PANEL DISCUSSION | The impact of the NHI Bill on SA's healthcare system

Board of Healthcare Funders MD Dr Katlego Mothudi, medical doctor Brian Ruff and Health and Allied Workers Indaba Trade Union president Rich Sicina discuss the #NHIBill and how it will affect South Africans and the healthcare system.
Tune into Newzroom Afrika DStv channel 405 for more.

[@AlternativPerspectiv]

The people who are rejecting are rejecting from a position of priviledge? Baba, the people who are rejecting NHI are paying for: - Free water for non-taxpayers - Free electricity for non-taxpayers - Free healthcare for non-taxpayers - Free child care grants for non-taxpayers - Free RDPs for non-taxpayers - Free education for non-taxpayers - Free policing for non-taxpayers - Free SASSA cash for non-taxpayers - Free repair to damaged infrastructure (including cleaning rubbish off the streets after protests) - Free school lunches for non-taxpayers' children - Subsidized public transport for non-taxpayers ...all these things are being paid for by TAXPAYERS. Those same taxpayers have many things in their lives that they need money for... money they worked for. Every month about 30% of their salary is being taken to be given to people who do not work a single day in their month. People who have children knowing they wont bear the burden. People who have 30 free days every month to live their lives while taxpayers spend 8-12 hour daily toiling and away from their families. NHI is now going to take 51%, not 30... and charge R1500 extra on top to every taxpayer. VAT is going to increase from 14% to 21%... so everything will be more expensive. How long do you think taxpayers will put up with that nonsense? At what point is it going to be acceptable for the taxpayer to enjoy his money? If the public sector is failing because of corruption from ANC, who is voting for ANC? Is it not the people who are complaining about poor service delivery? Message to non-TAXPAYERS: You might think this is a good move for you, but all you will achieve is turning South Africa into Zimbabwe.

[@charmainhuysamen4136]

Say it loader for the ones at the back!!!

[@maritavanleeuwen1180]

Very well said. But the ANC voters don't see it like this. Somehow they are entitled to my money but I can't benefit from my own money.

[@moonchild7033]

Well said!

[@lindilebangose7667]

It's closer to 60% when you account for the double tax incurred because of failing public institutions(security, education, health, transportation).

[@colleeneaston425]

@@maritavanleeuwen1180 sadly the majority don't understand where the money comes from because no one has ever explained it to them. I think if they knew who the real funders of their grants were, they might be a little more inclined to consider things more carefully when voting.

[@siszama2294]

Why don't they upgrade the public hospitals and make them functional

[@Brentford704]

Brilliant and obvious question. Blaming private sector when the issue are the dismal state of public hospitals.

[@Zyler-zs8fg]

Staff staff staff. Discipline. Standard. Dismissals. It's our only hope.

[@pheladiseribishane9441]

My point too, they cant do it on their own. Now they want to ruin for everyone else.

[@user-rj4dr6bt6m]

Remember Esidemeni? Where the ANC regime abandoned 140 + mentally and physically sick patients to die? That's how much they care about our lifes! They lust for the money of the private members of medical aid funds! They will loot and deplete those funds quickly ... and leave us all in the same dismal situation as the vulnerable Esidemeni patients!

[@nkwenkw3zi]

exactly

[@nobulawutwala2127]

I am happy paying medical aid. I can afford it. I work hard, so I deserve to have the right to choose to pay for PRIVATE health care. I really don't care about those who can't afford it. I pay tax, deducted from my salary in the form of PAYE...lots of it. If the ANC government chooses to squander our taxes through corruption and poor financial management, why should I care about those who can't afford private medical aid? Those poor people must hold the ANC accountable and leave me to enjoy my PRIVATE medical aid!

[@janavanblerk6975]

Absolutely agree with you , and tired paying taxes that’s not going to improving the country , don’t see any benefits

[@vona5251]

Does it say people will be exempt from medical aid

[@sandisombulawa345]

This nurse guy sounds like an EFF intellect

[@BillClinton228]

All public input was ignored. This is a dictatorship

[@king7324]

😂😂 I thought it was me only who hears that...

[@TshepoMotale-zq9sd]

We are Militant like that ! Viva EFF , long live the organization❤

[@Brentford704]

​@@TshepoMotale-zq9sdmilitant or brainless and without comprehension?

[@christobelthipe8627]

That is what I thought. It seems Malema when he was starting he set a mark, which most radicals wannabe are following

[@Bluecollarjoe6B9]

The argument for is emotional. The argument against is factual.

