NHI Bill | Panel discussion on how it will work and who will fund it

President Cyril Ramaphosa is today expected to sign the National Health Insurance Bill into law.
The Bill, which has been long in the making, has been a contentious issue between those who support it and those opposed to it.
Professor Alex van den Heever, Chair in the Field of Social Security Systems Administration and Management at Wits School of Governance, has refuted claims about the Bill, while Business Unity South Africa has threatened to challenge the Bill legally.
Some have questioned the timing of the signing of this Bill, 14 days ahead of the country's general elections.
Today's three panellists joining us virtually on this discussion are Professor Van den Heever, NEHAWU Deputy General Secretary December Mavuso, and Deputy CEO of Business Unity SA Khulekani Mathe.
For more news, visit sabcnews.com and #SABCNews on all Social Media platforms.

[@AlternativPerspectiv]

I work with a government clinic. Lightbulbs are not getting changed. Benches are broken. The money is allocated at treasury level but it never arrives at the clinic. 75% goes to cadres and their staff salaries, only 25% goes to medicines and equipment. NHI is just going to make more money available to steal. the nice private hospitals they are planning to take over will end up being manned by rude, poorly trained and lazy nurses. Maintenance and upkeep will be abandoned and the nice places will just become the new shtty places like the current public hospitals and clinics. Also, everyone keeps talking about how unfair it is that taxpayers get private care... if I take you out to dinner, buy your outfit for the evening, pay for your transport, pay for your hair and make up, pay for your hotel, pay for the movie, pay for your safe return home and give you pocket money afterwards... how is it unfair to you that the next day I choose to go to another venue without you? It is MY money! Taxpayers are already paying for everything given to non-taxpayers for free like free electricity, education, water, RDPs and more.. so how is it unfair to people who contribute nothing that the worker wants to spend his money on private care? On top of that, the people voting for the corrupt government that is stealing are the non-taxpayers to begin with!

[@paballopilane921]

Well said 💯

[@DimakatsoMnguni]

Couldn’t agree more

[@ReubenMatolong]

That's true broer.

[@ntebemosai]

Well said, but the statement about the nurses was unnecessary. Not all nurses are like that, some are very hardworking and dedicated.

[@ATR-AllThingsRandom]

Thats what i said. the Fn thieves.

[@kmjconsultants]

The idea is noble, but I cannot think of anything the ANC touched that is still working.

[@ElectrostatiCrow]

Yeah. We need a new government to take over for it to work.

[@kholiswambozi9997]

Very true and sad😭

[@nezuminezuminezumi7266]

How is it noble? You have no right to force other people into slavery because you think you are entitled to a service. Trying to literally force people into caring for you is the absolute pinnacle of entitlement and they have zero obligation to serve you. I hope the doctors and nurses all have the self respect to leave.

[@child__of_God]

Please vote the ANC out!

[@Psciyentist]

We will, right after cupcake signs this bill 🤣

[@sifisodube4686]

Do you even understand the NHI bill or you just talk information is vital

[@LindiweNyembe-yc1se]

It's CHOAS WITH EVERY PUBLIC HOSPITAL AND CLINICS ( NO MEDICINES , NO EQUIPMENT , SHORTAGE OF STAFF , SURPRISINGLY GOVERNMENT DOESN'T FIX THAT BUT PRETEND TO HAVE IT ALL UNDER CONTROL AND WANT TO INTRODUCE THE SYSTEM THAT WILL FAIL DISMALLY , . NOTHING HAS BEEN FIXED. BY. THE GOVERNMENT, ONLY DISARSTER EVERYWHERE. EVERY COMPANY THE GOVERNMENT TOUCHES , _ WITHIN NO TIME YOU SEE / HEAR CRACKS THAN IT CRUMBLES .. THAN PEOPLE LOOSE JOBS EG _ AIRPORT , POST OFFICE , SABC , HOSPITALS , SCHOOLS. EVERYTHING IS A MESS. WHICH PARTY IS IN POWER ( WHO _ IS GOVERNMENT )

[@AlternativPerspectiv]

There are not enough taxpayers to outvote SASSA recipients. What I would suggest is that there be a law that says, yes, everyone has the right to vote, but taxpayers votes count 3 times.

[@joecruiser]

​@@AlternativPerspectiv 10x.

[@Flipflop8866]

Cancel the R350 grant and redirect that money to the health system.

[@johanbritz976]

considering how many groups are using deceased peoples ID's to claim their SASSA payments.. I would have to agree.. Since at least the dead people can claim medical services..

[@nomxhosapekani7966]

South Africa has 86,000 millionaires, so why take from the poor instead of Taxing the super-rich?

[@happyclappy1805]

what a disgusting comment. Put your own salary there first before taking from the poorest of the poor

[@Express4462]

​@@nomxhosapekani7966good point. There are a lot of rich ppl and some don't even support poor ppl

[@nickfzar]

@@nomxhosapekani7966 You cannot simplify it like that, if you overtax millionaires they simply emigrate and take their money. Then 2/3 of the tax base leaves, the government has a fiscal deficit, things begin to really fall apart, unrest, hyper inflation and mass poverty follow. The smart thing is to just not steal the tax money that is already raised.

[@tselisomacheli7200]

The timing makes it suspicious.

[@LFC4evaYNWA]

Some form of the NHI has already been implemented and it's been in thr works for many many years doing research etc

[@kingquads6982]

​@@LFC4evaYNWAbut still this sudden urgency to make it official is very suspicious

[@ElectrostatiCrow]

If you have been keeping an eye out, you'd notice how we get stuff like this when the anc is afraid of losing. Free education came around Zumas' end Free Healthcare Expanded social welfare It is probably an electioneering tool.

