PSA concerned about the NHI being used as an election campaign strategy

Published Jul 11, 2023

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Johannesburg – The Public Servants Association (PSA) says it is concerned that the government is using the introduction of the National Health Insurance (NHI) as an election campaign strategy with no improvements to health care in South Africa.

According to the workers’ union, the current single funding model for the NHI will plunge the citizenry into a deeper financial crisis as they will be burdened to fund this initiative.

“The idea that workers might be expected to pay for private medical insurance and the NHI simultaneously induces anxiety amongst public sector employees,” said the PSA.

They further said that the chief priority of health reform in South Africa should be the rehabilitation of the public health sector.

“This can be best achieved by a competent, non-partisan public health service, free of corruption and political interference.

“The two-tier system of healthcare in South Africa is not the cause of problems in the Sector or the demise of the private sector health system through the introduction of a single purchaser model of the NHI,” added the PSA.

The PSA says it is of the view that the NHI Bill was rushed and believes that more consultation is needed to collectively agree upon a model that will ensure effective and sufficient health care to all citizens without putting an additional burden on already struggling public servants and the possibility of losing their medical aid subsidy, which they qualify for.

"The PSA knows that failure to address skill shortages in the healthcare system will cause NHI to fail before it's even implemented."

“The PSA is also concerned regarding the future of medical schemes, especially as it relates to employees’ access to medical aid schemes.

“The introduction of the NHI may reverse the gains workers have made thus far in respect of access to quality healthcare,” said the PSA.

The union added that it pledged its support to the rehabilitation of the public health sector.

The PSA’s view is that members, like other citizens, must reserve the right to choose whether to use public or private health care.

“This choice must not be detrimental by imposing an extra tax burden on employees. The choice should include whether to subscribe to a government-related medical aid scheme or a private one.

“The PSA calls on the President to reconsider this Bill and allow further discussions to clarify all these unanswered questions and concerns raised by all relevant stakeholders.

“If the President is not going to listen to the stakeholders, the NHI will be a dead elephant just like E-tolls,” said the PSA.

The Star