NHI won't cover cosmetic surgery

2011-08-12 07:37

Johannesburg - Cosmetic surgery and expensive dental procedures will not be covered by the proposed National Health Insurance (NHI) system, Health Minister Aaron Motsoaledi said in a radio news report on Friday.

"The state is committed to offering a wide range of services, as wide a range as possible," he told the SABC.

The NHI would offer care at all levels, but would not stretch to procedures that were not necessary to patients' health, he added.

Meanwhile, the SA Medical Association (Sama) said doctors' input is necessary for the successful implementation of the proposed NHI scheme.

Speaking to the SABC, Sama chairperson Norman Mabasa said 30% of South Africa's doctors were in the public sector and 70% in the private sector.

"It is clear and obvious that for any successful implementation they would need the participation of the 70% that are not in the system," he said.

  • daaivark - 2011-08-12 07:41


      DeonL - 2011-08-12 07:56

      I agree, even the best Medical aids plans don't cover cosmetic work.

      York Hunt - 2011-08-12 09:57

      Let's not assume that system won't be abused... it will be.

      winter123 - 2011-08-12 11:53

      Go to hell NHI! I refuse to contribute to this! I WORK for what I want, don't get anything for free... Are these people on something? F*ck this makes me angry! I will NOT contribute to the well-being of the masses of unemployed, I sacrifice alot to do the job I do in order to earn the salary I do in order to benefit from it!!!!!!!! It's an everyday struggle just to look after your own family!

      The Wonderer - 2011-08-12 13:35

      @Winter123, I agree! From what I can tell in the reports is that you'll basically have to go on a lower medical aid plan, meaning having LESS benefits in order to make provision for the NHI tax one will have to pay. They going to make it compulsory, you'll have NO choice! Is there anyone who will be able to work out what our total tax to government will be once the NHI is incorporated? I'm talking salary tax, 14% VAT, property tax, car licence, petrol levies/tax.

      Sedick - 2011-08-12 14:06

      Only cover cosmetic surgery for the ANC Cadres..... - 2011-08-12 15:29

      I think Mr. Motsoaledi be the first to sign up, followed by Mr Zuma, malema, and all civil servants. Then when they are dying in a hospital that has not medication and competant medical staff, let's see how quickly they scrap the NHI due to lack of funding - the best current excuse for all government failures.

  • Nicolaas P - 2011-08-12 07:45

    Expensive dental procedures.. Chronic medicine.. basic surgery.. whats next?

      Smaal - 2011-08-12 07:59

      Not what’s next but who is next. We the tax payers must pay for a service we won’t get. We don’t get a say! This government just decides to take our money and we can’t do anything about it. This is not taxation, IT IS ROBBERY! This is why I believe that is you can hide money from the tax man you should not to mention the state of our current health system under the competent hand of the beloved ANC. Truly, everything the ANC touches turns to crap! Oh lord I can already see this ANC cartel cutting up the pie and opening secret bank accounts. God help us!

      CraigColinRoyMcLeod - 2011-08-12 08:39

      Smaal - you are so right.

  • Obama Bin Laden - 2011-08-12 07:46

    The r@pe of the imperialist tax payer continues

      York Hunt - 2011-08-12 09:45

      more like sodomy

      Vlermuisman - 2011-08-12 10:35

      Will you run this fund like your supply of cancer treatment????

  • Daniel - 2011-08-12 07:50

    And heard on the radio that if you would earn above a certain pay grade you will be TAXED to fund the fund !!!!! This is Bull

      edalsg - 2011-08-12 07:55

      Based on Taxable Income to ensure the masses (unemployed) will pay nothing .Take your funds overseas /reduce ALL passive income (interest etc)to NIL / Buy Krugerrands ---In summary reduce your taxable income

      Matt :-) - 2011-08-12 08:32

      @ edalsg - I'd love to - please tell me how I can have my salary paid into my UK account?

  • Smaal - 2011-08-12 07:51

    WHAT! NO FREE BOTOX? Oh well I guess the trend will continue. This is Africa after all.

      Smaal - 2011-08-12 08:24

      Yeah BOFFINBOB, I’ve seen that as well. Funny thing, for the last three days I’ve watched strikers dance in the streets. Now they seem only to dance for an hour at a time and then rest for two hours. Seems the strikers are too obese to sustain their dancing ways. What is really funny is that it seems there is a correlation between the size of their butts and the size of their lips. The question must be asked, if they are striking because they are “hungry”, how do they manage to become so fat?

