News24

NHI a social call, says Matsoso

2011-09-02 13:15

Durban - South Africans need to look at NHI as a "social mobilisation policy", health department director general Malebona Matsoso said during a summit in Durban on Friday.

"We need to look at the NHI with fresh eyes. To me it is a social call to all of us to change and rebuild our social structure."

The NHI was aimed at providing improved access to quality health services to all South Africans, and would be phased in over 14 years.

"In 50 years' time we must be able to look back with pride at the achievement we would have made in achieving universal access to healthcare in the country."

A healthier population contributed to better wealth creation, she said.

"When NHI was implemented in Canada between 1961 and1975, employment rose and wages were increased."

Comments
  • Buic Unix - 2011-09-02 13:23

    Another farse in the books of governess...

      ir8m8 - 2011-09-02 13:55

      I have no hassle with this one, infact i support it all the way, i watched 2 Parents die because of ill access to healthcare, its time we put a stop to stupid capitalistic growth on the back of the poor. Society has a responsibility to Educate and the look after the sick, Period.

      Pokkels_LOL - 2011-09-02 14:03

      Yes! I think they should rather get back all our Doctors & Nurses that emigrated to other countries and pay them better! The "NHI" will never work in SA!! Its time to put away all the B#$#S#$% and start looking after our skilled people in all sectors!

      Naraku - 2011-09-02 14:06

      "Society has a responsibility to Educate and the look after the sick, Period." What makes you think they are going to do that? Because they say so? Look at how much we spend on education, then look at what we get out.

      Shrike - 2011-09-02 14:07

      Basically this means we have to pay for our own private medical fund and then pay for someone else's medical fund as well ....... Very similar to the TV license nonsense if you have DSTV..... NOT realistic and NOT sustainable..... There is however a real need to improve the public health services..... fact! So it is easy to shoot this idea down, but not so easy to come up with an alternative, because where she is right is that something needs to be done..... Maybe start with improving the efficiency and performance of the current structure? Spending the budgets that are already allocated... See article on KZN healthcare? Wake up ANC....get competent people to run the system before you tax the economy to death.....

      Charlie - 2011-09-02 14:18

      The NH I is probably one of the progressive steps that the ANC government has taken since they started took over power in 1994. It is an initiative aimed at the well-being of all South African families. It addresses a core need and will hopefully lift the quality of life of all our people. We need to embrace it. South Africa will only make it if we become increasingly less interested in promoting our own lavish lifestyles and understand that the creation of basic but loving, healthy families for everybody would eventually cultivate well functioning individuals. Hopefully the NHI would be the first step of many to create a better life for all. Remember if you want love give love. Let us make the NHI work.

      Naraku - 2011-09-02 14:22

      "It is an initiative aimed at the well-being of all South African families. It addresses a core need and will hopefully lift the quality of life of all our people." Won't lift my quality of life at all, I would have to drop private medical aid, and then stand in lines to receive completely sub standard service. How is that an improvement? You are talking rubbish and you know it.

      CraigColinRoyMcLeod - 2011-09-02 15:21

      @ir8m8 : normally I would agree with you, but given the level of corruption, the poor choices in uneducated health ministers and just general incompetence of a life threatening area. This will do more harm than good. Until you force all government ministers to only be legally allowed to use government hospitals with no special treatment, they will always be less than functional.

  • falcon2020 - 2011-09-02 13:23

    How can you even mention Canada?

      Emsmum - 2011-09-02 13:47

      The reason they mention Canada is because that is where all the South African medical professionals will now be seeking their employment.

      Shrike - 2011-09-02 13:57

      Canada is really a nice place.....they have good healthcare.....good place to live, even if a little cold at times.....lol In Canada more that 10% of the population pays tax and everyone contributes to the scheme......hence it works.....

