News24

Reaction to NHI positive but concerns raised

2011-08-12 22:28

Johannesburg - Reaction to the release of the government's green paper on National Health Insurance on Friday was marked by support in principle tempered with concerns.

The discussion document, which the public has three months to comment on, set out some long-awaited initial details, including an estimate of R125bn to be spent next year on preparations which include establishing 10 test sites.

The Federated Unions of SA (Fedusa) wanted to know where the money would come from, given the 5.9 million taxpayers SA Revenue Services had for the 2009/10 year compared with the population of over 50 million people living in the country.

"Fedusa is deeply concerned that South Africa's small tax base will genuinely not be able to bear the financial brunt of this large socio-economic need," Fedusa general secretary Dennis George said.

R214bn by 2020


By 2020 it would need R214bn, according the paper presented to Cabinet.

The National Union of Metalworkers of SA supported NHI fully, even though most of its members, besides garage workers, already had private medical cover.

They found that although wage increases were fixed at set percentages, their medical aid contributions could increase by as much as 15%, unilaterally. In spite of paying contributions the whole year, most found that their cover ran out early in the year.

Their main reason for supporting NHI was because it was a break from the apartheid era's unequal healthcare system and that it would ensure equal access to quality healthcare for all South Africans, especially the poor.

According to a study, about 16% of people in South Africa have private healthcare.

However, Numsa shared Cosatu’s concerns on the proposed introduction of a multi-payer system, which it felt might see private health schemes being allowed to charge the government for a portion of their services.

This could allow medical schemes to "continue to rip off their clients" and be subsidised by taxpayers.

Consultation period too short

The Helen Suzman Foundation felt three months for consultation on the NHI was too short, given the long-term effects of the system. It wanted clarity on the taxation aspects of NHI, urged transparency to avoid corruption, wanted staff shortages to be dealt with and to know more about the envisaged relationship between public and private health facilities.

In a statement to mark the release of the paper, Health Minister Aaron Motsoaledi said: "It will actually make the sector more sustainable by making it levy reasonable fees."

He continued: "Over the past decade, private hospital costs have increased by 121%, while over the same period, specialist costs have increased by 120%."

The Treatment Action Campaign and Section 27, a public interest law centre, raised concerns regarding refugee, asylum seeker and non-citizen access, and the structure and governance of NHI.

They wanted to see measures to ensure transparency of tariff structures, reasonableness of prices, significant improvements in the quality of public health and a proposed office of health standards compliance.

Legal requirement to contribute

According to some details of the NHI released on Thursday, everybody over a yet-to-be-determined income threshold would be legally required to contribute.

Money would come from four sources: the tax everybody contributes; mandatory contributions from individuals and employers; co-payments and user charges from individuals; and certain public-private partnerships.

Details that the TAC and Section 27 believed the green paper did not cover included the future role of medical scheme administrators, and what the benefit packages would be.

Business Unity SA warned that the cost, design and institutional changes would require vigorous debate.

"If additional funds are to be allocated to public health, it is imperative that they be effectively used." The concepts contained in the green paper would affect household budgets, public finance and the labour market, so phasing in and consultation with the National Economic Development and Labour Council was also called for.

The People's Health Movement, an NGO that promotes "health for all" and social justice movement, the Alternative Information Development Centre, stressed the importance of strengthening district health facilities and not losing sight of other health-related factors such as good nutrition, sanitation and access to clean water.

Potential for fraud

The Board of Healthcare Funders say it would encourage a review of the current Prescribed Minimum Benefits to reflect this focus in line with National Health Policy.

Regarding payment of providers under NHI, it said the proposed risk-adjusted capitation (adjusting rates according to factors like age or illness) system would constructively promote good quality outcomes and would minimise the potential for fraud and over servicing.

It also supported the use of diagnosis-related groups (reimbursing according to the treatment required for a condition such as heart failure, instead of just costs incurred), which it had used for years, as a method of analysing quality and reducing risk for reimbursing hospitals.