[@geniusnoble842]

"Its going to collapse, but let it collapse for all of us." That pretty much sums it. It is not about improving the lives of the poor but ensuring that we are all misarable.

[@zolapowerfultigeressibrahi9369]

Yes misery loves company

[@babalwandamase9509]

ANC officials already go to Russia for treatment, what a pathetic move by ANC

[@wilheminadunywa8756]

And they still fail to adapt what they seek there to assist us😭

[@Parodyst1]

They go there to a small clinic in moscow to be cured of ""poison"". There is nothing they can bring here from Russia

[@silkeschwarze8178]

They should not be allowed to go overseas for treatment. As servants of the South African people they should be forced to attend South African hospitals and doctors only!!! Let's see what happens then ?!!!

[@MissSlenda]

The worst part is taxpayers must now pay imagine SARS already deducting a lot of money from your salary, and you hardly have enough for yourself and your family and still have to pay more. These fools that eating all the money don't pay for anything in this country and they getting paid big salaries for doing nothing g sitting whole day in parliament sleeping eating and talking lots of nonsense that don't solve ordinary people's problems. Why didn't they leave people's salaries and cut the ministers' salaries all in half that salaries will make up all the working class citizens SARS deductions

[@vona5251]

Please provide proof

[@user-et4eu5fd8l]

I am in healthcare - I am not on medical aid myself - i can see this will definitely not work - fix the current system first and hold stakeholders to account and manage the current system properly. I get to see both public and private - even private lack the service required to give proper nursing care to patients.

[@user-yj7pw2lt5q]

This is the way to fix it. I wish people can give it a try.

[@siphokazimagaya9113]

If he can calm down we would get more from this guy, because he works well on the ground of healthcare. As people paying medical aid we are not even well off but we are all victims of corrupt government if public healthcare facilities were well functioning we wouldn’t be paying medical aid

[@nomahlubimsimanga6153]

Well said. 😢 we wouldn't those funds would be rather channeled elsewhere.

[@charmainhuysamen4136]

Bring NHI that's fine! But make it law that all Goverment employs / ministers and Presidents must use local Goverment hospitals and clinics. No running to Russia for healthcare on taxpayers money!

[@CillaNeill]

of course they will run to Russia.....

[@rekkabcleaningandlaundroma3580]

​@@CillaNeillAnd nobody can and will stop them.

[@Lurtzification]

"The NHI is going to collapse, lets not be fooled" - okay... but how many public services need to collapse before we say enough to the ANC.

[@KKOPPONG]

To be honest man that statement you’re making doesn’t resonate with the poor(the ANC voters). The NHI can’t make the public health sector worse than what is in now. It’s going South for the private sector because the proper service delivery will be weakened but for the public sector it really can’t get any worse. There’s nothing that’s gotten worse by throwing more money at it. The comrades will obviously loot the money and bleed us dry but money that was never going into benefit the ooor anyway changes nothing for them when the ANC loots it🤷🏿‍♂️. The destruction of the private health sector doesn’t affect poor people unfortunately🤷🏿‍♂️

[@stephenbright9316]

In Britain, everybody pays for the NHS, but those who can afford private healthcare, can belong to a private medical healthcare scheme and get faster service, but will still have a deduction off their salary for public health services, whether they like it or not, so this is nothing new. The difference between RSA and Britain, is that Britain has a massive, employed tax paying base, whereas SA doesn't. Britain and SA's population are the same - 60 million people, Britain has a 5% unemployment rate, what is SA's unemployment percentage? do the math, it's not affordable, even Britain is struggling to keep up with this nationalised healthcare system idea and waiting times can be years for specialised operations. Let's not even start to discuss the issue of lack of professional medical staff and waiting times.

[@malast657]

Add also the burden of diseases in RSA VS Britain.

[@deanburger4574]

Clients of mine from UK literally left England because of the NHS

[@LFC4evaYNWA]

It's because those Healthcare professionals are not getting paid and that's why they leaving UK

[@Josephine-go9df]

Is this NHI bill going to be paid for

[@malast657]

@@Josephine-go9df yes. They will increase income TAX & VAT to fund it.

[@christienodendaal3001]

The second gentleman speaks good sense. The first gentleman's bitterness regarding the current public health state will not help to solve the current problems. Correct the problems that exist, don't nationalise the funds people invest for their health care. It is MY choice to invest in a medical aid scheme for health care I wish to receive, it is not YOUR right to decide about it. No enmity intended!!!

[@Thembikunene]

selfish busted from apartheid error...