      Schalk - 2011-09-02 14:21

      Man, I really wish these people had only the most rudimentary grasp of economics and common sense... Canada has a 7 times greater GDP per capita ratio than SA. That is perhaps just enough to pull off such socialistic notions. In SA it simply CANNOT work! This is dictated by the most basic arithmetic. Oh yes, and the thing that you need to do to drastically improve the health of the nation is to launch massive campaigns, championed by respected leaders, to teach the poor masses about safe sex and the immense value of a small and tight family to a society. Prevention is infinitely better than cure. HIV costs the country about 17% of GDP annually and is, together with the 25% of human capital flight, the 20% of corruption and the 25% of violent crime, one of the ANC's most epic failures. 330000 killed through AIDS denialism (genocide by sloth). Oh yes, and it would help if our president did not have 5 wives (last time I checked at least), like a zillion children and an image promoting showering as a better AIDS deterrent than condoms. Jeez...

      Naraku - 2011-09-02 14:34

      Canada also doesn't have an estimated HIV rate of around 25% If they did they wouldn't be able to afford NHI, and they're rich.

  • Thelma - 2011-09-02 13:24

    There is no comparison between Canada and S.A. The Canadian government does not suffer from fraud and corruption like S.A. does. All the contributions that will be made towards the NHI will be allocated to the ANC and their family and friends. In 50 years time we will be worse off than what we are now!

      Buic Unix - 2011-09-02 14:09

      That is right Thelma

  • Toothless - 2011-09-02 13:25

    The best access to health facilities is to allow government to manage all private hospitals...we will then have equal access

      Wacko - 2011-09-02 13:27

      yeah brainless........

      falcon2020 - 2011-09-02 13:29

      Private hospitals charge too much, but too think that the SA goverment can manage it - it is just stoopid. The goverment should concentrate on getting people educated first.

      Mark Singh - 2011-09-02 13:29

      The private hospitals will be in the same state that the govt hospitals are now in if govt was to run private hospitals.

      Rijger - 2011-09-02 13:30

      Access to what Toothless? Hospitals where nursing is just a way to get a salary? Run-down so called hospitals? Patients that don't get medicine because there is none to be had?

      Felix - 2011-09-02 13:33

      Shame then where will all the government officials get their healthcare? They will have to fly to Europe.

      Doublepost - 2011-09-02 13:34

      If the state runs private hospitals, they cease to be "private" hospitals! Get it?! Gah!!! Why am I surrounded by morons!?

      Thelma - 2011-09-02 13:40

      Toothless you got to be joking....have you seen the state of the state hospitals? WTF....S.A. does not even have qualified nurses to care for the sick. Three quarters of them bought their nursing certificats, they abuse the patients verbally and physically. So how on earth will they be able to manage private hospitals with out stuffing them up as well?

      proudly - 2011-09-02 13:52

      This government cannot even manage itself, how do you think they will cope with Hospitals? Just look how Hospitals have deteriorated since 1994! Take of the sunglasses!

      Komasa - 2011-09-02 13:56

      @Toothless hopefully you are going to the bush in december. The NHI will not give anyone access to private hospitals you will still have to go to state hospitals.

      Brad - 2011-09-02 14:00

      Exactly. In 50 years time, with education, at least there will still be people who know how to operate the machine and more qualified doctors to take care of the ordinary citizens... Instead of going.. EISH, I DOONO.

      The Gecko - 2011-09-02 14:28

      Well, you're right about the equal part. We will all have equal access to equally non-existent health-care...

      umhlopo - 2011-09-02 14:40

      uh duh

      EyeAmMyOwn - 2011-09-02 14:42

      You certainly comment to just start negative debate. Selfish stuff ... but at least that's enough to satisfy the fun in you. I don't think you'd be drastic enough to actual kill for fun in the end .. folks - this fool is harmless - perhaps a little selfish and ill-founded .. but harmless :) toothless ... don't regards any of his comments when you see them around.

  • MSGRule - 2011-09-02 13:27

    "...To me it is a social call to all of us to change and rebuild our social structure." That all existed, our government hospitals were some of the best in the world. This is all the governments faults for letting all the best inherited infrastructure go to rubbish.

