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- เผยแพร่เมื่อ 14 พ.ค. 2024
- Africa Melane speaks to Professor Laetitia Rispel, Professor of Public Health at the University of the Witwatersrand, to discuss the NHI Bill.
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I had a friend recently who couldnt get a surgeon to perform an emergency operation due to the majority of surgeons have already emigrated. This will only accentuate the problem. We will end up dying before we get any proper healthcare. The nurses at present have no experience absolutely no compassion and pay very little attention to the patients. They are only in the job for the money.
My best advice to you is that my brother is to go back to where you or your ancestors came from, especially if you are Caucasian/ white or Indian cos you guys are foreigners in Africa and still have your own home. Leave Africa to the Africans if you are not happy.
Can the President and the Speaker of Parliament please confirm that all government deployees (Metro/Provincial and National) will be required to exclusively make use of the NHI services and that their privileged current medical aid scheme(s) will no longer be funded by the taxpayers?
Yes please !
People who are employed SACRIFICE 8-12 hours of their day everyday to go and work. They do that after sacrificing years upon years studying and fighting to qualify for the job. They miss out on family time, relationship time and me-time.
When they finally achieve their life goals and can afford to treat themselves to private care, or 1st class travel or buying a BMW there is nothing unfair to someone who didn't invest the effort they did.
As it is, that person who makes all these sacrifices is already paying for 30million people to get free water, electricity, child care money, subsidized public transport and much much more. This already is a kind of 'black tax' although it affect us all taxpayers.
After sacrificing their life, after sacrificing 30% of their salary to feed, house and educate non-taxpayers why do you still insist that it is UNFAIR to non-taxpayers? What do non-taxpayers contribute to SARS? To the government? To ANYTHING?
Yet you are prioritizing THEM over the people who are suffering the most carrying Eskom and all the other failing SOEs, a bloated government, 50 million freeloaders, and effectively wasting their lives to maintain South Africa and at the end of the day be unable to spend their own money.
I have had enough of this communist, socialist nonsense to be honest. I hope and expect doctors will pack and leave, skilled workers will see the writing on the wall that now they are just slaves and they'll leave. then we will se who pays for it all.
Nah my guy its now unfair to say all 50 million south africans are free loaders,there are millions of poor people in this country and majority of them didnt puy themselves in that position,i understand what u are saying but dont call our people free loaders
@@Kaone007 Freeloader: "a person who takes advantage of others' generosity without giving anything in return". The definition seems accurate. It has nothing to do with putting themselves in that position or not. It's just the reality of the situation.
The public hospitals are getting worse by the minute. The medical staff in lots of private and public hospitals is atrocious. All the doctors will leave the country. Africa Melane is correct
Yeah it's a f up. The masses are Ludacris
There is no accountability of the staff & murses at public hospitals, they don't care for patients, especially the elderly! I have personal experince - steve biko
You are quite correct, there will be NO healthcare for nobody as there will be no doctors or nurses and certainly nobody would study medicine. People on chronic medications will probably not have access to those anymore, and the chances of surviving a severe illness or injury will be zero. Which I guess in the greater scheme of things of south africa is not the worst option.
What is next from this government,we need a new government to run the counrty properly without corruption
Maybe this is the bill that will fix it
do we really need to talk about this - isn't it obvious by now to South Africans - after all the other SOE's?
lol , is it not some figure of speech that the people who cant pay their staff salaries ,cant pay the rent for their headquarter offices and cant keep the lights on in the country without kickbacks ,and now they plan to manage the countries health funds.
I have never seen or heard a single person feeling positive about this. Online or otherwise.
Just another dumb idea from ANC.
A very good one dumb to dumb ones
Just as stupid as e tolls
Just as stupid as e tolls
How?
Care to elaborate??
Appreciate the Professor for sharing her viewpoint on this matter. Progress in this country will truly occur when we collectively choose actions that benefit the majority.
The cost will be covered from our PAYE tax payers will be paying for this bill
To the tune of ZAR 700 billion per annum. Divided by just 1,9 million personal income tax payers in South Africa 😂😂😂😂😂. Show me how this maths works. Who wants to live here and pay 83% income tax and get NOTHING for it.
Everyone who buys bread, pays tax = vat
@@vona5251don’t tell us about bread,that’s peanut tax compare to what they tax us
@@vona5251bruh real income tax not peanuts
5% of the population pays tax. How wil PAYE cover 95% of the population?
They cant run SAA , DENEL, TRANSNET , SABC ,TRANSRAIL , PORTS , Police department and the country. 😂😂😂 How are you going to run the health care . IMPOSSIBLE 😭 WILL BE A FALIURE 😭😭😭
You're forgetting they're also after people's pensions.
