Seeking to assure Parliament he was making progress in realising the ANC’s promise of universal healthcare, Health Minister Aaron Motsoaledi said that the long-awaited National Health Insurance (NHI) Bill was ready for President Cyril Ramaphosa’s scrutiny. Business Day reports that delivering his budget speech to Parliament, Motsoaledi said he had planned to present the Bill and a related Medical Schemes Amendment Bill to a cabinet committee on Tuesday morning, in the expectation that they would be recommended for approval next week.
“However, the president said he has taken a special personal interest in the NHI and hence instructed that we put the bill in abeyance and not present it in his absence (as he is out of the country). So, I have presented the Medical Schemes Amendment Bill to the committee. “The two Bills will be released together as soon as the NHI Bill has been dealt with, with the president leading from the front,” said Motsoaledi.
The report says Ramaphosa is attending an International Labour Organisation meeting in Geneva.
The ANC resolved to implement NHI before Motsoaledi became health minister in 2009. Progress has been slow, with the publication of several iterations of an ambitious policy critics have described as long on aspiration but short on detail. In the interim, no significant reforms to the health system have yet been implemented.
The report says at its heart, NHI is a set of health-financing reforms that aim to provide everyone with healthcare services that are free at the point of delivery. It is enshrined in the social solidarity principle that everyone should contribute according to their ability, and will receive benefits according to their needs, in effect ensuring the rich and healthy subsidise the poor and sick.
A key provision of the Bill will be the establishment of an NHI fund for health services.
Motsoaledi also indicated that he expected industry opposition to the state’s new proposals for tobacco control, spelt out in the Tobacco Products and Electronic Delivery Systems Bill, published for comment last week. He urged MPs not to let themselves be manipulated by tobacco companies lobbying for a softer stance.Business Day report