Articles

Unanswered questions NHI

The National Health Insurance system is being "piloted" in 10 districts. One
of the objectives of the NHI is for the public and private sectors to work
together; something which has not been done at any kind of scale to date.

There are many unanswered questions involved in this working together,
including:

  • how do public and private work together; what will the relationships be?
  • what will the governance structures be?
  • who will control finances?
  • what are "fair" levels of remuneration?
  • How will a win/win situation be reached without one party feeling undermined or exploited?
  • What are the possible threats to getting good working relationships?

As the policies around the NHI unfold it is important that there is one game
plan that everyone buys into and in order to get there, there should be as
much constructive debate as possible.

Let's hear about your thoughts on these questions. Also please post other
relevant questions that you have so that we can hear the voices of as many
people as possible.

Regards

Peter Barron

1 response to Unanswered questions NHI

  1. The NHI should be a cost reduction mechanisms to buffer the swelling costs of health care delivery.
    •how do public and private work together; what will the relationships be? Cooperatives of Health Care should be established
    •what will the governance structures be? Cooperatives in PPP
    •who will control finances? A parastatal of NHI finance management using the PFMA/MFMA
    •what are “fair” levels of remuneration? that will bring equity to eradicate class segregation
    •How will a win/win situation be reached without one party feeling undermined or exploited? If health is viewed as a public good and its practice a method of wealth creation through cooperatives of supply
    •What are the possible threats to getting good working relationships? Change Management

Join PHASA

Be part of our network of leaders and innovators.

Join now

We're social