      Komasa - 2011-09-02 14:00

      @MSGRule there were 'white' state hospitals and 'black' state hospitals and their as a vast difference between them.

      SAmizdat - 2011-09-02 14:14

      @Komasa - when will the black, Afro-facist, incompetent, idiotic Azanian Native Cancer return the favour and build hospitals for whites like the whites did for blacks as you indicated? Funny how your own posting reveals your backward, single-celled little brain's lack of logic.

      Shrike - 2011-09-02 14:15

      @Komasa there are no "white" or "black" hospitals in south africa, Apartheid is over even if it is still alive in your head...... There are only hospitals for " haves" and "have nots" This is reality all over the world and will NEVER change..... So before you spew your racist nonsense in a healthcare debate think a little....... No one here said that the public health system is good or sufficient for our people.....

      Komasa - 2011-09-02 14:17

      @SA_Mizdat we would love to give you the hospitals you gave us.

      Komasa - 2011-09-02 14:21

      @SA_Mizdat my posting only reveals what a racist moron you are, one only has to look at your adjectives.

      Komasa - 2011-09-02 14:39

      @Shrike read @MSGRule's comment, if you can read, he said there was nothing wrong with state hospitals 'before' and I corrected him. So before you 'spew' your incomplete knowledge get your facts sorted out in your little brain.

      Peg-Leg-Sven - 2011-09-02 14:55

      @Komasa, Baragwanath, one of many hospitals built for Blacks during Apartheid, was considered the most advanced hospital in the Southern Hemisphere, so please explain what was wrong with the hospitals that were built for Black people.

  • MSGRule - 2011-09-02 13:28

    In 50 years time we must look back and say how did we survive this country

  • John - 2011-09-02 13:28

    I BELIEVE THERE IS TO MUCH UNEMPLOYMENT FOR THIS SYSTEM TO WORK,THERE WILL JUST NOT BE ENOUGH FUNDS AVAILABLE TO COVER THE UNEMPLOYED AND CORRUPTION NEEDS TO BE ROOTED OUT FIRST BECAUSE THERE WILL BE A REAL BIG POT TO DIP INTO.

  • JohanDuToit - 2011-09-02 13:29

    there is a big difference between NHI in canada than SA. first instances is that canada is a first world country, we are not. canada does not struggle with unemployment, we do. canada has extremely health screening before people can immigrate, we let people flow in millions across our borders not caring about the social impact it has. canada does not have the massive social expenditure that we have, so it can use its tax money for health services. lastly, ask the average canadian if they are happy about health services and they will tell you it is not the most perfect model. majority take top-up insurance. basic procedures which we can have done quickly through private and public hospitals here, takes long waiting time to get scheduled there. NHI is definately NOT going to result in more employment and higher wages in SA.

  • Protest - 2011-09-02 13:31

    BBB Bull***T Baffles Brains

  • Nero - 2011-09-02 13:37

    Open wide and say ARGGHHHH!!!!

  • betha - 2011-09-02 13:37

    just like all the taxes i pay? straight into your pocket i suppose?

  • Deon - 2011-09-02 13:37

    "South Africans need to look at NHI as a "social mobilisation policy"" I look at it as a dark pit with no bottom.

      Buic Unix - 2011-09-02 15:01

      dats right deon, exactly right

  • Queen_Elizabeth - 2011-09-02 13:38

    People are not unemployed because they are sick, but because they are unskilled and uneducated! How about improving our education system before making unemployment more attractive to the masses?

      Philip Darne - 2011-09-02 13:49

      As well as businesses not wanting to invest in an unstable country. A unionized workforce a dictatorship labour department and bargaining councils, we'd rather go invest where we are welcome, black white or green!!!NO INSENTIVE FOR ME TO REINVEST IN SOUTH AFRICA, Good Bye! And good luck to anyone wanting to invest in SA.