[@irene6938]

Exactly he came there fired up towards the wrong people he forgets he too is educated in a very lucrative position he too uses medical aid and a private hospital

[@Chuhla]

The first gentlement speaks insights and lived day-to-day experiences from a different side of the story... All of them are approaching this topic from different angles based on their exposure. Don't fail to listen because of prejudice and how somebody speaks. He is raising critical points

[@colleeneaston425]

@@Chuhla I agree with his sentiments that we need to wage war against corruption but his theory that us all being in the same boat will cause a change for the better is a pipe dream. Let's take for example how we ALL share in the electricity crisis created by corruption in Eskom. Did all of us being in the same boat help? No! Instead it created a new divide which has led to the rise of those who can afford it, putting in solar systems and installing generators which will eventually leave those who can't afford such things completely in the dark! The voices of the ratepayers associations have already begun to get louder and it may not be long before we see municipalities battling along on whatever scraps the government hands them to supposedly look after the poorer areas, while the ratepayers take control of their own funds and use their own service providers to finally receive all the services their rates are supposed to cover. The poor will always be the ones who suffer because those who can afford it, will continually make moves to find ways to make things work for themselves - that speaks to why there became a big private health sector to begin with. The craziest thing of all is that the poorer people make up the majority of the population, yet they neglect to use their collective power to VOTE for change. The ANC has proven time and time again that they cannot be trusted with the well being of South Africans in any way or form. Until people are willing to accept that, keeping the current ruling party in power will continue to produce the same results and nothing will improve. But hey, let's try the "good story" NHI shoe on while we pretend it's going to be a success.

[@The504_]

@@Chuhla root of it all is corruption, cadre deployment, etc.

[@beingk234]

ANC logic about everything: "Let's not build anything, but let's destroy everything that works"

[@velimasuku8808]

Literally 😢

[@nomahlubimsimanga6153]

Yes that's the narration 😢

[@thabisomoroka8673]

Public sector was abandoned by Government , I'm not a fan of apartheid but the Public hospitals were functioning. So the solution is not NHI and NHI will not solve corruption. NHI is not practical in a country like South Africa , where only a few that contribute to paying Tax.

[@majormanotchamsibi7724]

These people are putting us to a point where you feel like leaving the country 💔

[@Zyler-zs8fg]

I am a professional. Do not have a medical aid. But God knows this will not work. God help us.

[@Zyler-zs8fg]

And for anyone to rather opt for complete total collapse of your healthcare, is beyond comprehension.

[@thabisomoroka8673]

@Zyler-zs8fg I think this is grand looting on steroids but the sad part is , it's the citizens that will suffer, it's the citizens that will pay the cost.

[@zulu9357]

You has a point until you compared with apartheid, Don't do that to your parents, grandparents and children

[@elsadupreez4324]

Rich, I can see you’re a good nurse. You’re working under terrible conditions and must feel unappreciated. Thank you for your work, I hear you.

[@zizoh3993]

We thank you ANC for listening to the UN but not now. We are voting you out.

[@patrickbremner4318]

Public health is a mess because of incompetence installed by the ANC. If public healthcare was properly managed private heathcare would not be where it is

[@maritavanleeuwen1180]

How will nhi work if it is managed by the same people who couldn't maintain the public hospitals they already have.

[@beewest5704]

Most of the problem is a management problem & not a money problem. Did we not learn from the SOE's that you do not throw good money on bad.

[@rekkabcleaningandlaundroma3580]

That's the big question.

[@kagzo2]

This nurse is actually bitter. just because we have worked hard to afford medical aid we must be punished for running away from the ANC hospitals...... This policy will fail for so long as we share our resources with illegal foreigners Black and White..

[@rmakarau3229]

Most foreigners have medical aid and when you go to day hospital you have to pay cash,card or bank deposit

[@ms_busybee5315]

​@rmakarau3229 stop lying.. go and see what's happening in hospitals and clinics

[@kagzo2]

@@rmakarau3229 Dont come and lie here…. Stop your rubbish and be honest with yourself….they are leeches

[@billyb7469]

That is not private sector fault its the Government Fault my wife trained as Nursing Sister in 1978 and Government Hospitals were better that Private Hospitals are today

[@ObeDadas]

Dr. Nurse is scaring me. It feels like he is saying we must all die.

[@rinaerinah3823]

I thought I was alone 😂

[@wildcat_reloading]

He doesn't understand that fixing unemployment whould be a great solution to the problem, he's against the private sector that pays tax, the same tax that pays his salary

[@velimasuku8808]

Scary 😂😂😂

[@simthembiletito4996]

"If it collapses it collapses for all of us".Haybo lomfo😂

[@Papito_ZA]

They have long started ..go to Chris Hani Baragwanath Academic Hospital, 26 Chris Hani Rd, Diepkloof Soweto and see 4 yourself ....