[@LFC4evaYNWA]

@kingquads6982 not really, NHI guys have been pushing to get it approved by parliament and NCOP and it's been waiting for signature by president.

[@leslenesantana7575]

This is for votes just like we don’t have load shedding. Just wait until after elections 🙈

[@happytape307]

Get ready for Health-shedding. We know what happened to every other SOE & department the ANC reached into.

[@Cherry-pu4mx]

Don't forget tht each of those SOE's embraced BEE which means this NHI healthcare will also be beneficial not just based on your class but your race too if they decide to make whites wait longer

[@Luba_Dyasi]

The fact tht they will deduct from our PAYE tax to fund this is shameless

[@GaragePie22]

Eskom, SAA, Denel, Post Office, Transnet, NHI get ready for the medical aids to collapse and the Dr's to leave!

[@menzorams9702]

I 👍 but some doctors will come back after the collapse of all the hospitals. They will open their own where you will only be taken care of after payment. It will lead to some of them giving experied medicine that can lead to kidney problems.

[@Fl1ntsto93]

Don't forget PetroSA.We were producing our own fuel at the Mosel Bay refinery and making millions off the products sold globally. Then the money disappeared and the refinery shut down!

[@GaragePie22]

@@menzorams9702 Dr's get very well looked after in developed countries why would they come back to work in sh1tty ANC hospitals, working for peanuts?

[@maryjooste6161]

I sit back and watch how thy plunder SA empty

[@jacobjacob4139]

Let them leave, we don't care, majority must have access to healthcare. And you are free to leave with them.

[@nellym46664]

2 weeks SA. Just 2 more weeks until you can save yourself.

[@sanelemngadi9324]

the sad part is the people who will fund this have no say

[@Rob69635]

​@@sanelemngadi9324it's very sad. The uneducated, unemployed, non-tax payer masses that have the future of our country in their hands.

[@Psciyentist]

Definitely saving ourselves from the ANC and the DA, other kids must lead and be the official opposition.

[@nickfzar]

2 weeks till eskom stops burning diesel, ready your inverters!!!

[@edjohn4590]

Delusional… anc is here to stay.. Nobody is coming to save you…

[@rajniramdin916]

Let's make sure that as soon as the President's signature lands on the NHI Bill, it becomes compulsory for every minister in government to only seek medical attention in South African public hospitals and that they first and foremost are subject to this bill.

[@jamesmay1900]

My man, they will take our tax money and go to world class doctors in Switzerland or where-ever...

[@danfred579]

Agreed, make them sit for 2 days in a hospital casualty waiting on stitches

[@belindalucas4946]

Yes let's see when Cyril or his family must queue at the government hospital during an emergency

[@JamzyZiggy]

ANC will steal all that money!!!

[@curiousk4083]

Agree, they stole money in short space of during covid 19. Now this will be their gold goose. They don't have respect of life. How do you steal money while millions of your people are dying?

[@jacobjacob4139]

Majority will benefit

[@TalkingMoneyWithNozi]

​@@jacobjacob4139lol😂😂😂😂

[@pontshomosiea6187]

They've stolen Tembisa hospital to the ground

[@tracb7659]

Not when the health system completely collapses they won't... everyone will suffer

[@charlottegrant5463]

The NHI funding will be deducted from your Tax, that would be even higher when you get your salary. (Investigations regarding the affordability of the National Health Insurance (NHI) reveal that each formally employed South African would be required to contribute R1,500 per month via a payroll tax to fulfill the Department of Health's funding projections.) And everything else on Tax goes up!! How are we suppose to make a living. Apart from the fact that everything that goes in a Fund or what ever, always ends up as Corruption.!!! The State hospitals could not be looked after. Now they want to implement a NHI Bill.?? ANC stood for 30 Years, what have they acomplished so far???

[@danfred579]

They have actually accomplished a lot. They achieved the impossible and ruined a functional country. We must applaud them coz they showed us through teamwork anything is possible.

[@jacobjacob4139]

You are lying.

[@yamkelakhetsiwe2236]

Mad

[@victorvelaningongoma8705]

@@jacobjacob4139 agreed

[@dracolusus]

@@victorvelaningongoma8705 Where is the lie?

[@faampie]

This will sink the economy to the point where everyone will be living below the bread line.

[@davidbarnard1409]

That's the objective of socialism. Eg Cuba

[@ElectrostatiCrow]

Doubt this by itself could be more of a disaster than Eskom Surely it will be a disaster if the anc is running it but the economy has already taken a beating amd is still standing.

[@jacobjacob4139]

That's where some of have been living by design of a white humans. Majority rule!

[@edwinmaphake8914]

And Russia

[@laurentduplessis2109]

There are NOT ENOUGH PEOPLE PAYING to fund the NHI bill. Too little people are employed (thanks to the #ANC). The people paying for medical aid at this point will not fund the NHI and pay for a medical aid.

[@sibusisosikhonde2450]

💯fully agreed ‼️

[@manoviejacobs8608]

Correct the people that are employed have to be up at early hours &travel to earn their bread &butter they can't hardly afford their monthly medical aid installments let alone help funding the bill. They already pay a huge government tax which they can't afford.Plus they must pay Rates . They Don't get water&electricity free. Food prices goes up all the time. They can even afford to buy meat now a days. Look at the prices of meat. With our government people became poorer. What we earn three quarters if not more goes to the government. Check their overheads. They hardly pay for anything. Government must stop suckling from the hard working people

[@LFC4evaYNWA]

You pay medical aid? Well you will pay less and opt out of medical aid or keep medical aid and pay that extra cost. No more paying extra for medical procedures out of pocket and denial because you can't afford the cost especially cancer treatments and ops where the private hospitals make you pay exorbitant fees etc.

