deployment.... Because the ANC will deploy me out of a job... 😂😂

[@safaridad]

This alone discredits the plan completely. He refuses to talk about cadre deployment but that is the biggest threat and will prevent the NHI from succeeding as he hopes. Corrupt and incompetent cadres ruined SAA, Eskom, DHA, DBE, and basically everything touched by the ANC.

[@charlesmeyer61]

Why destroy a private health care, because of NHI?

[@Waz8]

Unfortunately there is a big gap between theory and reality, in theory everything sounds good

[@dianebranfield2300]

The corruption needs to be stopped before this NHI can be introduced. Then who do we blame if it does not work. What happens to our Doctors and Nurses

[@christopherbuckley619]

ANC would not be able to govern something as big as NHI when they have ruined much smaller challenges. Most of the SOE’s are bankrupt through corruption and cadre employment. etc. Who is going to handle the finances?

[@mindfcuk101]

Cyril himself will handle finances. His just procured lots of vacuous couches..

[@christinefinniss6263]

Government can’t run the UIF, Compensation Fund, Home Affairs, to name a few, efficiently. How on Earth will government run the NHI and transfer a personal health file from one department to another. 🤷‍♀️🤔

[@russelsellick316]

Exactly my worry. At Helen Joseph hospital often enough they couldn't find my file. Note I had only been there. Their admin stinks. Sort that out first thanks.

[@marynaleroux138]

Agree how?

[@shriokei]

There is no world where government has the incentive to competently manage anything meaningful, like healthcare. Market forces keep service quality in check, when you remove those forces, they degrade this is demonstratable all over the world. Also think it's rather suspect of government to class certain levels of care as 'excessive' - when the funds inevitability run low you can bet most specialized treatments will be classed as excessive regardless of what you can afford.

[@antonioflorenca6086]

Agreed. It's also telling how he said that there are too many different options which increases costs. This is what competition does. It offers people choices. If they are not sustainable, the will not survive. How else will the 'best' choice be made? By a bureaucrat or even worse, a politician?

[@vry3555]

I havent had medical aid since 1990 neither do i want one. Been healthier than all my peers because i havent used conventional medicine. My question is this, will i be forced to contribute to a system i neither want, need nor will use?

[@russelsellick316]

Yes they will bill you. Funnily enough I'm fitter now than ever before because I changed my diet and use alternative medicine...

[@vry3555]

@@russelsellick316 wouldn't that be classified as theft billing me for a service I refuse to use?

[@The_Kent]

@@vry3555tax is theft

[@hintersland7262]

In the interest of balance, are we going to get a speaker to outline what a total disaster other centralised, compulsory healthcare systems have been around the world, e.g. the NHS? How about hearing the free market perspective i.e. liquidate the State?

[@RicksPhatPharm-vw2lb]

NHI is a fantastic idea... If we have good governance and racial quotas are entirely removed. South Africa always had free healthcare until "Liberal Democracy" arrived in 94. Many South Africans are not against it in any sense and it 100% must be fixed, but neither the ANC,DA or EFF should be anywhere near politics or healthcare policies, they entire reason we in this mess. Capitalism caused this mess as much as the current government and all political parties need to be held to account. Noone is going to trust either politicians or capitalist business to fix anything or be anywhere near this problem and it's clear to outsource the problem

[@janrabie1890]

The whole of Africa is always full of plans and everyone is always waiting for government to role out the next big plan. These plans are always drafted by government bureaucrats who have never run a business of their own in their lives and who don't have the faintest idea of how to make a profit.

[@janrabie1890]

The road to hell is paved with good intentions.

[@di5cr3t3]

The tax base is funding public healthcare, that is being grossly mismanaged. Therefore people buy private care if they can afford. They obviously fund both private and public anyway. The government is essentially unilaterally deciding how the fruits of one's labour be used. How is that incentive to participate in this rotten system. It's not costed yet. The IT, laboratory and procurement systems alone will need extensive planning and development to bridge the gaps. Where are the skills? Where are the strategies? How to implement. It's a non- starter based on the current public state that i have worked in. It's a new trough. How does such a small tax paying population support an expanding population of economically inactive? Does it make any sense?

[@helensimpson3257]

Good question. They will be happy to see us have nothing, as long as their pockets are full, and get fat trying to look and sound smart. They are an incompetent lot, even those with "degrees". They may have their degrees but they have no understanding of how to run anything.