  • crackerr - 2011-09-02 13:39

    Please, we are not interested in being softened up by BS. It is the government's fault that we have to even pay private companies for our security. You go to a public hospital and the chances are quite good that your health condition will not improve by the treatment and care you receive there. On the other hand, we as the public are finding it harder to keep the many parasites and exploiters of the private health care situation in their luxuries. We are compelled to because we would like to have a better chance at survival than that poor sod on the corner who has no choice but to rely on the public sector with its fat, lazy, incompetent, unfeeling and ill-disciplined Cosatu supported "health care workers". You stuffed it up. Now you have to fix it. Too late. IT IS A FUTILE EXERCISE. You will not be able to turn a whole culture of bad things, including dishonest tenderpreneuring, around.

      Philip Darne - 2011-09-02 13:51

      Brilliant! Well said.

      Pokkels_LOL - 2011-09-02 14:02

      Yes! Spot on Crackerr! But I think they should rather get back all our Doctors & Nurses that emigrated to other countries and pay them better! The "NHI" will never work in SA!! Its time to put away all the B#$#S#$% and start looking after our skilled people in all sectors!

  • DABOSS247365 - 2011-09-02 13:39

    LOL, I am fully in support of the said statement (Provided we can keep the alient out of it) but the statement about Canada is purely co-incidental

      falcon2020 - 2011-09-02 14:03

      ai buti - these politicians travel the first world, but always return to the thirdworld with those solutions. We need south african solutions for south african problems. coincidental my arse....

  • terry - 2011-09-02 13:43

    I suspect that you have deliberately switched the cause and effect to make it look like the implementation of NHI between 1961 and 1975 resulted in increased employment. I wouldn't mind betting that what really happened is that as employment increased between 1961 and 1975, the NHI was able to be implemented! With 40% plus unemployment in this country, and government policies that are only going to make it get worse - there is no way that you can link improved employment to the implementation of NHI!

  • Vrijheid - 2011-09-02 13:45

    The few people left in SA that still works pays comrades lavishing lifestyle, keeps the country afloat (just barely), pays grants by the millions, in-fact... pays for absolutely everything, for our tax money we get no return, we have to buy all services anyways. Now this will include medical, we will have to pay for the bloodsuckers and for ourself if we want to receive any good medical treatment.

  • haroldrvjansen - 2011-09-02 13:46

    "When NHI was implemented in Canada between 1961 and 1975, employment rose and wages were increased." I fail to see the link between salaries, employment and the NHI. NHI costs money, of which you as paying citizen would only get 10% benefit back in a medical services environment that cannot even keep lifts running?!

  • bokkie13 - 2011-09-02 13:49

    What percentage of Canadians pay taxes?? Way to compare apples to oranges

      Pokkels_LOL - 2011-09-02 13:55

      Yes bokkie13! You are spot on!!

  • proudly - 2011-09-02 13:49

    Cant compare ourselves to Canada, they have brains!

  • recepto - 2011-09-02 13:53

    The aspirations of NHI are laudable, but are unlikely to impact on the health indicators of the nation. As a doctor I'm puzzled. Research has shown the absolute pillars of Primary Health Care (PHC) are simple preventive measures : clean water, proper sewerage and waste disposal, adequate nutrition, and a good education. Where are these fundamental PHC pillars in SA ? Failing dismally for most of the population. It seems the Honorable Minister may have missed a few PHC lectures.

  • JudithNkwe - 2011-09-02 13:54

    Until we have clean rivers and catchments and real nurses and doctors, we won't be getting better health. Filthy hospitals and uncaring staff are the place to implement change in health care. Clean rivers and catchments are the place to start with better health.

  • Sage - 2011-09-02 13:54

    No, the NHI should be seen as an epic failure before it even gets started. The regime's inability to successfully manage the provincial hospitals says there isn't a snowball's hope the NHI, an infinitely more complicated arrangement will be anything other than another epic failure. And then one must also take into consideration the corruption, thievery and undue enrichment that will inevitably follow in the NHI's footsteps. There's nothing "rebuilding" about this hairbrained scheme, consider it "social disaster" rather. The regime's track record speaks for itself!

