The Solidarity trade union will strongly oppose the proposed regulations that pave the way for the implementation of the so-called “Certificate of Need” for healthcare practitioners, reports MedicalBrief.
This follows the proposed regulations being published in the Government Gazette for comment. In terms of the new regulations, all healthcare practitioners must apply for a certificate that will enable them to practice. According to this, healthcare practitioners will then be prescribed on where and how they may practice.
Solidarity argues that these prescriptive regulations infringe the rights of both practitioners and patients and are therefore unconstitutional. Furthermore, it will severely restrict the provision of healthcare services.
“This certificate is nothing less than the effective takeover of healthcare practitionersʼ practices. By subjecting healthcare practitioners to these regulations, it forces them to surrender themselves to the state and to only practice as pawns, as and where prescribed by the state. These regulations are a blatant exploitation of knowledge and skills to drive the stateʼs own agenda. This is detrimental to healthcare practitioners and patients, whose constitutional rights of freedom of profession and freedom of association are not acknowledged,” said Henru Krüger, sector head of the Professional Guild at Solidarity.
According to Solidarity, the government is trying to pave the way for the eventual implementation of the proposed National Health Insurance (NHI) through these regulations. The state already requires through this that state departments and local authorities must approve the practitioner and his or her activities and requires that healthcare practitioners specify who they will serve and accommodate within their practice.
“It is absolutely ridiculous that a healthcare practitioner cannot decide for him- or herself how he or she wants to practice and that he or she must be prescribed as to which patients he or she may treat. The practitioners are basically subjected to forced labour that only enables them to practice according to the prescriptions of the state. They will no longer have any control over the nature of their practice.
Leaving our healthcare practitioners completely in the hands of the state, which then decides whether they may practice or not, is something we cannot allow,” Krüger continued.
“The implications for medical care and the medical profession are far-reaching. The state does not have the ability to control the entire medical profession in the country. They do not have the skills or financial resources. We have already seen during COVID-19 the extent to which the stateʼs incompetence and corruption extends. We must do everything in our power to stop further takeover of the entire medical industry by the state.”
https://www.gov.za/sites/default/files/gcis_document/202106/44714gon528s.pdf
Full Certificate of Need Government Gazette (Open access)