Thursday, 11 August, 2022
HomeMedico-Legal AnalysisOnly aspect of Compensation Fund that worked now ‘duplicitously' destroyed

Only aspect of Compensation Fund that worked now ‘duplicitously' destroyed

The Compensation for Occupational Injuries & Diseases Amendment Bill debated in Parliament last week is a duplicitous attempt to prevent the “win-win” intercession of third parties that until now has made it possible for injured workers to receive good treatment and medical practitioners to receive payment from the dysfunctional Compensation Fund, writes Michael Bagraim of Bagraim Attorneys and Opposition shadow labour minister.

Bagraim writes:

The Democratic Alliance has been calling for an amendment to the legislation for the past 20 years. The disgusting approach by the governing party to keep the exclusion of domestic workers could only be described as evil. Apartheid excluded domestic workers from the ability to gain compensation after injuries at work. It took a daughter of a domestic worker years to challenge the system and finally for the Constitutional Court to demand the change.

I personally raised this issue with the previous minister of labour seven years ago. I received no answer. Finally, on the instruction of the Constitutional Court, the employment and the labour minister was forced to pen the change. Now suddenly, the ANC is trying to claim some sort of moral victory for itself.

However, there is one glaring issue that must not only be challenged but highlighted and removed by either this parliament or the Constitutional Court hereafter. The ANC, aided and abetted by the Department of Employment and Labour, is desperately trying to avoid challenges to an incompetent entity within the department.

First, it needs to be said that substantive amendments should only be made if the legislature wants to destroy an evil. When inquiring from the minister as to why the substantive change had been proposed, no proper answer could be given. An explanation for the proposed amendment can only be gleaned and I intend to outline the real reason for it. I must outline the facts regarding this pernicious amendment.

For more than 20 years the Compensation Fund has been dysfunctional, disorganised and diseased.  It is so dysfunctional that some claims have now had their 21st birthdays. Because of the useless Compensation Fund, thousands of medical practitioners and institutions are refusing to treat diseased and injured workers.

These workers are then being referred to state hospitals and clinics and join the lengthy queues to face a broken health department. These employees are all covered by the Compensation Fund after having contributed to it with every pay cheque. They deserve to be treated by any practitioner they choose. The practitioners, understandably, are refusing to accept them as patients because the fund does not pay.

A practice has arisen which has helped find a cure for the bind in which these injured workers find themselves. First, the patients (the workers) can get the best medical help in the country and are able to get it quickly. In turn, the treating practitioners and institutions can get paid quickly without having to fight and struggle with a dysfunctional Compensation Fund. Everyone wins.

For the first time in many years, injured workers are finding they can get access to help. The only reason why these third parties exist is because the medical practitioners would rather receive discounted rates then receive nothing at all. The Compensation Fund in turn, then tries to avoid paying the third parties. This is their modus operandi.

The third parties have both the power and means to take the employment and labour minister to court. The courts have spoken loud and clear. The minister is forced to pay not only the medical bills, but all interest and legal costs. These claims have amounted to many millions.

Not once has the minister won any of of these cases. The obvious answer would be for him to go to his incompetent entity and force it to get its house in order. This in turn would allow medical practitioners to claim directly from the fund and get paid timeously. But no, this is too difficult, and the minister does not have the political will.

What seems to be a solution is to try to make it more and more difficult for third parties to transact with the Compensation Fund. So instead of fixing a broken department, the minister tries a duplicitous move. I read the suggested amendment:

“No third party will be allowed to transact with the Compensation Fund unless they are registered with the Compensation Fund in the manner prescribed. All third parties who are already transacting with the Compensation Fund must register with the Compensation Fund within 6 months after the commencement of the Compensation Occupational Injuries and Diseases Amendment Act 2021.”

The minister will make it almost impossible to register. Why doesn’t he come forward to Parliament and say that the third parties could be registered with the Council for Debt Collectors? This already exists, and these third parties are already registered with the Council for Debt Collectors. The minister of Employment and Labour should be satisfied that third parties have to be registered with a body that already exists and with which the third parties are already registered.

The minister tries to say that he needs to avoid third parties who might defraud the Compensation Fund. When asked whether any third party has defrauded the pension fund under these circumstances, I could not get an answer. The reality is that third parties who provide pre-funding and administrative services to the medical service providers dealing with injury-on-duty claims have never been found guilty or convicted of defrauding the Compensation Fund. The broken Compensation Fund can only be matched by the dystopian state of the ANC.

None of this can be explained to injured employees who are the most vulnerable of citizens. The ANC is using them as cannon fodder. To support this amendment is to be party to the cover-up.

In essence, this major amendment is being moved to conceal a completely broken system. Instead of at least trying to fix the system, the ANC aids and abets the cover-up and cannot explain why it is doing that.

 

See more from MedicalBrief archives:

 

IWAG alarmed by the sudden shut down of Compensation Fund’s systems

 

SAMA joins opposition to amendment to Compensation Act

 

Concern over move to end right to cede work-related compensation claims

 

COID Amendment Bill bans the cession of medical invoices to third party administrators and financial institutions

 

 

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