[@wildebeest88]

Hi fellow South African. Please do not support this NHI. I'm in the construction industry and govt has been trying to build new or upgrade hospitals for this purpose. The problem is they cannot and have not been able to fund these projects. We are due millions for months for work done and govt cannot pay. They are also resort to external loans which they cannot pay back. Hospitals or refurbishment we have completed are being run into the ground. There is no capacity of qualified resources to manage, clean organize these health buildings. Govt has no clue on how to manage the health sector, which is highly technical and specialized. Over the past 10 years I've seen the Health department, its finances and management get worse and worse. Medical staff in general on the ground have no heart or ambition for medical care. It's a job to them. This govt is playing with a huge fire....eventually resulting in higher medical costs and lost lives through negligence.

[@Rooster1212]

If you want to fight against corruption start with the ANC. This is a typical ANC strategy. Instead of taking accountability for the failed public health sector, they just shift the blame to the private sector. You can't make this stuff up.

[@wildcat_reloading]

I also don't blame the doctors for leaving South Africa

[@user-rj4dr6bt6m]

There's no such thing as FREE medical care. Somebody must PAY! With taxpayers and businesses leaving this failed country in thousands ... WHO WILL PAY?

[@The504_]

Now I'm paying medical aid, let's say this NHI doesn't cover everything, now they tax me, now I end up paying more, basically for someone else. A few can't pay for everyone. That's the problem with people, where is the money going to come from. Ridiculous.

[@molokomack332]

@@The504_ a few has taken from everyone hence a few have to pay for many.

[@molokomack332]

When one unpatriotic business leaves, three invests because they see opportunity. That is why we are rated the biggest economy I'm Africa.

[@samkelozungu3263]

Workers are just slaves

[@ermericcarolissen694]

​@@molokomack332Not anymore.

[@lindilebangose7667]

"Let it collapse on all of us." Modimo, what in the Samson complex is this now?

[@ceekaysaceekay3775]

Did you just say Samson 😂

[@paradzaitirivashoma7758]

😂😂😂😂😂, corruption must affect us all equally!!!

[@mbalimthethwa5618]

🤣🤣🤣🤣🤣🤣

[@grantdwillemse21]

"Let it collapse, but let it collapse for all of us." WoW.

[@user-qv9ko4yc9q]

And there it is. Its too difficult to build a better life for all so collapse the whole system. It boggles the mind

[@ntsakothandekanziana1976]

Thank you so much Mr Rich Siqina for representing us well. I’m a pharmacist and I agree entirely with you

[@bongani2281]

My fellow brother in studio is talking from an emotional point of view NHI whole we all agree with it before it starts there should have been work done on public sector side first to at least equates it to private sector. Its coming now its gonna want to collapse the working private sector. We should be ensuring that public sector fox it house first. For instance i chose not to drive luxurious car but invested on getting me and my family medical aid whilst paying exhorbitant tax for government to take care of those who cannot afford. But funny, government leaders live better than me. So as an Eff member this wrong time

[@jeannettehooper6775]

My husband & I landed in 4 local private hospitals. 1 was a Malaria case, 1 a spinal absess, one a breathing problem & one was a reverse shoulder op.Only one hospital that wa an Othopedi c hospital & could be called 5 star. 3 were shocking. I was not allowed to get up with my back. 4 nigjts we were given bed baths but on the 5 night we had a new sister & she had a look & proclaim Christmas has come early & it is shower night - no disinfectant & only one chair ( not hyginic @ all). When I was discharged the next day I was taken by bed & transferred by staff to our vechile that night @ home it Christmas again. One Sister lifted my bed slightly @ meal times the other when I be raised a bit to eat, i was told Dr orders to lay flat. I could not see what was on the fork & it was messy. My bed was changed twice a day until one night thr left me during visiting hr in the supper that landed on the bed. Must say I hope I dont need to go to hospital again as it was traumatic. I hope & pray for beter care for people who do not have an option for hospitalization.

[@lizwimchunu7234]

We are paying enough taxes

[@Dude-1689]

Yea but now you have an option to exit Discovery and pay less for the same quality medical assist.