      Nico - 2011-08-12 08:30

      .... and BOTOX bums.....

      BOFFINBOB - 2011-08-12 08:52

      Smaal...LOL..S'true. And they should make supermarket isles wider too. Many times I have been trapped behind a lardass, with an overflowing trolley ! Perhaps NHI should include " butt reducing " surgery.

      Hugh - 2011-08-12 09:15

      I stopped flying SAA because I was sick and tired of the bruises from fat bums banging into one if you sat on the isle.

  • JM - 2011-08-12 07:51

    Unless you have a government contact. NHI, new toll road system and all the other crap decisions happens because tax paying South Africans allows it to happen. It’s like taking candy from a child. Learn something from COSATU! Why do you think taxis are exempt? There’s 3 choices - do something about it, leave SA or accept it! B1tching about it will make no difference. Do you think this government cares about how you feel? They’ll do what they please because they know SA tax payers are like a little toothless chiwawa chasing a bus.

      WCD - 2011-08-12 07:55

      Could not have phrased it better, 'Stand up for something South Africa'

      Sportsjunky - 2011-08-12 08:03

      I say we start a revolt.

  • Iran999 - 2011-08-12 07:56

    RIP middel class - Yet another Taxing money making scam !!!

  • OllieMor - 2011-08-12 07:59

    Interesting... would it cover fertility treatment?

      ihtfcatkii - 2011-08-12 08:02

      Very good question, more kids = more long term votes. So quite possibly, yes.

      aps - 2011-08-12 08:23

      One thing the "masses" don't need is fertility treatment

      Zeek - 2011-08-12 09:06

      Wonder if it will cover sterilisation. We definitely need some of that.

      Anonymus - 2011-08-12 10:43

      more like castration treatment for the majority populous.

  • LadyOfDesign - 2011-08-12 07:59

    welcome to ''South Africa''

  • betha - 2011-08-12 08:05

    i predict a riot!!!!!

      Smaal - 2011-08-12 08:09

      I predict a fall in SARS income.

      Vlermuisman - 2011-08-12 10:36

      I predict theft of these funds!!

  • Audi - 2011-08-12 08:05

    Looking forward to a form of triple taxation. (1) I pay taxes to the government to fund our current hospitals (2) I pay my own medical aid because they stuff up the institutions that I paid for in (1) and (3) I have to fund NHI. I already pay double on policing services - (1) taxes to fund our police force and (2) have to fork out post-tax money to pay for private security as (1) is totally useless.

      Smaal - 2011-08-12 08:08

      Don't forget bribes and toll fees as you are already taxed on road usage based on the size of your car.

      edalsg - 2011-08-12 08:35

      Perhaps that Audi will have to become a VW ???

      Prontuit - 2011-08-12 10:34

      @edalsg: The way this country is going I will predict more in the line of a Vespa Schooter. (wich will need to be imported!)

  • derkus - 2011-08-12 08:09

    Would Jacob Zuma with all his wives and all his kids qualify?

      Welleducated - 2011-08-12 08:33

      NOW you caught the real question. Will the ANC politians make use of the public health system or be accomodated in luxurious private care at our expense???

  • Monti - 2011-08-12 08:09

    Its to early to worry about cosmetics. Lets get the show on the road first.

  • York Hunt - 2011-08-12 08:10

    Summary: They are going to borrow the money from International Banksters (at compound interest), then steal a large portion of it for themselves and then have the SA taxpayer foot the bill! Hey, it worked for the Arms Deal - why not do it again?

  • Bart Zimzon - 2011-08-12 08:10

    10 million people employed. 5 million will be excluded (like in the toll story) 5 million will pay for 50 million. its the communistic way of double crossing the hard working part of the population.

      Smaal - 2011-08-12 08:15

      So true. The working gets penalized while the leaches gets rewarded. It should be said it is commendable of the ANC to try and implement European models for health care but unfortunately their lack of mathematical skills and skills of deduction is all too apparent.

      Ross - 2011-08-12 08:25

      Of the 5 million a big percentage are civil servants who are paid with tax money.

      Mad Hatter - 2011-08-12 08:31

      NHI -Year 1 - R125 billon So with a pop. 50 million = R2500 pp/for year (from every man , woman & child). this is unlikely so the taxpayer will need to dig deep . 5 mil taxpayers = R25000 per tax payer for year 1 . Once again this is unlikely to be that steep so where if not the tax rate will the money come from , please Govt release that info considering our GDP will only come in around 250-300 billion.