[@foxy3344]

Should have rather focused on the electricity crisis and unemployment, before even looking at universal healthcare 😭. So dumb…all the rich will leave, all healthcare workers will leave…it’s not a smart decision.

[@foxy3344]

@@LFC4evaYNWAthat’s the ideal situation. But realistically we don’t have the staff for all South Africans so you won’t get seen, we will lose doctors, corruption, increase in tax and so many more problems. It ends up costing the country more in the long run

[@leslenesantana7575]

VOTE THE ANC OUT 🙏

[@jacobjacob4139]

Why, coz it's not working for you and it is working for me? I'd be a fool to do that. Viva ANC viva EFF.

[@jacobjacob4139]

Why, coz it's not working for you and it is working for me? I'd be a fool to do that. Viva ANC viva EFF.

[@adolfvermooten2130]

​@@jacobjacob4139hahahaha how babba? How is it working for you? 😅

[@tiaanbekker7703]

Lol....I see some people cannot wait for their food parcel and t shirt

[@adolfvermooten2130]

@@tiaanbekker7703 haha die bekke water vir n stukkie kfc hahaha

[@WalterWhite-bc8ck]

This dude is what is wrong with our country

[@blackOneTime]

this guy seems to have a 3rd grade education

[@NewBreed_Network]

Even his face is a problem. Looks like the big alien on lilo and stitch

[@emilyZA460]

@@NewBreed_Network that’s flippen hilarious 😂 thanks for the laugh!

[@Truthseeker-iz3dj]

Best not be employed and rather run your own gig when this is implemented. Anyone on the >= 39% tax bracket will be paying over 50% income tax. You won't be able to afford your lifestyle

[@blackOneTime]

@@Truthseeker-iz3dj At least it's only till election hopefully

[@EmmanuleGoldstone]

Can anyone talk about the latest numbers from the UN Refugee Council that say there are 3,000,000 (yes million) refugees in South Africa from Zimbabwe and a further 2,000,000 refugees from Mozambique. How do we pay NHI for these people? Get your house in order first before you make plans to BREAK more things!

[@LindiweNyembe-yc1se]

My take EXACTLY, AS IT IS HOW MANY FREE FACILITIES THEY GO TO OR USE FOR FREE , LOOK AT OUR COUNTRY, IT'S IN SHAMBLES ,( INNER JOHANNESBURG ) IS MANIFESTED IN CRIME , DRUGS . ANC ( GOVERNMENT ) IS FULL OF JOKES , THEY DON'T SEE THE SITUATION AS IT IS , I WISH SOUTH AFRICANS CAN WAKE UP AND NOT BE FOOLED BY FOOLS. WHERE IS SAA , TRANSNET ,POST OFFICE , PUBLIC HOSPITALS DOESN'T HAVE MEDICATIONS , EQUIPMENT , LINEN REALY WHAT MORE DOES ANC WANT TO DESTROY . ANC IS TRYING NEGATIVELY TO GET VOTE AS ALWAY TELLING PROMISES THEY FORGET ABOUT AFTER VOTES. IM SOOO CROSS WITH WHAT IS HAPPENING IT'S NOT FUNNY. GOVERNMENT NOW WHAT YO TAKE THEIR CORRUPTIONS TO PRIVATE HOSPITALS AND DESTROY THEM.

[@Jurcintho]

Instead of focusing on mass deportation and mass employment of citizens (youth especially), they focus on something that will flop, again, and they know that. They are trying to buy face, with the poor people while also infuriating the people who wake up early and want to have a future and a family. It's really sad 😢

[@Ginger4789]

They don’t even take care of existing clinics 😢😢😢😢😢

[@ddhuz00100]

Or public hospitals ..😢

[@sharonadams9721]

The “tiny” percent of population referred to by Cosatu is the tiny percent that pay taxes. Our tiny personal tax base funds govt coffers.

[@Psciyentist]

The sins of the past are heavy bruvh

[@sharonadams9721]

@@Psciyentist Indeed - many generations will pay for it.

[@The504_]

​@@Psciyentistproblem is, the apartheid government caused the sins, not every individual that were stuck with the system.

[@mario2918]

Please explain how the apartheid government is still responsible?

[@emilyZA460]

@@Psciyentist South Africa has spent nearly as long post-apartheid as it did under the apartheid government. No more blaming apartheid fellas. Reality is a tough one but the fact is, the ANC don’t have the intellect, skills nor moral character to achieve anything other than complete destruction. Truly shocking when you start hearing black people themselves assert that their lives were actually better under apartheid than the ANC. Just give that some thought.

[@ilsejvr]

And what are you going to do when everyone cancels their medical aid?😂

[@lovelyheart800]

if NHI kicks in i’m defiantly cancelling my medical aid i won’t pay medical aid twice never

[@yamkelakhetsiwe2236]

I'm cancelling as well there's no such

[@paradzaitirivashoma7758]

Just imagine a whole plan banking on people's medical aid contributions to fund health for the whole nation. People will just opt to save their cash and cancel medical insurance

[@markdup1]

Medical professionals will flee and we'll be left with scammers. It's gonna be a tragedy 😑

[@tebellorankadi]

Flee where ? we dont need them those you call scammers call them black reveal your self

[@johnledwaba8551]

​@@tebellorankadistop being a racist

[@Mervyn001]

Scammers are running private systems now so I can't see anymore difference with the NHI.