But it would like to see the establishment of "Healthcare Pricing Forum" so that medical schemes can remain sustainable in the run up to the implementation of NHI.

The Hospital Association of SA (Hasa) welcomed the green paper on NH1.

Pragmatic


"We acknowledge the challenges facing South Africa's health system, and the department's intention to ensure that all South Africans have access to affordable, quality healthcare services regardless of their socio-economic status," said chairperson Dr Nkaki Matlala in a statement.

"We now have a document that sets out at a high level where we are headed."

It was a "pragmatic" document and a step towards achieving universal healthcare coverage. Hasa looked forward to working with government to find ways of making healthcare more accessible.

"Hasa does however feel that, given the extensive and lengthy time taken by government in the development of this paper, the public consultation period of only three months appears unusually short for necessary and valuable input from the general public and civil society," the association said.

Comments
  • M. Khoza - 2011-08-12 22:39

    Hope they drop the price of child birth at private healthcare institutions...

      Marcell - 2011-08-13 03:23

      Don't you trust you ancESTORS hospitals?

      michaelx - 2011-08-13 07:00

      1.SUPPORTED BY THE MASSES WHO WILL RECEIVE FREE MEDICAL 2.NOT SUPPORTED BY THE FEW WHO WILL HAVE TO PAY (AND DO NOT EVEN NEED THIS SERVICE)

      BigD - 2011-08-13 07:14

      The NHI will not work in SA. The tax base is too low. The poor will walk into a private hospital only to find that the shortfall from NHI and that institutions costs will have to be paid in cash. There will have to be a limit on each persons heath care and then when after a few months when the NHI funds are exhausted who will pay for the medical care like doctor visits and medicine. No, this NHI with SA tax base cannot support the medical needs of the whole population.

      Shadoz - 2011-08-13 08:24

      of course the reaction will be positive once again us taxpayers will have to fit the bill for something we will never get. F you ANC i am tierd of paying for your lazy ass handout people.

      M - 2011-08-13 08:50

      Perhaps you should consider not having any more children.

      realist - 2011-08-13 09:08

      And so the taxpayers (mainly whites) will be footing the bill of this monstrosity. Increase VAT by 1 or 2 percent and then everyone will end up paying. You cannot milk the same cow forever. Something must break.

      Ockert - 2011-08-13 11:32

      @Khoza - you can not use the private health care institutions without a proper madical aid, so you will still have to use the "govt funded" hospital in any case and further nothing will have changed in the service provided as well. This whole project is a smoke screen to tap more money out of tax payers and companies. Nothing will improve for the masses and the individual now paying towards for "medical aid" for 10 persons will be the loser, the companies contributions will at least be shared by all as this WILL be recovered from the WHOLE public.

      Margaret2 - 2011-08-13 13:32

      Private healthcare institutions are businesses. If you don't like their business (as with any other business) don't use them! Use a State facility or hire a midwife.

      Schalk - 2011-08-13 15:08

      Some laughter therapy as we enter a new wave of government madness: http://www.hayibo.com/new-health-tax-sees-massive-spike-in-taxpayer-strokes-heart-attacks/

  • Ian - 2011-08-12 22:46

    medical aids are going to coin it but hell you know what, i dont care, i pay my medical aid every month and if i need it its there and i dont have to hassle about any public hospital bulldust that this stinking anc has stuffed up

      M. Khoza - 2011-08-12 22:54

      If you are privileged enough to have a medical aid why don't you keep quiet and count your blessing. If you dont "have" to use public HC, it should not bother you what state its in. The problem with people like you is that you find faults in every action the ANC does. While there is definite room for improvement, you should be part of the solution and not a couch commentator that adds no value.