Utter nonsense with regards to the UK and USA...clearly she did not bother to fact check those countries...as for SA i dont see this going well.
I agree and if we remember correctly Obama also forced this similar bill into law against the nation .
Works in the uk just fine but SA is third world
The masses will not wait for court judgements.
The NHI in the UK has failed. Doctors are always going on strike. If the NHI comes in, all the Taxpayers will leave the country with the result that it will fail. 😢😢😢😢😥
being founded in 1948 , does it only fail recently. get your facts right
Lol! Tax payers will leave the country and go where? Not all of us have dual citizenship 😂
@@ntandokunene3610 We will go to Israel. I am Jewish and can go there whenever I want.
@brendakruger2597 ok, go then, as I said (also as a tax payer) we don't all have dual citizenship
@@gameZA40 fact are too hard for this one😓
This National Health Insurance scam is really upsetting. ANC must go
Another trough from which to feed. And we thought the theft at Escom was bad!
The theft being planned at PetroSA will make Eskom look like "the good old days".
with all due respect ,i have suffered financial hardship for years having both my kids on my medical aid initial[y for them no job opportunity then covid but guess what i
don,t ride a bmw or wear logo clothes i was willing to sacrifice luxuries so health care was delivered to them,,,,i had many friends, that earned more than i did but used public health care...do i support it NO
I'm hearing a lot of "but it works in Sweden" rationalization for this scheme. It's common sense that just because it works there (even there it isn't without criticism) doesn't mean it can work here. The argument quickly becomes a race thing so let's just look at some facts for comparison.
In Sweden, >85% of working-age adults both have a job and pay income taxes. Those that don't are often a full time parent.
In South Africa, only ~25% of working-age adults pay taxes - an enormous amount of people don't because they don't have an income to tax.
Sweden has 10 million people with a low hospitalisation rate.
South Africa has more than 60 million people with a moderate-high hospitalisation.
Sweden has very low levels of corruption
South Africa has very high levels of corruption.
Anyone trying to sell you NHI in South Africa is simply desperate to win an election.
We. Cannot. Afford. It.
Just like Zuma he introduced free tertiary education in his last days in office leaving the next president with big problems now its Ramaphosa returning the favor to Zuma😂😂😂😂😂
Ohhhhh! Makes sense
So the professor, didnt actually address or answer any of the real questions. Stating "that's not true" and just leaving it at that means nothing. No details or reasons given.
Good bye trained expert specialists in the health sector .
More unemployment coming from Medical schemes collapsing.
Hello ! We dont have the UK tax base in SA...and its battling!! WHERE WILL THE MONEY COME FROM ?
Yes just 1.9 million people paying 78% of all personal income tax. Now expected to find ZAR 700 billion per annum. The sheer stupidity…
The level of denial here is hilarious 😂😂😂
They will eat their words in the next few years.
And they were worried about burning a flag. Nhi is burning that flag. 😂
Well well said alternative perspective . The anc have stooped very low, even for them, just to get the vote
Africa has a voice of Radio I enjoy listening to him
My husband's cousin used the NHS in England and was diagnosed way too late with cancer. She then died before she could even start with the treatment they had booked for her, leaving behind a little 6-year-old child. I am scared that's our future, as you die from treatable conditions since you wait months to see doctors.
that happens when you go for check up and they find it has progressed , it is not an issue of the healthcare system.
True, a friend of ours was diagnosed at stage four. These were private institutions by the way that he went to
Months in the UK would be lovely. I have heard of people waiting years for appointments with specialists. That's the reality when you have thousands of patients per physician or specialist. Now add on our chronic underfunding of hospitals, clinics and care homes on the public health branch and suddenly you discover that what the UK manages is directly because they have funding. We are pushing through the functionality without the funding or the staffing and it will first be robbed blind then spectacularly collapse leading to a medical sector crisis while the authors of said crisis toss their hands in the air and shout "apartheid" because it inevitably comes back to that accusation.
My mom died after months waiting for an oncologist,all because she couldn't afford private sector,and she not from England but South Africa
@@MosesDempisi my sympathies. Cancer sux.
All schemes,other organisations and politicals parties must sue,make this a huge lawsuit!
You going to pay much higher tax to fund that sceam!!
Exactly the proposed way of management will hopefully fail in the Constitutional Court and then the tax payer (less than 5% of the population) will foot the bill for those without medical aid to access private schemes
And the ANC will eat as always
Just graduated medical school last year. All my colleagues are already making plans to leave South Africa. Its a complete a disaster.
It means disaster 😅😅😅. Doctors going to leave this country 😅😅😅. Well done 👍 to the doctors.