      Fluke - 2011-08-12 09:08

      @Mad Hatter - Scary thoughts - but where do you get the GDP figure, and what currency are you using for it? 2010 GDP was 354.414 bilion Dollars.

      Mad Hatter - 2011-08-12 09:44

      @Fluke- Well picked up , checked and mine was a 05 figure . I like the idea of NHI but Govt needs to be very clear on how it will be funded which it has not done at all apart from it could this or that . We simply cannot go into a scheme of this magnitude without knowing how we will pay .

  • diplomat - 2011-08-12 08:11

    It is a huge challenge. But a very good idea, a civilized country should provide decent medical care to the people.

      Smaal - 2011-08-12 08:16

      Define civilized.

      BOFFINBOB - 2011-08-12 08:27

      diplomat...not when the " people " continually overbreed, with no thought to the economics of this cultural practice that places such a burden on our limited taxes, which are already abused by the ruling party.

      Zeek - 2011-08-12 09:12

      All the novel ideas in South Africa generated by the ANC is to enrich a few and let the people starve. Doesn't this just goverment just smack of communism.

      v3 - 2011-08-12 10:08

      How about providing the job opportunities and education so that "the people" can afford to pay for things themselves. Remember: with state health - no choice; with private health - choice. (Ditto education) Further, if South Africa (read: ANC-run outfits) cannot provide decent electricity (no "load-shedding"), decent traffic lights (that work all the time), decent schools (that produce employable alumni), decent police (that aren't corrupt and prevent crime), decent public health (why do we need NHI?), decent water and sewage, decent roads (no potholes, no excessive tolls), decent communications (Telkom!), decent prosecution (no dropping of charges against the "connected so protected"), ..., what makes you think that it will "provide decent medical care"?

  • burtfred - 2011-08-12 08:13

    I bet this will lead to the emigration of many doctors. They won't want to wait for payment by the useless bookkeepers up at NHI.

      edalsg - 2011-08-12 08:38

      This is the safest bet you ever made : they will leave in their thousnds or simply retire early ----This GMunt is bankrupting the country simply to keep votes !

  • Daniel Weber - 2011-08-12 08:13

    Once again those who contribute to the economy have to pay for the rest of them to sit on their asses and wait for more handouts!

      BOFFINBOB - 2011-08-12 08:30

      LOL...The majority of taxpayers may not support " Chiefs or Pirates " but we do, it appears support their supporters !

  • RickyC - 2011-08-12 08:18

    We pay a feul levy to pay for the maintance of the roads, yet now we have to pay extra to use the very same road, within the tax we pay we contribute to the state health scheme and now we have to pay more towards the very same thing, how by paying this are things going to change within the health sector ? how is it going to benefit a rural comunity who have to walk to their local clinic to get the very same sevice that they are getting now because thats the people it has to help will it fix the attitudes of the nurses, will less children die at child birth will people have to still wait in long que's just to get help I think not!! this is an election promise that will see us paying for a sevice most of us will not dare to use as the public health system is a mess, one might not come out alive or have some body part removed by mistake. I think they have found that due to corruption there is no more money so they need to get it from somwhere guess where that somewhere is...........

  • Mlu - 2011-08-12 08:19

    They'll make sure that NHI tax starts above R25000 a month so that Juju could be exempted from paying and but not from consumption.

      MT Wessels - 2011-08-12 11:07

      We need more details on how the government is going to determine who pays what. Will a person's contributions to NHI be calculated on a flat fee or a sliding scale? Will a person's age and the number of dependents be taken into account? Will your health status be considered? What would you have to earn to be exempt from paying, and more importantly, what are the estimated monthly contributions for an individual? Few people would mind a couple of hundred rand per month, but more than that? Many people are struggling financially and this is likely to push them over the edge!

  • Mlu - 2011-08-12 08:22

    The NHI is Marxism in practice. Remember the clause in Das Kapital: "From each according his ability to each according to his needs." So this is basically a perpetuation of dependency. Why would one want to work if the state gives you social grants for you and your kids, free education and now free health care in private hospitals?

      Matt :-) - 2011-08-12 08:38

      Correct, and there is far more Marxism being practised in "democracies" today, think of the 10 planks of the Communist Manifesto... Besides, universal health care doesn't work - look at the UK where the majority of patients have self-induced issues - like smoking, drinking, beating each other up - those people cause resources to be drained. Often it happens in the UK that the ambulances go to drunken brawls to whisk them off to hospital, while being beaten up themselves. Meanwhile across town someone is having a heart attack and they're left to die... not to mention a dire shortage of beds, staff, equipment, and waiting lists of up to 5 YEARS for critical procedures, so people die in waiting... women giving birth in the car-park, maggots falling out of the ceiling, patients asked to bring their own soap and towels... that's the NHS. Good luck with the NHI ...