[@CbosEasyRecipes7]

Too much taxes! It's ridiculous 😭

[@jtsa9287]

Our tax base is too small. We need to focus on increasing the number of taxpayers. Then things like this have the potential to work

[@AlternativPerspectiv]

What waste is happening in the private sector? If I, as a taxpayer want to burn all my money after paying tax, it is MY money to do as I please. I am telling you, the next thing they will come after is your retirement contributions, then after that a "luxury" tax on any purchase you make that a so-called "poor household" cannot buy. By the time ANC is done with you your take-home will be 10% of your gross and that 10% that you take home will still pay 21% VAT. Mark my words.

[@0761ZoRO]

Hard core capitalists just wanna live the best life for themselves alone, yet they are in the main responsible for the poverty of the majority.

[@hustlemami8732]

You are always spitting facts my bru

[@deniscoyne5671]

Lets not forget that in a democratic country, people have the right to pay for better medical care than what the government is offering !

[@Lawless911]

Don't forget we living in a 30 year Hypocrisy. One set of rules for the public and another for the lower life forms feeding from the corruption trough.

[@mosa1mabilisa]

These people drafting NHI, i wonder if they know what happens in a normal day at a Clinic in south Africa. Its chaotic. This NHI aint gonna work

[@ThabisoRatlou]

If they're failing to appoint new medical doctors and nurses, what makes this NHI feasible? NHI is noble idea but the fundamentals required to execute it are not strong enough to hold it.

[@HannahLeRoux-ic5fe]

great comments by Dr Brian Ruff - we need people to go to GPs and not first to hospitals, and private medical aids are not designed to make us do that

[@Ineedsomething747]

I don't think NHI Bill is entirely bad. Even with medical aid, I still have to pay out-of-pocket for private care, which was no better than government care. My cousin had a severe accident, with a fracture and dislocation in her left arm, and received poor treatment at Netcare hospital, which was too expensive. We took her to a government hospital, where she received the surgery she needed and i would like to give a shoutout to the doctors and staffs who assisted her there, thank u.

[@charmainemoodley2414]

It should be in the constitution that no new law to be implemented 6mths before election. I agree with this nurse, the state of public hospitals is enough to make anyone gatvol.

[@Naddynado]

So if you had a choice of going to a private or public hospital you are gonna choose the broke down public hospital? Should we give up and close those public hospitals and then ruin the private hospitals? I cant afford medical aid and even I can see this will destroy the entire healthcare system

[@lebitsolebeseromo4682]

I love the guy on the studio, he is talking about his lived day to day experience working in the hospital, hence the passion. While others are speaking theoretically.

[@chrisd142]

Those lived experiences are caused by corruption, maladministration and ANC cadres looting and nepotism

[@lebitsolebeseromo4682]

​@@chrisd142 I an not disagreeing on who is responsible for those experiences. My point is that, he knows what he is talking about as opposed to other panelists who are debating theoretically on what might happen

[@raymondshiburi9151]

Speaking from privilege, some believe that Thier little tax pays for everyone 😂

[@chrisd142]

@raymondshiburi9151 taxpayers do not get their money's worth for tax they fork out. That is the gripe. The corruption and maladministration is the driving factor behind the collapse. The ANC knows this will fail miserably. Like the E-tolls, PRASA etc etc

[@emilySA2024]

Yes you want everything to fail, you want all standards to be lowered you want us all to revert back to the dark ages!!

[@molokomack332]

The problem is just like how Ramaphosa has put it. The well to do does not want to see themselves mixed with the dirty poor. They want to continue with the two worlds health system.

[@molokomack332]

@@usalove6290 when five unpatriotic rich people leave the country, ten good ones come in the country. We who are poor don't care about those who are not part of the solution. The sad thing is when former poor black people forget where they came from once they have a few millions.

[@Ritesh-yy1zr]

We all going down together unfornately.

[@Neo_Rain146]

It’s basically the story of SA for the last 30 years. Just continually lowering the standards for everyone so those with money have to make alternative arrangements. Now they won’t even allow people to do that.

[@molokomack332]

@@Neo_Rain146 that is another way to level the playing field and knock some sense into those who were always privileged and unpatriotic. Together, we can do more, divided, we will stay divided, and the gap will keep widening.

[@karenbayley-mentor-busines6511]

I can't wait to see the President and Parliamentarians attending the public hospitals and clinics. That's going to be fun to watch

[@MrVuvu]

Me too. However they would get special treatment

[@CbosEasyRecipes7]

Why is corruption not cleaned up, make job opportunities instead of making even laws that oppress others who are paying taxes?!!!

[@davidopsina3871]

CORRUPTION = TRANSFORMATION. When are people going to embrace transformation??