      Montlhabaki - 2011-08-12 23:34

      Ian, I am happy for you are part of the 16% that have access to private health care, and 7% that owns the land and mineral resources, so keep it that way we are changing the past now. Either you become part of it and contribute positively or wait for change to find you still being RICH.

      parmalat - 2011-08-13 00:37

      1)"The reason healthcare for the poor is so bad is because they cannot afford it and they do not pay tax for it. If you do not pay for something why do expect the same healthcare as those who do pay for it? Why should a rich man pay R5 for a coffee and a poor man get it free?" This I tend to agree with. Its life, you need money to survive, you get what you can afford otherwise stay on a low cost budget. 2)"You two think the masses deserve land and income equality, they don't. Intelligence is all they need to acquire wealth, lacking this they will be poor." I agree with this as well, knowledge/skills and perhaps experience are the keys to walk out of poverty. 3) "South Africa offered the highest standard of living for all South Africans up to 1994 and the human development index trend was increasing and have since stagnated." This I disagree. Democracy has come a long way and it has improve many South Africans standard of living. I just want to add is that all government wants is more money from the people who just have the extra money to put it into savings. So irrespective if you want the NHI, you are now compelled to pay NHI. Tax (income tax, sin tax, fuel tax, SITE tax, VAT, rates, enough already!) are the contributions we make to government but now this as well?...cmon seriously, give the average working South African a BREAK!

      RFreeThinker - 2011-08-13 01:36

      Dude, you attract sock puppets. BTW I think private hospitals will coin it, medical aids will suffer, as some will choose worse plans or go off entirely. NHI will be a competitor to the medical aids.

      Met - 2011-08-13 07:16

      People dont find a fault with the regime, they are a fault.I actually think that they should be nominated for the Nobel prize for science -everything they touch, no matter in what good condition it is, turns into cr-a-p, or disaster. This "brainwave" (if ever there was an oxymoron)is not going to be an exception.

      umlaut - 2011-08-13 08:18

      Mkhoza---it will end up that many of us will have to use this-and the problem with you is that your anc can't do anything right---why do we applaude the Botswana govt.? If they add to the general tax--ok, but they discriminate against us. Did you know that the blacks in the upper group must also pay this but they will get it back with their tax returns and not the whites.? And if you can afford a pc and tv then you can also have med. aid. (and have less kids to support)

      umlaut - 2011-08-13 08:24

      Monthabaki is very shortsighted-- he is threatening us saying if we don't do it see if we are still going to be rich---if I am going to do it I will become poorer and I will eventually fall into monthabaki's income group. So either way we are stuffed-but then who pays??? TUTU or the rich ministers???

      Hux - 2011-08-13 08:48

      Ian. YOu will still have to pay substantial extra as your portion of the NHI. And it is going to be a huge tax. Don't be too smug too soon. But dont worry...Each year the tax base as a percentage will shrink and this scheme will collapse into a pile of dung.

      Hux - 2011-08-13 08:54

      @montlhabaki. YOu are so dumb. When you have made all the white people poor and taken away all the resources of production who is going to pay for the NHI? YOu will still have nothing, not even a private hospital to go to as the ANC will have destroyed these as well.

      Hux - 2011-08-13 08:57

      @ Freethinker...NHI will bankrupt the country..full stop. We do not have the money now and never will have enough. Just a big scheme by the ANC to get more votes as they know they are losing them slowly but surely. This is nothin more than a vote getting idea. If it bankrupts the country do tyou think the big pigs in the ANc will worry? they will have fleeced the NHI funds to last them for ever. They will have enough to fly to other countries (not Africa) for Medical procedures.

      RFreeThinker - 2011-08-13 09:17

      Hux, I'm not arguing about NHI being bad for SA. I'm just saying that it will be a competitor for traditional medical aid. I agree that more tax will be bad for us. The govt has had 20 years to enlarge the public health care system and instead it's just left to deteriorate. The public system is not luxurious but it still works most of the time and it could be improved significantly but this requires real action which would hurt many peoples' feelings and many labour court actions.

      tiredofitall - 2011-08-13 09:29

      selfish

      DJI - 2011-08-13 11:51

      khoza and monthlabaki, FU, the both of you, the government hospitals was in perfect condition before your anc corrupt pieces of s&&t took it over. I would not even send a rat to one now.

