Responding in a recent written parliamentary Q&A, Godongwana said this means the economic impact of the Covid-19 pandemic has thus not been factored into the cost model for the scheme.
The most recent data, published in section 8 of the explanatory memorandum to the NHI Bill and the 2019 Medium Term Budget Policy Statement, modelled the medium-term cost of specific NHI interventions at approximately“The need for and timing of further updates to the model will be determined by practical progress with preparing for the implementation of NHI, spending on the existing NHI allocations, as well as progress with processing the NHI Bill in the two chambers and relevant committees of...
If medical schemes are eliminated, as is proposed by the NHI Bill, the R212 billion funding gap will need to be absorbed by the state, Discovery said.4.1% of GDP needs to be collected in taxes“A more feasible pathway to increase public sector per capita funding is to maintain medical scheme funding, expand access to the employed population while state funds focus on the most vulnerable.”
If the government’s goal is to offer universal healthcare coverage it should instead adopt a blended finance model – similar to those used in the Netherlands, Thailand and Indonesia – which would allow consumers to continue choosing private healthcare providers, while allowing for greater public and private sector integration, Discovery said.
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