[@scottgordon1781]

I do not trust this guy at all,not for a second ,talking BS .Too bad the govt cannot operate health care .What will change ?

[@crispinswainstonharrison9042]

Crisp is a lovely ideological clown.

[@johannserfontein8624]

In 2009 the private sector submitted independent cost studies to the department of health to inform the 2009 Reference price list (RPL). The Department of Health did not like the costs shown and implemented their own tariffs. The process was taken to court and the RPLs scrapped by court order. That is how the government historically dealt with costs of rendering private sector services. How is NHI going to be different?? The DOH does not even understand that the public and private sectors have different underlying costs, so there is no way you can have the same price offering for both services under NHI. The Public sector does not have VAT, Rates and Taxes, Rent or Malpractice Insurance as costs to deal with. Until the DOH realises that the private sector is concerned about being able to cover costs under NHI funding, because the government has historically ignored the costs of rendering the service. And still do. It is all about the money.

[@brubro47]

Dr Crisp unfortunately reminds me of the Judas Goat leading the innocent sheep into the Slaughterhouse.

[@andrewworrall4302]

Instead of fixing things, they destroy what currently works. Just look at Education for example

[@carlylefortune852]

what gov say and what is done is the problem, publics has no faith in current gov.

[@scottgordon1781]

If i chose to pay a med aid .Up to me .If there is an issue in the private sector,how wil it affect the public sector ?

[@JakoGrundling]

I feel that most of the really important issues around NHI was not addressed. The current administration simply cannot be trusted to run this, which renders most of the "logical assumptions" made by Dr Crisp invalid.

[@clintonhayes8074]

This person says they can not control what they have. Now he wants more. Who the hell do these people think they are trying to control us. Arrogance has no bounds.

[@berealistic]

Get IT systems in order first

[@gysgijsbers4202]

Why not BUILD more Public Hospitals, why leave it to the Private Sector to build Hospitals & then Legislate the poor into the Private Hospitals.

[@ivanjardine9564]

Fix the Public Sector First! Stop the Tenderpreneurs! Stop BEE companies supply chain. That only increases costs and the poor will have less access to health. If you can't provide Clean Water and Uninterrupted electricity - how are you ever going to provide NHI. First world countries with NHI with a much higher taxe base are struggling with long wait lists. NHI will destroy what is working.

[@gregwochlik9233]

I had a mediocre experience with the Polish version of the NHI. I had an accident at work and seen the NHI in action; on the day of the accident, the trauma centre closed for the day and I was 10 minutes late. At the emergency ward of a hospital, I was persuaded at the reception that my injuries are not life-threatening, and I was told that I could spend a good few hours in the queue. The next morning I hit the trauma centre again, and it turned out I had a broken bone in one of my fingers. I was refered to an orthopedic surgon: at the government hospital the queue was 3 months. At the time, I was also paying for private medical care; I got an appointment with a specialist in a week. This was needed for the paperwork for the employer. From then on, I moved to the private care, which legally had the same status as the NHI. The best system is the hybrid system; I am paying for NHI and private medical aid. I am fine with that.

[@chantaldossantos6819]

His argument is based on a government that isn’t corrupt…. Not surprised he doesn’t want to discuss that very important part.

[@TruthTeller908]

BizNews, it would have been beneficial to ask more incisive questions. The central concern lies within the political sphere, as cadre deployment plays a fundamental role in the ANC's governance. It would have been advantageous to push for deeper insights. I am disappointmented with the journalistic standard displayed.

[@janetwoodrow7214]

When will we see the details on what medical services will NHI provide and also the costing of what this will cost AND how will the money be raised? Until then we are speculating and talking but not actually doing formal planning.

[@badduggaboy]

Having seen first hand how absolutely useless the UK NHS is, if I wasn't already convinced that NHI is a really bad idea,I am now. Watched a family member succumb to entirely treatable injuries and infection due to the health service rationing.

[@leonhue722]

Rather than bring the masses to private hospitals instead take business South Africa with their skills, intellect and work ethic into the state hospitals to better manage the state hospitals. This will eliminate corruption enabling an improved health care service for all.

[@gysgijsbers4202]

Also BUILD more Public Hospitals, why leave it to the Private Sector to build Hospitals & then Legislate the poor into the Private Hospitals.

[@notdamomma8884]

Fix the government hospitals so you and all the government ministers will go to them before you do anything to change private health care.

[@pvlietstra]

An obvious concern is that the 9% admin saving for private Healthcare will be squandered many times more in public Healthcare inefficiencies and corruption.