      Margaret2 - 2011-08-13 13:41

      Medical aids don't "coin it". BY LAW they are not-for profit institutions. Much of the time they negotiate prices with the doctors, hospitals, etc to try to force prices down, or at least contain them.

  • Vela Stardust - 2011-08-12 23:25

    I am all for the NHI but.. the funds must come from the state coffers and not as an added tax to employers or employees. Our health facilities are badly staffed. Sound management is lacking and corruption is rife. There are not enough training facilities for nurses. Remuneration offered to nurses does not attract the best. Race discrimination must be dropped for those who want to study medicine.Hopefully Dr Motsoaledi will perform better than Manto,whose claim to fame was beetroot, garlic and liver transplants. Not to forget Dlamini Zuma,better known for the Sarifina scandal.

  • Montlhabaki - 2011-08-12 23:44

    A referendum takes less than 3 days of voting and counting, lets bring all south africans and ask them if they prefare NHI or not, obviously the 3 months consultation period is way too much as this has been long overdue, thanks Dr Motswaledi and The Late Dr Sefularo, hereafter financial institutions, land then mineral resources. The people shall govern, the people shall SHARE !!! Oliva wee Thambo, thina sixoshiwe khaya !

      Angel - 2011-08-13 04:51

      All that a referendum will confirm at this time is, "I WANT MORE, I WANT IT ALL" from the ANC base of voters, to that their government have more to spend

      Met - 2011-08-13 07:23

      The "people" shall share. I nearly fell off my chair laughing when I read that. Share ANC regime style- one for you, 10 for me(ANC), one for you, 15 for me----.I find it difficult to believe that one can be so naive, unless you have positioned yourself nicely somewhere on the ANC supply/theft line or gravy train.

      fjcoetzer - 2011-08-13 10:38

      Yes let all south africans vote, but let those that voted YES for NHI pay for it. They want it they should pay it....meaning you!!!!

      ZACommentator - 2011-08-13 12:42

      A referendum only confirms what this 'democracy' confirms - the majority of people are too stupid to know what is good for them and want hand outs. Happy to pay this tax and NHI if ONLY tax payers get to vote. Otherwise why should I pay for poor stupid people?

      Ross - 2011-08-13 13:20

      Why not just take the land and mines and get over and done with it. When are you going to change our name to Azania? You okies are very slow. The sooner the place is stuffed up the sooner it can be fixed, maybe with the help of the Chinese like in Zambia.

  • Montlhabaki - 2011-08-13 00:00

    Read White Paper on NHI before you embarass yourselve ... http://www.info.gov.za/view/DownloadFileAction?id=148470

      fransz - 2011-08-13 00:13

      bright sparc , look at your precious anc's track before you embarrass youself. Do you know anyone who works as a doctor in a state hospital? Ask them what they think. Chom, giveing the gov more money to mis-manage is not going to help anyone. What makes you think anything will be differant?

      Met - 2011-08-13 07:28

      Simple- Walk into ANY public hospital and decide if you want to risk your life in there.The appearance alone, is bad enough filth just where you look. But go to private hospitals and you find them full of ANC cadres Why???

  • Montblanc - 2011-08-13 00:11

    If the dingbats can't manage the current health system, how are they going to manage the whole country's system? The only equality will be that everyone will recieve crap service, as what is happening now. First sort out the current situation and then look further. Where will the money come from? The only logical way for the goverment to get the money for this will be to up personal income tax by another 8-12%. The only definite result from this will be more "refugees" and more to steal for the comrades.