[@rekkabcleaningandlaundroma3580]

The problem with this black government is, they correct their mistakes and incompetence which they can't fix with laws.

[@BangiweNtjanga]

Rich said it all, Dr Brian is a good doctor, the other Dr is trying by all means to sound like he cares but i doubt him..

[@user-qq2oh4pt9h]

As long as ANC is in power, NHI won't be a success. They have already planned how they are going to loot it. Let private and government sector run concurrently. Introducing NHI does not mean we have to collapse the private sector. We have to rectify the rot in the government sector, and sometimes when the government hospitals are overloaded, waiting list can be off-loaded to the private sector.

[@therealistafrican6567]

I know a guy who has a tender of supplying sheets to NHI

[@user-qq2oh4pt9h]

Cadres are already lined up to eat.

[@_yerushalayim]

😅😅😅 vote it out

[@ilsejvr]

NHI doesn't even work in England. What makes you think that it will ever work here 😂.

[@AndrewMcFarlane_1]

Agree. NHS is useless

[@tammimaphanga1599]

What are you talking bout,I'm in oxford it's works perfectly, British protects it cos they know its working,visitors pay to use NHS..this doctor is saying,let's try n fail other than listen to these greedy politicians

[@Neo_Rain146]

It’s not about it working. It’s another pot to empty

[@user-yo3mk8ci3l]

In England 🇬🇧...speechless

[@Psciyentist]

England is in Europe, here we are in Africa. Pears and Apples

[@The504_]

Create jobs so that there's more funds going into the system. Look at the unemployment. Corruption will have to be addressed FIRST.

[@janvusi1407]

Today I just dropped someone at public clinic they que there almost the whole day image all our private health care like that. Government should first fix whatever public backlog before NHI signing this bill.

[@Nadia-co1gk]

The shareholders in the private health care sector is going to jump ship before it sinks!! The few that are paying tax in this country is already drowning on dry land. Make your vote count!

[@peterpooe3145]

"It must collapse for all of us", what a stupid mentality, I say dont destroy what works, fix what does not work, copy from private sector how do they make things work, copy what works instead of destroying everything.

[@Nono-uo5df]

'collapse for all of us' why would we want that

[@phahamangthakudi9148]

Even the playing field. Get the middle class to fight for a functional country as well in the streets not behind keyboards. Get the middle class voice to be more louder in the streets than air conditioned houses and offices. That’s what I get from his argument

[@umbilodurban6638]

It funny how he said corruption is the problem and yet he expect us, who he calls the privileged to trust this corrupt government with more money

[@MrPoliteAgain]

ANC is about the destroy the Private sector 🤣🤣

[@ntatedecidua]

I wonder do people know that they will still use the same public hospitals,its not like anything will improve with NHI , NHI will just be a money making scheme for the ANC , how will NHI be funded? Vat increase to 23% , Tax increase

[@nathanieldelouw2582]

Thank you to all medical aid payers for this gift. Your contribution goes a long way💪

[@LM-rg9lj]

In SA we have too many illegal foreigners and unemployment challenges and a low tax paying base, how will NHI work. If the public healthcare is dysfunctional, why would NHI work? The elephant in da room is simple, politicians, corruption, skills shortage, leadership etc

[@gladwinmashoko1701]

This generation… must be outspoken like this … 30 yrs of ANC Failed South Africans

[@sollymphahlele6400]

You want to equate it to 300yrs of colonialism?

[@ntombihadebe4822]

Our clinic burnt done 3 yrs ago , a small portion that can be fixed and a week. Its been 3 yrs and people are crowding one clinic in another section. If they fail to fix small problems what the hell do they think the NHI is going to benefit the people.

[@vusibiyela6032]

I don't think Ramaphosa believes in the NHI.

[@mosa1mabilisa]

He knows he'll always go overseas for medical care

[@BasiliahNetwork]

Who made the public sector disfunctional it's the government. They should have copied the private sector model and kept the health care standards they inherited.

[@billyb7469]

So we must have NHI because of Corruption?

[@masterjedi487]

why do people not think when they speak

[@billyb7469]

We pay for that privilege

[@BlackrystalX]

Having tried to claim from uif thrice in my lifetime and received R0, even for my maternity leave. Now i am to trust that they will pay my medical bill, this is a joke. So I must pay more to receive zero service delivery

[@tshepangmokoena5261]

Through economical imbalance

[@therealistafrican6567]

There is a Venda adage " we eat together or i pour dirt in the food". Honestly mr Nurse i pity your thoughts

[@Naddynado]

Most important question is who is running the private sector vs public sector... Are you hoping that NHI will get these people to run the public hospitals? Nope they will put the same incompetent people which will destroy everything

[@LilyDhlamini]

What we have experienced during this 30 years will still continue

[@momolefi4404]

Medical aid is expensive and insufficient, however turning all hospitals to public hospital’s current state will be a disaster for the healthcare future

[@Dude-1689]

No, they are aligning the public sector to private medical institutions. Not the other way round.