[@LFC4evaYNWA]

Flee to work in NHI in other countries and paid less. UK is full of south Africans working for peanuts because British Healthcare workers have left because of the government stance on paying public servants. This will give the opportunity for those south Africans to come back and increase employment

[@mrinteldaplug7512]

​@@tebellorankadivele they are manje what is ur point?do you even have medical aid wena slimma

[@leslenesantana7575]

Everything they touch they destroy. Name one thing that the ANC has done right?

[@heinrichgerber6387]

Stealing ,,,😂

[@bashwack110]

​@@heinrichgerber6387 ..you took the word right out my mouth😂😂

[@ufioamarachi4268]

None absolutely none, nothing but useless people

[@bolugeorge4380]

Fighting for Palestine freedom

[@jacobjacob4139]

Freeing majority black from minority white. Blacks don't pay for water and electricity in the townships. I gave you 2 things that are clearly not benefiting you but are benefiting black people.

[@AndrewMcFarlane_1]

Nehawu clearly seeing money for its leaders if NHI is implemented...

[@pontshomosiea6187]

Not suprising because they sell their members to vote for corruption, they don't care anymore.

[@dustinmccrindle343]

They should consult their members. You know, the people who's wishes they're supposed to represent. Tge members I know overwhelmingly say NO to taking Gov Employees Medical Scheme away from them. But NEHAWU is more of an arm of the ANC than a union.

[@theov5590]

Unions are socialistic and communistic in nature. They care less what will happen to health services. Unions are the very same people who toy-toy and abandon patients when they go on strike.

[@maofan6606]

People please do not be ignorant. Its all political. Now I don't have medical aid just to make things clear. I use public clinics. My daughter was born in a public clinic. Retreat MOU to be specific. 1. The money that is supposed to upkeep public facilities is not managed properly. There is a lack of staff equipment is not repair or serviced to name a few. 2 Where will the money come from? People's taxes. VAT etc, 3. Regarding VAT for example on consumables will technically raise prices on on foods. Technically making us not afford food anymore already food does not last a whole month. 4. Fix the Public health system first. These people when they get sick you will not see them in public hospitals because theyknow that they are ran down. I have to fxxx stand in a line for 4 hour to be assisted. Let them fix the heath system first before jumping into things that they have not done research on

[@Jurcintho]

We need three main things in this country; leadership that propagates better morals within our society (especially in-house), a workforce thats sole purpose is to serve and consequences for those that are acceptable

[@Jurcintho]

As well as rooting out corruption within our municipalities. Just by creating more jobs within the municipalities (to be frank, so much more can be done) we can go a step forward a little, waste removal is a pandemic and the municipality has a vaccine. The more cleaner our towns and cities, the more morality we will gain over time. Toxicity within our society too needs attention, but that's a topic for another day.

[@dracolusus]

Change the laws forcing them to be serviced at public healthcare facilities.

[@stanmarr4488]

*_The ANC has absolutely NO REPSECT for tax payer's money. They think it's an endless money pit that they can misuse. This is NOT the way to run a country._*

[@saamstaan6540]

More empty promises the uneducated masses will fall for😂😂

[@Jurcintho]

Education really is a problem. But unwillingness to leap, learn and learn from mistakes is the basis

[@rsr879]

First show us that you can run an NHI by running our current Public hospitals as it should be operated. At the moment there is no state hospital that is under ANC control that are running up to standard. Show me one, just one state hospital that does not struggle with mismanagement of funds and corruption, theft etc.

[@rhonadenner9001]

Agree 100%... was in nursing for 40 years.. everywhere in private hospitals and provinsial, also there is a lack of compitans. The Healthcare became a business.. not a profession anymore and something to be proud of. Everything now is about money.. it is heartbroken to see what nursing become of.. 😢

[@natanielstephen894]

We have loadshedin Health shedding Water shedding what more in this country 😮

[@bolugeorge4380]

Food shedding 😂

[@samsamlall4118]

Food shedding 😂

[@rhonadenner9001]

Chaos... we need to pray and ask the Lord to help us all.. things realy are speeding up to a disaster like never before.😮😢

[@ddhuz00100]

Fuel shedding possibly on the cards..🤷‍♀️

[@kingquads6982]

Those who can emigrate, please save yourselves. This country is going down the drain.

[@daphnedickinson6877]

It's already down the drain

[@ND9.0]

they have been migrating, I hear they are coming back and also fighting to not loose their citizenship

[@edjohn4590]

Already did 5 years ago!😅 Best thing ever! A lot of delusional people still in SA

[@jacobjacob4139]

Are you still here? 94 came and went and you're still running your mouth about leaving?

[@rhonadenner9001]

It is like this all over the world.. some places little bit better but also on the down spiral.

[@felicitybrits2382]

You can't build a house without a foundation and expect it to stand the test of time just as you can have a bill without having proper facilities and staff compliment and proper funding! How have these issues been addressed to make these institutions sustainable over a long period. Continue chasing your tax paying citizens and you will soon have no tax base as those who are contributing will be leaving SA.

[@LFC4evaYNWA]

You can go to private hospitals anywhere and everywhere and claim from NHI

[@jeanc1696]

Cut the salaries of the big government agents and use that money for the NHI

[@beverlygardner1235]

ANC HAVE DONE THIS FOR YOUR VOTES, NOTHING WILL CHANGE ..