  • JudithNkwe - 2011-08-12 08:25

    This is so vague and undefined we have to tie them down firmly and insist that the problems in the health "service" be fixed BEFORE we pay them more. Audits prove that the health "service" is not working and money is being wasted

  • Craig Ronnenbergh - 2011-08-12 08:31

    What about the communities that have nine kids and no job, who is going to pay for that medical aid? Oh I forgot those hard earning South Africans who are responsible to the community or are suckers to the community you choose.

  • riaan.viljoen - 2011-08-12 08:33

    They can tax me, but it is a cast in concrete that i will have to let my domestic and gardner go to recover the costs, result will be two unemployed families contributing to the unemployment rate. NICE ONE ANC - Start looking at the broader picture - JUJU and your are not helping either.

  • Peché Africa - 2011-08-12 08:33

    with all the recent job losses how will this work?

  • AverageJoe - 2011-08-12 08:36

    What About HIV? We have 16 million people dying of HIV and AIDS. What will the drain be on the NHI just because of their chronic illnesses?

  • Eugene Marais - 2011-08-12 08:37

    What worries me is that it took Germany, which is a first world country, 30 odd years to implement NHI. Now us bright South Africans, living in a third world country because of the ANC, wants to implement this system in only a few years...honestly...good luck!!!

  • CraigColinRoyMcLeod - 2011-08-12 08:38

    Membership would be compulsory for all South Africans and legal permanent residents but the paper says existing medical schemes would continue alongside the NHI. But medical aid members would have to pay both NHI and private insurance premiums -- without the tax breaks members of medical aids currently enjoy. So 5 milllion pay taxes 50 million exist. So I get to pay for the other 45 million and I dont get a tax break. Great. I just love being oppressed by the Ruling Party and their ignorant greed.

  • Dan - 2011-08-12 08:39

    What are they planning, except another pot of gold for some ANC big wigs to plunder. Will it appply to all South Africans and will it then cover expenses at private hospitals? If so, what will the impact be on private medical schemes. One must however note that the private medical system is probably the most corrupt system in SA in any event. The cost of medical treatment is an absolute shocker and a handfull of private investors are making serious loads of money. In a corrupt free country, a NHI system would work like a charm. In SA with the likes of the Malemas around, I think it will just be another ANC money making racket for the few elite - just like BEE!

  • Ian - 2011-08-12 08:44

    it wont cover anything, its ging straight into the anc fat pigs pockets

  • JCWR56 - 2011-08-12 08:51

    i worked these numbers out this morning - anyone disagree?: 1 st phase R125billion. 5.318million tax payers (yes, thats all = less than 10% of the population) = R23 500 / tax payer. if they do get the money from 3 sources (current fiscus, contriubtions and levy) then thats R7800 / per year per tax payer or R650 / tax payer. bleddy thieves

  • JCWR56 - 2011-08-12 08:51

    oops R650 / taxpayer / month

  • Jabu777 - 2011-08-12 08:54

    diplomat I agree with you because of our past things need to change not just in health system but in the distribution of wealth within all grouping regardless of race.Having said that it will take time to undo the past. I pray God to help us as we are living in difficult times.

  • MrT - 2011-08-12 08:57

    Why do the tax payers have to pay for everyone else? The tax payers are the minority. I think you should only have the right to vote if you contribute financially to the country.

  • Mark Scriven - 2011-08-12 08:57

    i want to know, why are certain people exempt from paying tax, i say, no matter how much you earn, you must pay tax! end of story! getting my passport renewed and booking my next flight out of here

  • Johnny - 2011-08-12 09:00

    i want to know if they are going to get competent people to riun the hospitals before i give them a cent of my hard earned ever shrinking cash

  • bossfromhell - 2011-08-12 09:06

    Perfect solution: fix the state/govt hospitals by getting people that are proud to work and want to work and want to do nursing for the sake of it and because they enjoy it. Force the president, ministers and all govt employees to use state hospitals. The end result will be not to have this back breaking NHI

  • doc - 2011-08-12 09:06

    What everyone is missing ,is that the NHI will be funded by the revenue stolen from the nationalisation of the mines.These two policies go hand in hand and its not a co-incidence that talk and probable implementation of NHI and nationalisation are happening concurently.Read between the lines!There is no other feasable source of revenue to fund something as big as NHI so the money will just have to be expropriated!