[@hustlemami8732]

​@Dude-1689 that's the bs you are fed and believe. Try being realistic

[@Dude-1689]

@@hustlemami8732 Realistic is that the bill has been signed. The people governing the system are your problem not the inclusive innovation the NHI presents to the citizens. You may not like the public health system but it still works for scores of people in the low income sector. That's reality.

[@farzana6676]

​@Dude-1689 If it works for scores of them(something that's questionable), then it should continue working for them. It doesn't work for the rest of us, now ya'll want to destroy the private hospitals for the rest of us that want to use them.

[@SimphiweSibeko-ny5tn]

​@@Dude-1689 Remember that private healthcare sector was a backup of government failed institutes, my question is if this NHI collapses the now private sector because rest assured that's bound to happen, than what will be our backup? Remember Umngeni water was subsidized by government and we're currently having challenges with water, Eskom was also subsidized by government and we are currently having challenges, some private institutes which were previously private hospitals take Marianhill hospital for instance it was a private institutes being managed by the Roman Catholic Church and government subsidized it and it's currently a very poor institute, now on what basis will we refer to this NHI being a success if government has failed everything he has subsidized? I think you're looking at this with a shorter vision, even government officials failed to answer when it comes to the finances of this NHI I have no doubt this is a last kick of a dying horse(ANC) otherwise this is a disaster period, investors have started pulling out, shares are dropping from medical schemes, this move is no different from the grant of R350 instead of creating jobs, people will only see this once the damage is done, for the fact illegal immigrants will benefit from the NHI means every single citizen will suffer, wait till the price of food, petrol, taxi fare and all the necessities rapidly increases than you will feel it especially if you do not require medical assistance, you might not see this now but mark my words this is the worst the government has done, its a destructive move

[@ezekielntlhangoe4617]

I will support any view that talks about starting by upgrading the Public Hospitals and making sure Nurses are not sleeping and gossiping at work. In that way no Politician will go to Russia for medical reasons like we have seen people like the then ANC Deputy Presiding David Mabuza doing.

[@cameronbutler1599]

this guy living in a dream world.

[@leratomo6581]

I would to see ramapho and his ministers going to their government hospital that they have broke. Everything this government touch fails

[@diatilenthoba8262]

This health insurance has not started working but people are already complaining about corruption, maybe even at night you are no longer dreaming about good life or your ancestors visiting you ,when you put your head on a pillow first dream is corruption, corrupt ANC ,amasela....give the insurance a chance ...a lot of people are in a qué of kidney donation, difficult operations,let us all access good health.

[@lebitsolebeseromo4682]

That is from 30 years experience. And that "let us give it a chance " is exactly how we got here, we have been giving things a chance for 30 years and nothing ever worked

[@AlternativPerspectiv]

If ANC can't run the public sector right now as it is with all the money it already has, what will magically change when they shut down private care to make them run things better? That Ritchie guy is saying "if we are in this together we will then complain together" exposing that he is really just trying to use taxpayers to fight for non-taxpayers. The taxpayer is an unappreciated donkey in South Africa. All the laws and threats created in South Africa go after the taxpayer, while none ever go after non-contributing non-taxpayers.

[@samkelozungu3263]

For the mere fact that this guy is saying evn if fail It must ,my question is why government if failing to upgrade the existing health system? Looks like they just targeting funds for medical aid schemes

[@lungilenzama8862]

Mr Sigcina and the doctor there are impressive. They are talking about something they have experienced.

[@phumelelomthimude8082]

I'm a nurse in a public sector and I agree.

[@wildcat_reloading]

Whu does everyone think NHI will turn the public system into the quality of the private sector, it will do the opposite because money buys quality, maby fix unemployment first

[@minenhlengongoma5274]

The worst decision made by ANC .