[@francoisviljoen4002]

Wow so trade unions 'tax rebate and medical aid must be redirected to NHI' Why on earth would I still contribute to the medical aid then? The blatant truth is you have to raise taxes and not to the point where the tax is equivalent to what I paid in medical aid it would have to be triple cause I would have to fund all the other people than before.

[@riaanhendricks9207]

See, everybody had clever things to say UNTIL Prof Alex started talking about how this grandoise dream is going to be funded. There's no such thing as a free lunch!!!!

[@MaphulaneKgasi-uy3ci]

Why Anc led government doesn't tell or give citizens the results of NHI pilot projects that happened few years ago. What did they learned ?

[@baneofbears7824]

What a time to be a medical student lol Once i graduate i am leaving

[@ElectrostatiCrow]

If you're going to another Anglo country it won't be very different. Canada, the 🇬🇧 and Australia have similar Healthcare problems. Try America.

[@vona5251]

Why are you living?

[@ElectrostatiCrow]

@@vona5251 He doesn't want to work for a state run medical care system. I can respect that. Salaries in private healthcare are pretty high.

[@ufioamarachi4268]

Foreigners are taking opportunity to study here and locate UK, USA

[@mistifalcon3332]

Yeah, I know a lot of us med students are worried rn

[@heinrichgerber6387]

Gov. Says there is no money to employ doctors and nurses sitting at home,,,,, now who will do the work

[@JamzyZiggy]

If for one second you think the ANC can pull an NHI 😂😂😂😂😂 off you are a fool not these self serving thieves Mbulula will not be moving around in a G wagon he will have a helicopter 😂😂😂

[@KD-us9jm]

If what is being contributed for Medical Aid is channeled to the NHI , that means the same tax payers who were paying for private Health Care will start paying for public Health Care (In addition to tax that they were already paying for free public services to work, and the tax also will be increased) , am I right by saying this ? Why do I feel like the government always burdens the tax payers at every given opportunity , just to make things that they have either broken or have stolen the money for , work ? It's a sin to be a tax payer in this country. We really are in the last days.

[@swanepoel4714]

Definitely. If they used public money sustainably and effectively for these 30 years, instead of throwing it down the toilet with corruption and self-enrichment, we wouldn't be in this situation. There'd be more than enough money for this country.

[@thierryndiho1613]

Remove hospital tenders

[@user-ci9fe6lr3t]

Anc is confusing now😮

[@jacobjacob4139]

If you are confused you are an enemy of the people!

[@ddhuz00100]

Confusing is putting it mildly. They are corrupt thieves, enriching themselves. FO ANC cadres😢

[@jeannemeyer3089]

Mabuso is a Mamparra

[@ntsokolomemani3874]

The country as we know is gone. Zimbabwe here we come

[@Mark-ug6fx]

Yes BEE will go on a feeding frenzy,they must be rubbing their hands together,saying soon we will have a feeding frenzy

[@rhonadenner9001]

What happen to all the white educated nurses. They stopped working and alot of them working overseas.. the Quistion is why??? All what I see is disaster at our dorestep..

[@theov5590]

I pay tax and I pay my medical scheme for private Healthcare . I am not interested in making use of free health service which is sub standard which I have already paid for as a taxpayer. State hospitals will still be without medicine, sheets, blankets, broken equipment, delapidated dirty facilities, lazy obese incompetent nurses and staff run by unions. All government departments are in a mess like Dept of Education, police services, Transnet, Spoornet , ESCOM, DENEL, all State owned Enterprises, SAA, and even the military has gone for a loop. The health service will remain a shithole service.

[@LFC4evaYNWA]

You don't have to go to a state hospital, you can go to any private Healthcare provider etc.

[@theov5590]

@@LFC4evaYNWA the State do not pay service providers now. How on earth will the State change it's bad management style, incompetent and corrupt cadres to become more productive, efficient and effective as all government departments has gone for a loop. The private hospitals have private shareholders who wants return on investment. If not profitable they will close down. The billions spent on private health care comes from the pockets of private people and NOT the state. Private schools are flourishing with private money. Private security shot up like mushrooms because the state can't deliver.

[@PieterVandenBerg-wv5cv]

Who is going to pay for private healthcare if the waiting rooms of private doctors are occupied by persons who do not have / pay for private healthcare.

[@rhonadenner9001]

I'll see it like this.. they will work on a blue yellow green red card.. if you not that sick you will be ask to went to another Healthcare facility.. trauma and very sick patients have the benefit of the doubt medical aid or not.. we better look at ourselves not to get sick at all.. I've nursed for along time. If I was in nursing now after this NHI signing, I would have resign.. Feel sorry for those who can't who are still in nursing care, and had to work.. so so sad what SA became off..😢

[@theov5590]

@@rhonadenner9001 if you were a nurse especially PHC you will know that rural areas are the worst off with poor infrasture and resources. Poorly recourced community hospitals and clinics mostly not meeting the basic minimum standards of quality. The NHI will not provide more resources and will not be able to buy services in those areas. The Health Systems Trust did an audit on health facilities in the whole country with the shocking results compiled in the report to the Minister. Nothing happened since 2011. Conditions in state facilities are even worse than 2011. The socialistic ideologies and policies of the ANC will destroy the little that is left in the country.

