Minister laments sickly SA healthcare

2012-09-07 13:22

Johannesburg - South Africa spends more on healthcare than many other countries yet patient care is declining, Health Minister Aaron Motsoaledi said on Friday.

"We exceed GDP (gross domestic product) of health care costs.... We are a country spending more on health but having poor outcomes," he told delegates at the annual Competition Commission conference in Johannesburg.

In 2009, the health expenditure in South Africa was 8.51% of GDP, according to a World Bank report.

This was considerably higher than the 5% recommended by the World Health Organisation.

Motsoaledi said uncontrolled commercialisation was "consuming" healthcare in the country.

"Part of the reason for this is due to a lack of basic essentials, caused in part by uncontrolled commercialism... whereby tenders come first and healthcare comes last," he said.

Motsoaledi said inflation on items was costing medical aid companies, including Discovery Holdings [JSE:DSY], about R2bn a year and had resulted in escalated medical premiums.

In "desperation" medical aids were reducing benefits "further and further", he said, adding that the regulation of the private sector proved to be difficult.

An inquiry was needed to deal with this because healthcare has to be customised to meet the needs of the patient.

"There is only one loser... and it's the patient... when medical aids don't pay in full, the patient is still the loser... the patient is always the loser," said Motsoaledi.

"In South Africa, we still think little of primary healthcare... While premiums (of medical aids) are increasing, patient care is declining."

He noted that due to the global economic crisis, many countries were tempted to reduce social services, especially health.

"Health is a public good and not just any other commodity.

"I don't know any minister of health in the world who is not worried about the affordability of health care."

He said health was not something that could recover because if someone was ill, they might die.

Referring to the Declaration of Alma-Ata, the minister said more needed to be done to make the dream a reality.

The Declaration of Alma-Ata was adopted at the International Conference on Primary Healthcare in 1978.

It expressed the need for urgent action by all governments and the world community to protect and promote the health of all people.

This was the first international declaration underlining the importance of primary healthcare. It resolved to achieve "health for all by the year 2000".

"This dream never happened," said Motsoaledi.

He said there are two types of healthcare: costly private care for the privileged and second-rate care for everyone else.

"Medical aid schemes punish the poor... Health care is simply becoming unaffordable to people in the world."

On the national health insurance (NHI), Motsoaledi said it was not a beauty contest between the public and private sector. It was an attempt to better the services to the people of South Africa.

The NHI is a financing system that aims to ensure citizens are provided with essential healthcare, regardless of their employment status and ability to make a direct monetary contribution.

Healthcare was becoming the focus of the work of the Competition Commission, as it intends examining the private health system in South Africa and abuse in the markets.

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  • konstabel.koekemoer - 2012-09-07 13:56

    The mess with public healthcare is the result of the corruption and incompetence which can be largely blamed on the ANC's AA and BEE policies. To say that Medical Aids punishes the poor is total rubbish, private Medical Aids have to charge all members the same rates regardless of what they earn otherwise they will go bankrupt. The main reason why Medical Aids are getting so expensive is the exhorbitant fees charged by hospitals and many medical practicioners. And the reason they can charge so much is because the service offered in most public health facilities has become so bad that people are prepared to pay anything for private care. NHI will never work in SA unless they clean up the large scale mismanagement and corruption ... and I don't see that happening with the ANC in charge.

  • bertus.pretorius.1 - 2012-09-07 18:38

    Talk talk talk... That's all government does. Oh, and also just chuck more money at the problem without actually admiting that the real problem lies with them. This is also the status with our education budget. One bugger up after the other. Yet this minister will just continue to say what the previous one did, and so will the next one repeat what is said now. We need leadership in SA, and I pray it will come before there's nothing left to lead.

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