      RFreeThinker - 2011-08-13 01:34

      Tax. Of course with an extra 8-12% tax burden on middle income families, there will be less spending and less employment of maids, gardeners, waiters etc. Forced redistribution of wealth and government management do not work. Overall, SA will be far worse off. Instead the govt should rebuild the State health care system which is accessible to the poor - fire the lazy and incompetent employees, retrain those who show a semblance of empathy, hire competent and hard working staff and fix the buildings. It could work. But that won't happen. It's better to have middle income earners to pay for it all and have friends' companies do the auditing/accounting. Someone's going to get very rich, but with a less and less valuable Rand.

  • fransz - 2011-08-13 00:24

    hey I just had a great idea , lets nationalise mining than the tax payers can sponsor that as well, just a small extra charge to keep all the miners employed ,com on , be part of the solution to bankrupt our countries tax base and spoil whats left

      radarblip - 2011-08-13 06:34

      brilliant!!

  • White Knight - 2011-08-13 00:35

    This is what I've been told >Not a personal opinion...O I'm so so sic(sic) I need a leetle bit of retail therapy. Where can I steal from this time? My bro- my leadahs show me how to steal. maybe they can spend some money on their mental health. Oh sorry. You need a brain first

  • za101 - 2011-08-13 01:21

    i heard companies are charging the health department twice the cost for plane tickets compared to what is charged by saa, british airways, kulula, 1time or mango.

      Met - 2011-08-13 07:33

      Its "companies" or travel agencies owned by the comrades.Keep in mind that they have to pay a cut back to the one in the department who approves the use of that agency- kickbacks. This does not even go down as corruption- its what I call " secondary" corruption.

  • J T - 2011-08-13 01:53

    Discovery Health's KeyCare plans are only R445 per member. Just check out their scales. Makes sense. Why can't Government not just make a deal with Discovery Health at a far lower cost rate anyway and then make use of the already existing KeyCare Plan assigned hospitals. In the interim the existing Public hospitals can then be brought up to the standards of the Discovery Health assigned private hospitals. The high-tech fickleness and extreme complexities are another reason for my above concept idea. It’s far easier and economic to use EXISTING MEDICAL MODELS that are well governed and fully operational. Therefore our private hospitals could be looked at as operational examples/mentors. Lastly, Staff could be rotated to learn more and become more organized and gain additional exposure and further experience. Will pensioners also be forced to pay into the proposed NHI? What legally defines a pensioner? What happens when a pensioner is already contracted into a binding Retirement Annuity agreement? Any novation to a RA contract cannot render the contract to a lesser specific performance and/or quantum, but merely enhance or equal the contract. Whatever becomes nationalized, eventually end up being privatized according to global outcomes, as happened in Egypt. Why then duplicate already existing medical operational infrastructure? Not practical in my opinion. I opine re-floating the Titanic would be easier! My concept is practical, attainable and a good compromise.

      Agent Bastad - 2011-08-13 08:48

      No, because it may be a feasible solution. The government isn't in the solution game, it's in the problem management game.

      Margaret2 - 2011-08-13 13:53

      Retirement annuities and medical aids are totally separate issues. If a pensioner has a subsidised medical aid that comes from the former employer, not the RA or pension fund.

  • Marcell - 2011-08-13 03:28

    I'm glad that our family has just reduced the tax payers by another 4!

  • Marcell - 2011-08-13 03:31

    Pre 1994 the state hospitals were the best in SA. What happened to them?

      Kevin - 2011-08-13 07:59

      Quite simply.Theu were anc 'ed.

      Agent Bastad - 2011-08-13 08:49

      Tutu felt inferior and Mandela was tired of sleeping in a cold cell on Robben Island.

      M - 2011-08-13 09:00

      So true. I had my eldest daughter at a state hospital and it was wonderful. You know, the ANC inherited a pretty well operating country in 1994 and now look at it.

  • Nobody - 2011-08-13 05:15

    Is that NHI positive or HIV positive?