[@thomasmalata9710]

I am really shocked and confused about the office advising Ramaphosa . There's a problem with Nsfas and now the issues of health facilities and services is coming up. Most government hospitals are a mess. The condition is very bad. Maybe the president must take time and understand the difference between public and private

[@cynthiadomingo3337]

Will the foreigner contribute, or will it just be SA citizens being drained.

[@lawlesskingza]

Foreigners pay VAT too

[@LindiweNyembe-yc1se]

As it is its free bee's for them and it's MILLIONS OF THEM , THANKS TO ANC

[@LindiweNyembe-yc1se]

@@lawlesskingza from which part of the country . Go to CENTRAL JOHANNESBURG , TO THOSE MILLIONS OF FOREIGNERS WHO TOOK OVER & CHECK HOW MANY ( NUMBERS ) YOU WILL COME OUT WITH THAT PAY SARS

[@tamlynkoopman488]

Who is stealing the money???SOUTH AFRICAN GOVERNMENT!I prefer the foreigners than the ignorant victim mindset uneducated and naive south africans.Everytime I've been robbed or a crime has been committed against me has been a South African!!!

[@lawlesskingza]

@@LindiweNyembe-yc1se hhaybo Lindiwe! Everything you buy has VAT. Unless they eat sanitary pads, then they pay VAT.

[@meriammosebjadi8178]

Our public clinics and hospitals perform poorly due to lack of equipment what government do.

[@CbosEasyRecipes7]

I am so tired! Yho!

[@mrinteldaplug7512]

Yazini sisi wami

[@glomab2758]

Foreigners will flock into the country more than ever before, and we will fund their private health care 😢

[@davidbarnard1409]

Maybe the majority needs to breed less.... Have 1 child per family not 6

[@jsNkutha-eu3iu]

😂😂😂😂😂😂😂😂😂😂 Have sex don't be lazy

[@jacobjacob4139]

No sir, we will breed as feel like and you will take care of the babies, majority rules.

[@davidbarnard1409]

@@jacobjacob4139 lol... Then being poor is your destiny

[@sbongakhumalo1774]

this Nehawu guy would never go to a public hospital

[@user-pi5sx8jx1m]

Another bill being signed , with what supporting structure ,to an effective and a fruitful implementation in sight. Medical fraterinties ,sectors,facilities, infrastructure, cannot make it a reality, with no upgrading to cater, for the influx ,since medical aides will be effected by this policy.

[@ShisnoGaming]

So Money that is meant to be paid back to tax payers for paying too much on tax (tax rebates) must be used to fund NHI + People paying for medical aid- Words from Mavuso

[@ShisnoGaming]

When I watch any discussions in government and government policies I drink every time someone refers to 1994 or apartheid

[@jacobjacob4139]

Have you ever considered seeking counselling or psychiatric help?

[@swanepoel4714]

To be fair, apartheid *did* start inequalities by disadvantaging and oppressing people of colour. But the ANC is definitely to blame for failing to reverse them, and instead worsening the situation through rampant corruption.

[@Technology24]

Ramaphosa cant even understand the process that goes into buying a loaf of breat.So this is so difficult for him to understand.

[@alexie.l.1]

How can one have a national health nsurance in place when governmental hospitals which are supposed to be the backbone of the countries health care system for its citizens do not have adequate medica supplies,efficiently qualified medical staff( neighbour prescribed a variety of antibiotics at one go by a qualified intern practicing now for one year at a governmental hospital,in high doses,wrong combinations supposedly with the patient then having to fight "steven johns" syndrome!That's life threatening..)numerous cases of malpractice in town hospitals,where the poor blacks cannot confront them wth the law!) Hospitals look in shambles and like a marketplace.Filthy and unkempt.Why doesn't the president go in to town hospitals take his wife who is a doctor and go and do inspections there.The cries of the well qualified medical personnel are old now.Those staff members instead of focusing on doing there job efficiently have had to take it uoon themselves to fight for getting their work environment with equipment etc in order.

[@FirstCenturyTheology]

Only 10 percent of pleople in SA pay tax. Only a small fraction pay for medical aid. How can they pay for NHI for the other 90 percent?

[@Mervyn001]

Well we can argue that 10% of the population held all the wealth in the country in the BS regime years. If the country was left equal for everyone, we would not be in the mess we are today!!!

[@LFC4evaYNWA]

The private sector corruption and fraud when it comes to medical aid is in the billions, gar more than what you find in public service.

[@Mervyn001]

10% in the regime held all the wealth in the country while the majority was dictated too.

[@vona5251]

Is vat not included?. Everyone who buys bread pays tax

[@dikeledilebeloane2044]

This is a disaster. Low earning people are already drowning in debt due to inflation. Our health service is a nightmare already in so many ways, and now a bill is signed before fixing first the problems in government health centers that are in a mess.

[@rhonadenner9001]

Agree!!!

[@Sam-ge6ds]

The healthcare system in South Africa is in a dire state, primarily due to extensive corruption within the ANC, which has siphoned funds from the health sector for years. Despite their claims that these issues stem from 30 years ago, the reality is far more current and pressing. The government's new plan to dismantle private medical aids and redirect those funds into the public sector is alarming. Given the government's track record, there's a valid concern that these funds will disappear just as previous resources have. This move appears to be a desperate attempt by a struggling party to exploit the mostly unemployed population, extracting money that many simply don't have, to further enrich corrupt officials.

[@bmshik]

Let the new incoming president cancel the act or bill

[@edithmiller3114]

Once again there are promises made to the poor of our country....that will never be delivered....disgusting.

[@davinduke6988]

Health Shedding coming to a hospital near you!!!