  • ir8m8 - 2011-09-02 13:55

    I have no hassle with this one, infact i support it all the way, i watched 2 Parents die because of ill access to healthcare, its time we put a stop to stupid capitalistic growth on the back of the poor. Society has a responsibility to Educate and the look after the sick, Period.

      Queen_Elizabeth - 2011-09-02 14:03

      Totally agree that a distribution of wealth will benefit us all in the long run, but the point is- government is WASTING tax-payers' money and is running this country to the ground!!!In power since 1994- what have they really achieved??? Everything they tried, failed!

  • FIO - 2011-09-02 13:55

    If government cant even get public hospitals and health care right, cant even spnd the money allocated (KZN), how on earth do they expect to get NHI right??? Maybe if they managed government hospitals and health care properly there would be no need to NHI. Screwed up their own system, now want to take from those who managed their house properly - private health.

  • Gore - 2011-09-02 13:59

    Is it direct and undirect tax , A SOCIAL CALL ALREADY

  • Dougalan - 2011-09-02 14:00

    Time you checked the facts, Matsoso. Only 5.6% of South Africans pay income tax. That's fact. Decent medical care costs my wife and me over R6000 per month, if one takes into account co-payments and self-payment gaps. That's a fact. So tell me, just how is decent healthcare going to be provided to 50 million people, when around 40% of South Africans over 18 are unemployed and can't pay? The only way to get halfway to decent national healthcare will be for people under the current PAYE level to contribute heavily - and most of them are unionised. That's going to be real fun for you!

  • Nkalakatha - 2011-09-02 14:06

    Cant compare Canada with SA !! What a MAMPARA !! GET SOMEBODY ELSE TO WRITE YOUR SPEECHES FOR YOU !!

  • Wayne Hayes - 2011-09-02 14:07

    More reasons to leave SA

      Queen_Elizabeth - 2011-09-02 14:10

      and another tax-payer bites the dust!

  • Nicolas - 2011-09-02 14:12

    My gardener and domestic have both told me that they wont have to work anymore soon - they already have a free house, they will soon be getting free medical and once their grants are through there will be no need to work anymore LMAO

      Nicolas - 2011-09-02 14:14

      and don't forget that the minority will once again be paying for the majority! So basically, I have to work my ass of so that the unemployed can enjoy the fruits of my labour :-(

  • Nicolas - 2011-09-02 14:16

    "When NHI was implemented in Canada between 1961 and1975, employment rose and wages were increased." Explains why they want it LOL - They think they have found an easy way to increase wages and employment....... Jeez, why are there so many woodworkers in decision making positions in government.......

  • Charlie - 2011-09-02 14:17

    The NH I is probably one of the progressive steps that the ANC government has taken since they started took over power in 1994. It is an initiative aimed at the well-being of all South African families. It addresses a core need and will hopefully lift the quality of life of all our people. We need to embrace it. South Africa will only make it if we become increasingly less interested in promoting our own lavish lifestyles and understand that the creation of basic but loving, healthy families for everybody would eventually cultivate well functioning individuals. Hopefully the NHI would be the first step of many to create a better life for all. Remember if you want love give love. Let us make the NHI work.

  • sloppycowtits - 2011-09-02 14:17

    Here is a list of state run enterprises Alexkor Broadband Infraco Denel Eskom PBMR SAA SAFCOL Transnet Most of you will recognise the white elephants within. The ANC is not even able to run a few businesses successfully how do they plan to pull off this NHI rabbit out the hat no one knows? The majority of voters who sit around doing nothing all day are actually influencing these brain dead policies.

  • Enigma07 - 2011-09-02 14:19

    But only 6 million & decreasing taxpayers are footing the bill for the 50 million citzens and illegals. We have not got enough doctors here because of government racist policies doctors have left the country.

  • JustinX - 2011-09-02 14:25

    How do you compare Canada with an African country? You just cannot!!

  • MattQ4 - 2011-09-02 14:36

    Gee I dunno... looking at it as my hard earned money being stolen and then distributed to provide free low quality healthcare to a bunch of people who are too lazy to work and cover their own costs seems to be a bit more accurate.. dontcha think?