Can't blame them for leaving
Cape independence
You want to steal our land again.
Frustrating issue ... because the bottom line is that it WONT WORK. If we destroy the working private sector, healthcare in this country is done for.
Most of the budget is already carried by tax payers ... who themselves often have access to private healthcare. So they're currently carrying both costs and it's not working.
"There has been SOME work done" was one of the comments made by the Professor. This is an ALARM bell - for such a complex and sophisticated system to be put in place, there would need to be TIRELESS WORK done and significant consultancy made with those countries where such similar systems have already been implemented, in order to learn from their experience and prevent succumbing to their mistakes.
Anyone who understands what is happening in the public sector knows that this is a disaster. We have ghost employees. We have overstaffing in terms of human resources and other administrative positions and understaffing in terms of nurses, paramedics etc. This whole story is a farce. The politicians will continue to access only the best healthcare, and I think we're set for an ELITE healthcare system for an even smaller percentage of the population, with the rest going under in terms of the "lowest common denominator".
Let's hope that this bill can be reversed after the upcoming elections or fought in court.
There will not be many good healthcare providers left in the near future if this is not the case.
So the tax currently going to National Healthcare.. Are they going to remove that one, or simply add the NHI ontop of it?
Maybe some sort of sanity will return to prices. I have an appointment with a pulmonologist early next month; it's going to cost between 2k and 4k for an hour appointment, of which my medical aid will pay R850.
South Africa cant compare itself to other countries and NHI. ANC has turned our Healthcare system into a pathetic state, now they want others to try and get rid of the rot. Sies Anc.
Please can I ask for clarity regarding funding of healthcare in SA currently. My understanding is that as a tax-payer, a proportion of my taxes goes towards funding the national department of health, and that they exclusively fund the public health sector. Whilst I already pay these taxes, if I choose to make use of public health facilities, I still have to pay an additional surcharge, which is charged on a sliding scale according to my income bracket. I say this part as someone who works as a frontline healthcare worker at a public hospital. My query comes regarding the funding of private healthcare. My understanding is that the funds come exclusively from individuals who choose to pay their after-tax private money towards private health insurance. This is a discretionary spend. The government doesn’t contribute to private healthcare funding at all. Am I getting this part wrong? The reason that I ask, is because I do not contribute to a private medical aid scheme because of the expense. And yet I am a tax-payer. It’s either I pay for occasional doctors visits out of pocket, or access public health, but still have to pay a surcharge because of my income bracket. If my tax-money is paying for private healthcare that I can’t access, then that would piss me off. But if private healthcare is being funded exclusively by after-tax income from private individuals, then does the government really have a right to access those funds? By making these people contribute to NHI, is that not just really increasing taxes in a round-about way? And forcing those that opt not to contribute to private medical aid because of finances have to pay an additional charge anyway? Even though we still have to pay a surcharge to access the government public health services that our taxes already pay for?
@ritafernandes7228I LIKE your last part input "...looking for a NEW POT OF FUNDS TO LOOT" Well said & Amen to thAt.
Poor healthcare for all.
People will start arriving at private hospitals from tomorrow, expecting treatment
Even though the EFF doesn't support NHI in this current form, the moment a white hospital administrator is filmed needing to tell a black person that the president's signature doesn't mean they can be treated for free - expect a march against discrimination from the Tellie Tubbies...
Exactly@@pieterrossouw8596
Did Ramaposa ask companies to change the rules to their employees as well,meaning can we then now drop out from medical aid schemes? Does the employer now give us their s option?What is the point of me paying medical aid if government is never going to upgrade/improve their hospitals to the same standards as private hospitals?.They are expecting private care hospitals to eventually come down to government hospital standards which is the ANC way of creating equality 😢
Nhi will go the same route as e tolls
she has no idea what goes on overseas :(
For some people it could help but not all in my case i sufferd for almost 5 years untill i could not even sit all that years i was getting medication at the clinic in that condition i went in ambulance to hospital they released me same time in that condition also after few days a docters that was doing rounds just the right time she found something wrong with my heart it took 5 years for them to finally start doing test now i am on medication everyday for something they could have done before the 5 years i suffered it was bad i thought i would not make.
Your guest does not know what she is talking about. She is making broad statements and try to avoid answering the hard questions.
The NHI bill is a legal instrument to enable us to reform the financing of the health system.
Add medico-legal issues in hospitals to the list of concerns -
It's sad...the health sector is not geared to accept the current patients ...how can they cope with the new influx....
Try and explain that to the spineless president
Building blocks of the next train...