[@tokkieandrews9988]

My questions is what is the difference between the NHI bill and the free health from state Hospitals, and what are the costs that are involved with the NHI bill ,and will it affect the private use of medical aid .?

[@MrJos597]

1) the difference is that that the NHI fund will have much more money available from a the centralized fund to support the public sector hospitals, thus increasing their quality ( a hope and a prayer) , however this will likely lead to a decrease in the quality of the current private sector hospitals . So basically all South Africans will be part of a state owned medical aid. Depending on how they choose to gather the money i.e income tax or vat increase etc will determine who actually pays for this. If for instance they choose to increase income tax by 31% , only those who are formally employed will pay towards the fund , but all South Africans still have access. If they choose to only increase VAT that means all South Africans would contribute to the fund in some shape or form , but prices of everything would increase by about a 7%, since VAT would need to be increased to 21% . They can also choose a combination of approaches. 2) The current bill for all practical purposes bans the current medical aid business model that functions in SA, they will only be allowed to cover procedures not covered by NHI, so they become more like a niche gap cover(sortof)

[@leslenesantana7575]

They destroyed all the Hospitals now they need to find another way to get more money for corruption. That’s the bottom line. They have failed with everything they touched! Vote wisely 🙏

[@leslenesantana7575]

Greed is a messy thing 🙈

[@edjohn4590]

@@MrJos597ahhhhh ok… so in a nutshell… it’s more money for them to steal…

[@tumelo181]

They should Focus on creating Jobs for people to afford food and healthcare. How do you focus on giving people health care when they are Starving This is just a front for Votes because they don’t even know where the money will come from.

[@blackOneTime]

Uneducated ministration is a problem in this country.. Seems this guy has a 3rd grade education

[@solani5621]

So this basically means there won't be any private hospitals left....

[@bolugeorge4380]

Yes

[@christiangerhardt2408]

Great stuff starve!

[@OceanFanatic]

Vote Anc and get a free streetwise 2 !!!

[@MarciaVorster]

Or a T shirt

[@Mervyn001]

Change anc to KFC

[@edjohn4590]

Plus 2 litre coke!

[@bolugeorge4380]

And let together still more😂

[@jacobjacob4139]

I stay in Soweto and I get free water, electricity. The aircon is on all year round, what are you on about?

[@Flipflop8866]

I am happy for this as your medical aid has become far too expensive to afford. My only concern is why has the government hospital caplapst and why. I don't see maintenance taking place when I go there. Why is there no correct systems in place that this has happened and will this lack of maintenance and medicine continue. It will only work if corruption stops in the government system. Otherwise it is great to give free health. I do battle after I have retired.

[@runningman2989]

They cant build a stop sign correctly how are they going to implement this correctly????

[@OutsiderLabs]

Hospitals will be like eskom now

[@LFC4evaYNWA]

You will be able to go to any private hospital for service and not be rejected or pay anything at all.

[@paulcir1305]

And pigs will fly.

[@mario2918]

This is inequality. How can all have access if all are not contributing? We must also equalize equal access for equal contributions. All must contribute the same for the same access.

[@bolugeorge4380]

Forget Baba just like sassa . You work and feed those who don't work

[@MBReader410]

“Not being totally honest”. Indeed.

[@sagiepillay6106]

Private hospitals charge exorbitant prices for operations n stay. Medical aids make huge profits. Government must control pricing of services. That's how it's done in India in the private sector.

[@carollejackson4861]

Bad idea ☹️☹️

[@danielogana3972]

The timing is perfect. The timing is not the gist of this discussion. What matters is Universal Health Care for all. Policy comes first, followed by Law and finally systems are put in place and current health wellness infrastructer pivoted appropriately. Vote wisely.

[@johanbritz976]

So what I am hearing is, the Nurses association. Is under the impression that I will continue paying my current Medical aid payment as Tax instead? So I will get to pay the same amount, but because I am white male over 30, that I can expect the limited treatments? As further reparation payments? So what is going to stop me to just pay the amount my expected services is worth to me?

[@kagzo2]

What does being a pale melanin-less male have to do with anything

[@debbiewilson3828]

What this guy from Nehawu doesnt seem to realise is that medical aid is a choice - a very expensive one, but a choice. Its not a tax. Many people would not pay a medical aid if the government facilities were kept up to standard and well mainfained and funded - they are not. You can bleat on as much as you want about the "minority" who are on medical aids but its your comrades who made us make that choice by the mismanagement and plundering of our health system. We need to wake up people, a government that wants to control what you say, what you see, when you are allowed to have healthcare, etc. is not a government anymore.

[@manqobazwane9060]

After 30 years of democracy, President Ramaphosa should have been focusing on signing the amendment to Section 25 of the Constitution, which would enable expropriation without compensation-a crucial step towards addressing historical injustices and redistributing land. Instead, the focus has shifted to the National Health Insurance (NHI), a policy that doesn't threaten the economic dominance of the minority (white monopoly capital), but rather undermines the interests of the already disadvantaged black working class. The NHI is problematic for several reasons. Firstly, any initiative involving a substantial fund inevitably invites maladministration and embezzlement, given South Africa's history of corruption and financial mismanagement. The establishment of the NHI Fund could become another vehicle for siphoning off public money, detracting from its intended purpose of improving healthcare for all. It’s revealing how differently initiatives are treated based on who supports them. When President Zuma attempted to sign a nuclear deal with Russia to address our energy crisis, he faced fierce opposition and was nearly politically destroyed. Yet, Ramaphosa’s NHI, despite its flaws and potential to harm the poor, is met with a more favorable reception, it is engaged openly and argued simply because he is seen as a more palatable leader. This double standard highlights the inconsistencies in our political landscape and raises serious concerns about the genuine priorities of our leadership. Instead of implementing a flawed NHI, our efforts should be directed towards more pressing issues like land reform and ensuring financial accountability. South Africa cannot afford another mismanaged fund that ultimately fails to deliver on its promises to the people.