[@samkelozungu3263]

Ok let us pay medical aid schem n government must provide the funding anyway we already paying taxes

[@joacro]

If it fails it fails for all of us… is this what I heard he said. Can’t believe what I heard. What is the current Public health care system other than NHI. They can’t even manage the current Public health care that are supposed to be for all citizens of South Africa already funded by the taxpayers. First look at the current public system before interfering with something that we pay in excess to protect our families from a current failed health care system provide by the state. Upgrade the existing clinics and hospitals, employ competent Dr and staff, sort out corruption. How far do you think the few paying taxes, taxes will go. Taxes are already used to support so many non taxpayers in various ways. The problem is not the private sector, the problem is the existing government has used so much funds from taxpayers, investors and international investors to fund lies and corruption. How will this change. One of these days the so called privileged will have no more funds to help the less fortunate. While we fight over this the over payed government employees will take their love one overseas for good health care and we will struggle. Even the government has their own Medical aid because they know they have failed the majority of South Africa. They have depleted the ways of getting funds and the medical system are ineffective of the few they left for last. Yes behind every behavior is a reason…and the reason is the existing government and non achievable promises. Think people think!

[@SimphiweSibeko-ny5tn]

The only public institute that I found having proper standards with well disciplined staff members in KZN is Christ The King Hospital in Ixopo, which than shows me rural areas have healthcare services which are very satisfactory come to think of it, unlike rural areas where people are vouching on being nurses because they're trying to eradicate hunger and not being passionate about their profession 🤔

[@thembamavi5533]

I agree with your first statement. If it affects us all, we will make it work.

[@noreenm5018]

Nurse Rich Sigcina is telling the truth and only truth. I had a recent experience with Prince Mshiyeni hospital, I'm traumatized by the experience. There was a day, where I was in a emergency queue from 8pm and patience was seen by the doctor at 2am the following day, in an extreme pain. Doctors are drowning, exhausted, stressed. Its a sad state of affairs. Its very sad. 2. I have a friend, who was shot and lost teeth, was treated in JHB C Maxheke hospital. She is in a waiting for 6 six years now for teeth reconstruction. Nobody can tell us, how long the list is or have an estimation when the surgery can be done. But her name is on the waiting list.

[@zolapowerfultigeressibrahi9369]

Weeeeeeh EMshiyeni is a shit hospital. The treatment is horrible!!!

[@shmelie]

now here is a man that makes sense also politicians dont use the public hospitals becuase its so bad. im to poor to afford health insurance in sa and i rather sit with my pain than ty get help in public sector

[@user-xq6ms9jt8f]

They are going to turn this beautiful country into Zimbabwe. 💔💔💔

[@ludwedyomfana3644]

Dankie Sgcina👊🏿

[@shandukandaba1499]

Ramaphosa making such a grave mistake all for political gain. Why are people making it sound like it's a bad thing for those who pay for private healthcare to do so while public healthcare is collapsing? Fixing the public healthcare is government's responsibility. People who pay for private healthcare pay from their own pockets. Forcing private healthcare to clean up the government's incompetence cannot be a viable solution especially in the long term. The guy in the studio.... so illogical

[@kabelontitsane4943]

There goes my beloved country. These is what our young me think.

[@tshegofatsophaahla1148]

NHI will never have the same benefits as the medical aids. That is where the gap will always be. The government must instead improve what they already have because the private health institutions are not enough to accommodate all of us. The numbers between the people and private hospitals does not balance. Those who are living in remote areas won't be able to travel long distances to access private health services. The NHI was approved prematurely.

[@babalwandamase9509]

I had a patient in public hospital and one of the doctors in public hospital advised that we take the patient to private hospital ,ac's were not working

[@Dude-1689]

And now NHI is forcing the standard to level up with the private sector. Why aren't we optimistic though!

[@BonginkosiMoyo-kp4nr]

This is so sad😢NHI has been signed really?

[@IzweLethu1000]

Good Nurse! ❤😂🎉

[@vona5251]

How did you make the calculations

[@tonitappous2422]

The only Province in SA that is delivering quality public hospitals and quality public healthcare iin SA is the DA governed Western Cape!! See- DA delivers for the poor and vulnerable, BusinessDay.

[@phumzilemlipha3694]

We will never be equal. Tell us about the countries who already have NHI and what is going to happen with foreigners because right now public hospitals are full

[@user-fe1di1eh1m]

well spoken HAWITU president Rich Sicina 👏👏👏

[@mosialive]

I give it to Dr Ruff. He nailed it.

[@MOTIVATIONENFORCER]

He says that we must let the NHI collapse...at whos expense....i am sick and tired of paying for your incredible lifestyles!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!1

[@marketingdesign1136]

If you want good service everybody must pay. Everyone must pay the same amount. not just 5o% of the country! Everyone must Pay!