Just look at the Transnet medical aid. Which when my father had it and it is a private medical aid for people who worked on the railway. Those people are all suffering why? They are not allowed to go to a private hospital only at the State hospital. They are only allowed to go to a private Dr and pay more than 80% to fit the bill. Specialists must also be paid 80% and then if they can they people die. So, NHI will be like the Transnet medical aid.
I dont think the ANC can get any dumber.
More money to steal
How many will simply go to the Dr's etc even if not sick...cos it's free...taking time n resources from real sick people....
Medical aid is expensive. Why are people so negetive to initiatives that seek to improve the health system in our country. It is a good initiative
@shinaberum3952 WoaW Im having a GOOODDD laugh at THIS "The...the...the ......and and and....um,um,um....Im sure you don't mind how I have put it it's still BullShjjjttt
NHI is a fantastic and noble system...however, if current government corruption is not dealt with then the NHI will be nothing more than dust in the wind (South Easter in the WC)
If the anc didn't steal all the money meant for the poor and hospitals we wouldn't be in this situation
@@ritafernandes7218 do you have a link to the info where you got that 31+% from? Tell us all so that we can all benefit from the knowledge.
Disaster to people. The state of clinics and hospitals are in the valley. Now instead of correcting the problem. Build the hospital, renovate
This woman said nothing we as citizens are already aware of
I believe it means no to poor medical cover for the tax payer and the very poor within a few years which SA will never be able to recover from financially.
The only doctors that will be left in South Africa will be witch doctors🤣
The idea is nice that everyone could have access to health care , but in my opinion it will only facilate bringing the entire care system to the level of the current government hospitals and this is most likely an instrument for the current ruling party to loot the money from the private health sector and the health care system will end up in a similar state like the SOE's , has anything the government interfered in ever improve ,....NO ,it was plundered and destroyed , goveenment will use tax payers money to go get health care overseas.
More for them to steal
I think it's time to give up and leave this country.
Yeah...eiii thus country is done for
Specialist services is a consequence of the failure of government to provide infrastructure and professional healtcare! We are not mixing up issues, we have failed the people! So how will it be financed? Do you know that R3.3billion is spend monthly by government on the R350 covid 19 support? So more taxes, food, industry and individuals. How will this be sustained???
I left already and intend to stay here until it's time to retire. Hard as it is to be away from my relatives, my conditions are better and talk about medical cover, it's better, cheaper and free most times. I have a six-year-old, and I now never have to worry about medical insurance costs. Its bad back home, but I'd still not vote for a white man (those who know, know).
Sounds like the professor is defending this scheme
The private hospitals, private medical aid and private healthcare is worth billions provided SOLELY by the private sector.
The government is solely responsible for the state health services with taxpayer money and is a total failure and 3rd world quality. The NHI will not be able to purchase healthcare from the private sector which is a more expensive service as it cannot with the money available at present spend the available money effectively on public sector healthcare.
Accessibility in rural areas will not improve whether it is NHI or private medical aid due to geographical realities.
Accessibility and availability of private healthcare resources in urban areas are based on the real need and economics of private healthcare. In other words the capacity of resources will not be able to cater for state demand.
This is socialistic and communistic interference in the private sector and an ideology that will cause the deterioration and destruction of healthcare in South Africa.
More looting.
Eskom?
Health is more important. When last did you have loadshedding
?
“There remain some unanswered questions…” highly irresponsible move. Reeks of desperation pre election, this will only serve to weaken our economy further which will result in more joblessness and poverty. As always the poor will suffer the most.
Not very clever anc,
And another thing they don't operate if ur friend /had a bad experience stop insulting nurses everyone at work have a scope of practice
The the the ….. and and and …… um …. Um ….
Final effort by ANC to convince the free and dom to vote for them?
How is the NHI a bad initiative?
@@vona5251 The initiative is not bad- however it should under NO circumstances be administered by the current government since they have a proven track record of destroying every state owned entity they control.
Nurses don't prescribe any medication people who always have something to say pls know what u talking about b4 u open ur mouth
NHI is a con
Everyone who buys bread pays tax = vat
@AJokeADayDJE the revenue collected in vat is way more than income tax. Some taxes are collected through business profit, and some are through transfer fees of imports and many more. Familiarize yourself with the various ways tax is collected. Income tax is very low compared to the other taxes that sars collects.
Everyday when you make a purchase from a super market you pay value added tax. Think of the many people who purchase goods and services on a daily, all that vat goes to sars.
Question is: what is the gross revenue collected by tax?
@@vona5251 - some clueless person probably fed you that BS!- Actually 37% of SARS revenue ( 2023 tax year) was received from personal income tax and income from VAT was 6%!