[@DezignPoint]

Tax burden that "everybody" faces? Psss off man

[@christineehlers1132]

In 2 weeks time there will no longer be a South Africa.

[@tokkieandrews9988]

But South Africa stop existing when Ramaphosa stepped into office , When he said South Africa is open for business, SA then became a corporation where every communist country has a cut of South Africa's wealth and its people (the labour force).

[@ElectrostatiCrow]

What makes you think so? 🤔 One of the oldest nations in Africa wouldn't just stop existing.

[@christineehlers1132]

@@ElectrostatiCrow Well, these people do not understand democracy freedom or equality. Violence is inbred and the ANC is fueling their racist hatred.

[@christineehlers1132]

@@ElectrostatiCrow Having served in the military all the signs for violence are present

[@ElectrostatiCrow]

@@christineehlers1132 Hasn't the country been this way since the 70s?

[@bafanashabangu9725]

It is very imperative that in such discourse, well informed people should be invited for both side of the arguments, it can be that you bring a Prof one side and a unionist on the other side, unless there's a certain narrative behind. Its not fair

[@nonhlanhlangcobo3172]

President Ramaposa signed the NHI bill this afternoon and Mr.Mavuso stated clearly that it will be funded by the tax payers and GEMS medical Aid schem,my concern is how safe is our pension on this

[@TuduetsoMokoena]

From this, the only thing i get that the health system will follow the same model that is not working under the NHI and might also perpetuate the problem. instead of using the NHI to address the imbalances that are within the health system. We need to recognize that our health system is not holistic and that is what causing an overburden in public health institutions. a proper reform must aim to improve the entire health system and not just a portion thereof.

[@AnastasiaRhoda]

Absolutely

[@user-ip5qq6ju5g]

Fix existing hosital and employ more nurses and doctors. The fact that some of the people are paying medical Aid Schemes does not mean they have money. We need best hospital for all citizens.

[@henrybisschoff8041]

Another major indicator of how inept and uncapapable the ANC is at running a country. They are day dreaming and seem to be on some smoke cloud million miles away from reality.

[@angelinaangie7528]

ANC has made it easy for us where we should put our votes,evryyhing can change with our votes,its in our hands ppl of SA

[@RK-ln6kg]

This bill wont work. It will shut down eventually.

[@esthermashia3149]

Are all the Primary health care facilities coping with the current workload and target populations they service? Are all public health facilities well resourced? Are all patients awaiting operations getting the service on time? Its like people are forced to use or fund a system they don't want? This initiative is a noble idea but if one person must pay for their medical aid then subsidies NHI is like the N1 toll fees for GP or SA drivers only while many other commuters from outside SA pass on N1 for free and no invoice followed them to their residential address. If the government fund NHI and my current salary is not compromised because l am taxed it will be fine. If everyone coming outside SA will pay for their medical bill its fine because when l travel outside SA i am made to take a short term health insurance.

[@demetriusagiakatsikas4703]

NHI is the right of every citizen. Rich or poor. Rather then criticise every effort by government apply your efforts in finding a workable solution that may address the plight of the underprivileged and all concerned. There is corruption granted. Introduce legislation that will stop corruption in its tracks. There is no room for Neo Capitalists in a civilised society.

[@user-yp1pu8kj7p]

Why not Steve Biko I thought it was an stalwart hospitals snd street name's

[@patrickpillay5691]

Government currently are unable to manage and maintain public health institutions , now the funds are running out , so let's put our hands in another countries cookie jar,, extremely disgusting,,

[@juliangobeni3831]

Who is the government us let us wait and see it done

[@AnastasiaRhoda]

True saying we become like children as we grow older and clearly demonstrated ANC is seriously enjoying playing games like children. We need some grownups to either discipline them or supervise them. Place your vote where it counts to make a grownup difference. It realy is time to put a full stop to the ANC apartheid and equality costly games now.

[@JeffreytheGreat1]

Tax paying should be allowed to vote for these bills that we paying for

[@pandehunigmg]

Establish. Operationalise. Learn. Finetune. Don't be paralysed into inaction.

[@user-iv1dx8cu2w]

Goodbye to our salaries and pensions. Already there is no staff, no medication,, no working equipment in clinics and hospitals inspite of large amounts of taxes taken from the few working people. No increments for staff members . Few workers will insure the whole world population including the consumer officials who are doing this for theme in the first place. We are finished. Majority is unemployed but will be covered, from what funds?

[@user-yp1pu8kj7p]

Experience doctors pay is around 45 k or more in surgery

[@nobuhlechiguvare7777]

So not fair on us who have been paying medical aid. 😢

[@DarkKnight_2324]

This will be the final nail in the coffin for SA. This will be a disaster💯💯and should contested by all means. Shoving this NHI B.S. down our throats is not on. We work hard to be able to afford private healthcare and not be at the mercy of this failed state. NHI is a mess in the U.K. How the heck will it work in South Africa with a broader population that's unemployed, not to mention corruption.

[@vona5251]

Is vat not included?. Everyone who buys bread pays tax