  • umhlopo - 2011-09-02 14:37

    NHI will only succeed if it is implemented and run by competent people and thus far the government has proved beyond a shaddow of boubt that they are the most incompetent organisation in ths country,NHI should be put on hold untill there is a change in government and rsa is governed by competent people,failing this i fear the taxpayer is in for another hiding and the fatcats will milk every penny for themselves

  • Thabo Matwabeng - 2011-09-02 14:40

    If you have to resort to cheap emotional arguments to justify NHI it only points to the fact that the whole concept is based on lies. Yes, we need better healthcare. No, we do not need NHI that will only serve to centralise more power. There is nothing in the NHI paper that actually addresses the fundamental problems of skills shortages, corruption, apathy, low productivity, mismanagement, unauthorised spending, wastage, etc. For COSATU it is an ideological solution, but it is really only wishful thinking. For the ANC it is a political solution because it placates COSATU but, more importantly, it will mean more centrally awarded government tenders that can be dished out to cadres for kickbacks paid to the ANC election campaign and the Julius Malema trust (or whoever is next in line).

  • Rightbydan - 2011-09-02 14:41

    "social mobilisation policy" my ass. ANC are already making me pay a fortune in non-productive tax (that gets spent on corruption). This tax is supposed to mean that I am already entitled to good medical care because I have paid for it, and more. Now they want more, (some analysts are estimating a 50% (!!!) increase in personal tax), for pie in the sky? And where are the doctors, nurses, specialists in huge numbers? The infrastructure? Who will train them? Who will keep them from stealing it all? Look at any looted, broken State 'hospital. Trust that lot? Remember the Arms Scandal? In your dreams. I see, though, that parasite Discovery is also on the NHI support bandwagon, for some no doubt profitable reason...

  • Seth - 2011-09-02 14:51

    Can't wait for it. I'm optimistic about this.

  • Badballie - 2011-09-02 14:52

    Propaganda, and outright lies, there is no intention of improving service deliver just an intention to generate more money from those that are actually employed. Another reason to start actively using every loophole in the book to evade the system, government is not honest with us, we are not obliged to be honest with them. Having had to use government facilities recently the incident left me angry and disappointed, Health care is a joke in South Africa, but the cANCer group continues to expect us to accept 1st world standards in a third rate banana republic.

  • amabok - 2011-09-02 14:54

    Either Director General Matsoso is retarded or I'm a freakin genius (both are possible) but the last time I checked Canada was a first world country with 32 million people, GDP per capita of R322,000 and unemployment of 7.5%. South Africa by contrast has a population of 50 million, GDP per capita of R75,000 (75% lower than Canada) and >25% unemployment. In other words Canada can afford NHI - they have sufficient wealth and savings to do so - South Africa does not. Comparative taxes are already high than global norms. To compare SA to Canada is about as useful as as a steering wheel on a train. And rest assured that in 50 yrs time with NHI we'll be looking at an industrial wasteland full of crackwhores and unemployed zombies living in the overgrown ruins of once beautiful houses in Clifton and Sandton.

  • Over_It - 2011-09-02 15:06

    i simply just cannot afford this. i am taxed to death as it is. i earn a medium to low salary. i rent a room as i can't even afford my own flat, i drive a bottom of the range car and have a hospital plan only. the last week of every month is a scrape and now they want to impose this as well. should this come into place i either have to put my faith in government hospitals (which i will never do) so i will be forced to quit my job and relocate.

      crackerr - 2011-09-02 15:25

      You comment says it all. You are one of MANY. No idea what more can be said than your comment to get it into the skulls of the forces controlling and manipulating this country for their and their organizations' benefits that there are REAL people out there who are not trying to exploit the system but are really having it difficult.

      Queen_Elizabeth - 2011-09-02 15:44

      over and above that, we'll also lose our medical aid tax benefit...it seems like a lose-lose situation...Next thing you know there's no economic growth, because (now act surprised) household disposable income is down!

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