[@scottgordon1781]

Pics and gpf is already a disaster

[@safaridad]

Way too many holes in this plan, and way too many questions that have not been covered. The DDG used the example of his own suburb where a private hospital is closest. Lucky for him. But what if a dysfunctional, poorly run public hospital is your closest facility? Where the patients bleed out in the waiting room, the bedding is not washed, the equipment is not working, and the nurses go on strike and let the patients suffer and die? What if you would rather go to a well run private facility than being told to report to a dysfunctional state hospital? Those who live in the Western Cape (the best run province) and middle class families who currently pay for private healthcare have heard too many horror stories from state hospitals. We have zero confidence that the national government can run the NHI any better than they managed SAA, Eskom, Transnet, the Post Office, Home Affairs, our Education system, etc. Nor can we trust this government with a R200 billion centralised healthcare budget and expect a) nothing to get stolen, and b) funds to be available and promptly paid when and where they are needed. Or will you be told, when you need urgent lifesaving treatment: "Sorry sir, there's no budget or equipment right now for your treatment, you will have to come back in January". Will GP's, specialists, and other service providers get paid too little or too late? Will they get paid at all? There are thousands of service providers in various industry sectors who have not been paid by the government. Not paying service providers is an epidemic in this government, and they are regularly taken to court for non-payment. The ANC does not even pay its own staff. And if the service providers don't get paid, or get ripped off with unsustainable, below-market rates set by the government, what do you think will happen? Let me tell you what will happen. Firstly, private specialists will not invest in the latest equipment and newest medical technology, if they can't recuperate those investments with their fees. Secondly, many of our doctors will simply end up emigrating. South African trained doctors are in high demand globally. This will leave South Africans with a shortage of GP's and specialists, so you may have to wait 18 months for an appointment, or 3 years for an operation. This is a disaster in the making, for the simple reason that the ANC government is too incompetent and too corrupt to make it work. If they couldn't run the state healthcare system, what will make the NHI any different?

[@ryanwulfsohn2563]

You’ll get what’s coming to you , Crisp , believe you me

[@kareldeetlefs6839]

Of course little mister civil servant will say the NHI is a good thing. Anyway, why is he working for the government? Not good enough to have become a surgeon?

[@davidlogan6147]

Don't be dribbled anything where the ANC is involved is more than likely a cadre political cash cow.

[@ianwilliams7364]

Thank you for a very interesting video. This is very well presented case that must be taken seriously. It seems very clear that the private sectors sins account for more than its own fair share of the causes of health problems in the country. There is hope if we can encourage this type of honest and balanced public debate.

[@russelsellick316]

My concern is the dire conditions in the public hospitals because I have been a patient there and I don't see any proper functioning. Putting that system at provincial control was clearly a huge mistake. I also note a lot of public works department effort is completely invisible. I see the same toilets are not repaired over a six year span...

[@andreweasson6653]

Sort out tembisa hospital can you imagine with the nhi budget

[@Lukha21]

Our hospitals -:Private hospitals ,and specialist medical practitioners charge anything from 200 to 400% for their services. So let's say a medical aid is prepared to pay R100 for the above mentioned services,the specialist and the hospital can go to any length to charge up to R400 for that "service" Imagine how much a private citizen will pay for any procedure! And that will be the downfall of the private sector. Greed. One of the 7 deadly sins.... I wonder how they sleep at night.

[@russelsellick316]

That is another problem I've encountered.

[@shirleyyell7564]

Hi Dr Crisp. This is a good case for NHI ...but I need to ask you if we will be able to see the Dr of our choice under the NHI..or will we be deflected by red tape and beurocracy as in the Procincial Health system. For example...I went to the Skin Clinic at Addington Hospital in KZN every 6 months for a check up....and burning of solar keratosis.. and had several Squamous and BCC things taken put in the plastic surgery dept at Inkosi Albert Luthuli Hospital. Now in the W Cape I cannot get an appointment at the local skin clinic no matter how many times I ask. This is frustrating and worrying to me.

[@bethechangewellness]

So much for a democracy!!! People are opposed to this bill yet it's still being signed in... theres already bad management now you want that management to take over everything? Ridiculous

[@Truthseeker-iz3dj]

The question I want to know is how much extra will i be paying on income tax.

[@mervynfiford6039]

Thank you for this informative and enlightening interview. Excellent!!!!