  • Hugh - 2011-08-12 09:12

    To start ever tried to get a prostrate or mamogram exam from a state hospital. They tell you to your face that it is not neccessary. Ever tried to get a tooth filled. You go to a private doctor and pay the Price. No way are private doctors going to subscribe to this. Most do not charge medical aid rates anyway. So what is the government going to do force them intop taking on NHI patients. Then they wait a year or two to be paid.

  • Ants - 2011-08-12 09:13

    NOOOOOO - I was hoping that a few of our Ministers could go for a Brain Transplant, and get one that actually works!

  • Zeek - 2011-08-12 09:28

    Communism is a system of social organization in which all economic and social activity is controlled by a totalitarian government dominated by ONE political party (the communist party of China, for instance). It's mostly intended to make sure all people are equal, no matter what their job or position is. Everyone has the same opportunities, etc. It is a GOOD idea, however, that's all it is 'an idea'. There is no way a government can run where all are equal because at some point someone wants to be in charge and above everyone else. It is a self-defeating system.

  • Badballie - 2011-08-12 09:29

    Just another way to make money out of the haves, THe public health service will never be upgraded to any standard above what currently exists and the government is just looking to capitalize on the money from peopl currently not contributing, As anyone who has bothered to pay attention already knows no funds are ring fenced so any money collected can be used for any purpose, so most of it will be used to throw parties and give increases

  • v3 - 2011-08-12 09:29

    But will it cover psychiatric care for the Minister of Finance who thinks we can afford and extra R25,000 (125,000,000,000 ÷ 5,000,000) per taxpayer and who has obviously not factored the extra graft and backhanders in?

  • Rosalind - 2011-08-12 09:45

    So will we be paying private medical aid and NHI?

      JCWR56 - 2011-08-12 10:15

      yes, the NHI is non-optional

  • edis_pilF - 2011-08-12 09:53

    And that's the one thing I was willing to donate for..Eish make me white

  • daaivarksetier - 2011-08-12 10:17

    The RE-APARTHEID now in the New SA is worse than it was back in the so called apartheid era where whites rule. There was almost no rape cases, no house breaking, no murders, all the streets, parks beaches and holiday destinations was in good clean condition. Johannesburg was CLEAN and there as NO RUBBISH on the side walks. I am not for apartheid I know it was wrong, but just get my point it is not better. Crime is a problem now in SA since 1994, 89 murders per day these days in SA is at such a rate now that SA is considered as one of the most dangerous countries in the WORLD. Parks look like dump sites, all you all drive luxury cars wish tax payers buy for you. Raping small children and woman is a daily thing, 500 000 (half a million) woman and children in SA annually, every 17 seconds a woman or child gets rape, in SA a woman is more likely to get raped than learning to read. And you call this the freedom country the land of milk and Honey. Well excuse me you retard if you call the better land now than back in the day prior 1994 you are IQ robbed and pig mentally ill just like all you all, the whole ANC and followers. Deals like the Gautrain and 2010 Soccer staduims are done so you all can pocket money and buy those cars and houses of yours, again tax money, now there is no more money making schemes, no this National Health Insurance,Toll gate's,Nationalizing of mines,so all of you can pocket money again. You all think we are stupid and blind like all of you,guess again!

  • Talitha Taljaard - 2011-08-12 10:20

    I'm glad the government is trying to set up a NHI that will give every man, woman and child access to health care when they need it. That being said, now they want me to pay for it. Ummm... I'm already paying for my own medical aid. How about funding this some other way? And if I have a medical aid of my very own and earn a salary over a certain amount, I guess I won't get access to this? I'm so tired of the goverment expecting me to fund every Jan Rap and his uncle!

  • WCD - 2011-08-12 10:29

    Another bag of rotten apples for the insects to decompose ...

  • jesomerville - 2011-08-12 10:58

    I believe there many SA citizens who earn a salary but still cant afford a private medical aid as private medical aid rates are ridiculous in this country - if implemented correctly many employed people will benefit aswell - black and white - being employed doesnt mean a person can afford private medical - so NHI only worries the super rich who is absolute minority - for the general population this might be a good thing

  • Michelle - 2011-08-12 11:40

    No medical aid covers selective surgery!!!!