      Shadoz - 2011-08-13 10:58

      lol

  • Nzx - 2011-08-13 07:01

    @M.Khoza.... "drop prices of private hospitals" ... you must be dreaming mate. The charges will in fact go up, more money flowing in healthcare, means more to scoop up. Many licking their lips for those public private partnership contracts, you are talking big money. The Sexwales and Ramaphosas of this country are already positioning themselves, huge, huge profits to be made... They did it with mining, NHI , more of the same

  • Raymond - 2011-08-13 07:42

    As a pensioner I appreciate the subsidy towards monthly medical aid costs by the company from which I retired. Lets hope pensioners won't be included in any additional costs due to NHI because all of us are living on fixed incomes. Life is tough enough now so to have to cough up more money would be life threatening - exactly what the NHI is trying to avoid!

  • Kevin - 2011-08-13 07:56

    This is just the tresult of a useless government who cannot create work for the masses pushing the cost of healthcare onto the working class .So if you are lower income you will have free schooling,free medical,free elecricity,get a house and have subsidized water and transport. You will pay no tax and if you are a waiter ,some who earn R20 000 per month will not have to pay tax . Taxi drivers do not pay tax. It is really quite a rich business being poor. Or you can join government and pull a tender fraud and be instantly rich and you only have to work 2hours a day as the boss has also employed all his family and there is not enough work to go around. ALL IS NOT LOST AS WE HAVE THE PRIVATE SECTOR WHO WE WILL TAX MORE AND HIDE OUR TOTAL STUFF UP.

      Margaret2 - 2011-08-13 14:00

      Governments are not there to create work. What our government has to do is STOP losing jobs through too much regulation, legislated minimum wage levels, etc.

  • Lewsi - 2011-08-13 07:58

    I'm in favour of health care for all South Africans (NOT friggin freeloaders from the rest of Africa tho), but I cant see how the regime is going to manage this. They cant manage anything else.

  • umlaut - 2011-08-13 08:06

    According to some details of the NHI released on Thursday, everybody over a yet-to-be-determined income threshold would be legally required to contribute." That is pure discimination (Unconstitutional) and it will actually lead to tax evasion or taking away one's drive to earn more if you earn just under their mark. Say the cut off mark is R50000 pa and you earn R49500 and with an increase the following year you can get R54000--so you will suddenly contribute R20000 for the 'poor'. You will refuse your increase. This has a communist feel to it. Let TUTU pay if he is so keen on it and he attached the race card to this fiasco--whites must pay--so it is RACIST.

  • lewenog - 2011-08-13 08:09

    Very positive for 55mil and a very sad day for the 3.6 actual payers of this freebie, killing the goose that is laying the goden eggs,alibaba and his 400 thiefs are smiling another payday on the way!!!!!!!!!!!!!!!!!!!

  • umlaut - 2011-08-13 08:11

    If one is to read all the comments here--why is the heading of the article "Reaction to NHI positive...."??

      darkwing - 2011-08-13 09:22

      The only positive, the population of the country will decrease.

  • Agent Bastad - 2011-08-13 08:45

    Of course the proposed benificaries of the NHI would support it. I wonder what the funders of the NHI think about this latest punishment of their hard work.

  • DeonOlivier - 2011-08-13 08:55

    125/5.9 million taxpayers comes to R21k a year per taxpayer, given that only 40% of taxpayers will contribute due to the rest being exempt due to them being low income taxpayers. that takes the load to 53K/year per taxpayer. This really shows how dumb the ANC is. Its totally Ludicrous!!!!!!!!!!

  • PeterZ - 2011-08-13 08:58

    Does this mean we are no longer going to require private medical aid funds? This is a joke. Immagine all the sick from neighbouring countries are going to swarm our borders and who pays.......just a few suckers!

      RFreeThinker - 2011-08-13 09:21

      Yes. Now when you go to a NetCare hospital, you'll be able to queue in the morning at 5am to see a doctor at 2pm. But hey, you'll be waiting in a lobby built of marble and glass.