[@hlits6310]

Who pays for my private dentist? Does the national fund pay? What are my dentist rates? Do they come down or do they go up? Is there an out-of-pocket as a result of the NHI coming in will my Dentist want to emigrate

[@scottgordon1781]

Am not making any political comments ,then does .

[@debbieisaacs9033]

PRIVATE SECTOR IS DOING JUST FINE ON THERE OWN.

[@rupertconradie8410]

But who will find this bill and where will the money come from?

[@mathewman]

best health cover is in France .in top 4 is AUS - where of course health is available free to all - some people do have private cover

[@MrSpitfirebrothers]

ANC will steal this blind exactly like they have done everything els. Simply to tempting for them.

[@clintonhayes8074]

Public hospital just killed my brother. He can go to hell.

[@gpep7135]

Any government institution you have to wait for ever to be helped. Go have a look at government hospitals at the people waiting around all day, how is this going to change. The money is their to run current places better already, but no one is interested in doing there work. Private sector you get fired for not performing.

[@marynaleroux138]

Not confident at all that resources will be properly managed in the hands of the state for this new system as seen from the level of corruption and plundering that has taken place at other SOEs with no real accountability.Practically how is financing this system really going to work and with what controls in place?Furthermore we have a right to choice.

[@brianaronoff8217]

Crisp - i am not involved in politics - what a chop 😂

[@andrewchristodoulou4214]

Service providers are not paid by government funded funds as they are usually bankrupt

[@scottgordon1781]

Deputy DG and 44 staff , add that cost in .

[@russelsellick316]

I suppose as the provincial government are going to be removed from the system costs might 😂 fall.

[@johnsanby6639]

I can see eating everything

[@eunicevilakazi7197]

The day people staying in RSA stop the mentality of us and them, will be the day all things pertaining to all of us will be addressed. properly.

[@antoniocoppola7833]

Utterly delusional!

[@crispinswainstonharrison9042]

Could he be the final architect of SA’s downfall?

[@louisefox4852]

Why is BizNews censoring these comments?

[@dumezweninduweni158]

Like this one?

[@riaanesterhuizen9003]

This guys face keeps coming up on this subject. Wonder what he's gonna get out of this??? In nobodies common sense does this idea makes any sense!!

[@andrewchristodoulou4214]

ANC parliamentary vote Wednesday all how that goes ALEC you did not challenge him

[@scottgordon1781]

Looking forward to hearing this again .

[@maryduplessis2510]

You do not have the right to steal my money or dictate how I spend my money or choose my doctor. You are trodding on all of our rights. Fix our hospitals and build new ones. I only know of one hospital that has been built and that one is run BADLY.

[@andrewchristodoulou4214]

Uk GDP IS 10x South Africa No way is it affordable for South Africa

[@anthonysalgado5118]

Its going to bpmb.

[@davidmcfarlane5873]

Nicholas the altruistic personality,you cant even get equality in the same house,you dont get to decide how I spend my money Nicholas.

[@eunicevilakazi7197]

Thank you Dr Crisp for equal distribution of resources. I love it.

[@markparfett5380]

Better get some lessons in socialism and the failures of the cANCer

[@The1alf2]

😀😀😀😀😀😀😀😀😀Shame!!!!!

[@andrewchristodoulou4214]

Stop admitting to all these state failures Your job is on the line

[@debbieisaacs9033]

This guy really not being honest 🙄

[@katherineharvey2797]

1. If you support it, then you and nobody you know may be allowed to receive any private healthcare. Anywhere. Ever. 2. If you think this will work, please explain how it will be funded? And explain how these funds won't be stolen? (Spoiler it's crippling tax that will get stolen). 3. Explain to me how I will afford R1500 flat rate tax? Explain how the flat rate will work for those on minimum wage? Or explain how a 22% VAT will help those on minimum wage. 4. So you then increase tax according to bracket. Please explain how I can afford this when I haven't even got private medical aid. Also explain why yet again the 20% of working age adults must ONCE AGAIN feed the useless parasite 80% at the bottom??

[@SaffaInNewZealand]

🤣

[@sharonthembekajack4118]

#HealthCareForAll

[@The1alf2]

A very ill-informed Professor, Doctor and terrible Economist!

[@truth-Hurts375]

Here we go...White Chest Pains....again !!!

[@KimBockBooks]

???? No idea what you're trying to say. Clear your throat, think what you want to say and then clearly iterate that so that we all can laugh with you rather than at you.