  • RFreeThinker - 2011-08-13 09:19

    Will the NHI include legalised assisted suicide to aid those whose treatments are too expensive to end their lives, like in Europe?

  • Albertus Bredekamp - 2011-08-13 09:32

    I don't mind contributing provided the money is USED to actually buy that X-Ray machine or that pack of HIV drugs and not some goverment Mercedes. It'll go a long way to reducing suffering, especially amongst children and babies. The money must just be used effectively and that may be the problem. Also, what will they do about the stealing that is rife at governemnt hospitals? No point buying bed linnen when it just walks out the door?

  • sdragne - 2011-08-13 09:40

    Free housing, free education, a unionised highly-uncompetitive labour force, free healthcare, roads they dont need to pay for, affirmative action in the work force, BEE, nationalisation...and the white capitalist to pay for all of it.... yes this will definitely work. definitely.

  • LadyJJ - 2011-08-13 09:40

    I don't trust the public hospital that we have ...if they are part of this no ways

  • bonzo - 2011-08-13 09:41

    If the contributions from individuals were collected in a similair manner to UIF, then this would make sense. How would the lucky 16% be able to afford Medical aid should they find themselves jobless.

  • L-H - 2011-08-13 10:23

    Where is this 'positive reaction'? I have seen very few positive reactions from those who are going to have to pay for this crap, or even from most health care professionls themselves. Don't rub salt into the wounds by pretending this is such a wonderful thing for taxpayers. If you are convinced it is so positive, why not make it a voluntary scheme? That will be a fantastic test.

  • Salvation - 2011-08-13 12:40

    VOTERPRENEURING at it's highest! Promises made and as per the record of the party presenting the proposed item, another illusion. The fact will be a further contraction of our flailing economy. Viva the African wave = one hand in the other, palms up and extended for aid behind the guilt conscience card which is fast becoming stale. This statement I make for the benefit of all who will be affected, including the claimed poor who, when this economy crashes will further be hurt.

  • avi - 2011-08-13 13:27

    some of these comments are quite sad. some state that unemployed people should not be covered because they are not contributing. others state that the stupid or poor people should not be covered as well ... their lives are worth less than those that pay tax. Sad. as much I HATE the NHI it does pain me to see people dying because the public healthy system is INCOMPETENT, MISMANAGED or UNDER-STAFFED. These are things we can fix. The NHI does not aim to offer complete care to ALL south africans, it merely aims to offer basic health care services. Is it that difficult for you to help your fellow-SA? if the hospitals are in such a bad state what are you doing to improve them, other than sitting in your comfortable, electrified house and shouting at the corrupt officials? maybe if you spend time educating the masses then they wont vote for the anc? maybe if you spend your time uplifting the hospitals then the NHI will not be required ... just maybe!

  • Graham - 2011-08-13 22:23

    We need someone to lead all the taxpayers in a mass boycott of the program. even if this becomes a PAYE scheme somehow we need to mobilize to refuse to allow employers to pay this over. Otherwise the taxpayers need to establish a pot to raise money for legal costs and take this thing to the constitutional court. I cannot see how it can be constitutional to force someone to pay for something they are not going to use. If it is so easy to syphon off our hard earned money for any old hairbrained scheme which this is, what on earth is next, are we in addition to having to pay for a S**ty police force pay for another police force?

  • youthofsa - 2011-08-18 14:38

    so unfair that a few million minority would have to fund for the 45+ million non contributors who have 8 kids per family that they cant take care of!!!!very unfair system!!! sort out the damn increasing numbers of child births!!! i will contribute to a fund that will include getting people snipped no problem!!!

  • Tamz.S - 2011-10-10 10:03

    Can't we start sterilising people?? This to me is the simplest answer. No more families who cant't feed themselves, yet they each have 10 children.

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