Contentious section of NHI bill signals the death of some medical aids, according to report

Bewlen

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My reply to you in your comments I highlighted in Bold -

1. The poor, by being poor are excluded from accessing Private Health care - that is my gripe. Myself and the majority of the population have no other option but to go to a public facility.

2. I don't mind being taxed/paying to use a Private facility/ getting the best treatment.

3. My hope is that all citizens, no matter your background or financial status, can walk into any medical facility, (private or public), and receive the best treatment.

As for your other statements, I fully agree with you.
Your "hope" will simply disappear. There won't be any doctors left, and the private resources will simply wither away to the same state as our Post Office, Transnet, Eskom, etc.

But then, the option to go to private healthcare will not exist anymore. It will be gone. It's like your local Spar will be turned into your nearest Licening department. Want a bread? Fill out this form, go stand in that queue, bribe the runner or else you don't get a bread.

What you are "hoping" for, is simply a pipe dream.
 

ToxicBunny

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I don`t think there was any private health-care because there was no need for it. SA had a world class public health system, nobody needed private health care.

There was private healthcare.. Public facilities may have been better than they are currently, but they weren't by any stretch of the imagination perfect.
 

iOta

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While my situation is not the norm and other factors contribute to the affordability of treatment, this does not instill the warm and fuzzies. My wife has a one of the main PMB chronic conditions, which according to law should be treated and covered in full, yet even private medical aid doesnt cover everything, because of their clever wording to get out of paying: "Covered from available benefits" ; They reimburse me 25% of doc visit because there is a specialist on their network 49.5 km away (50km cutoff for concessions). Issue is the benefits aren't enough, and the treatment protocols seem to be the same as it was 20 years ago, and newer medications (At least in use for 6 years, with substantial improvement over older treatments) is not on the approved list of treatments
This is on a private medical aid I pay an arm and a leg for...

I shudder to think what will happen when people require specialised care under the proposed system...
 

Crimson & Blue

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Currently I don't have/ can't afford a medical aid. Medical aids just driving up costs anyway, don't cover this/that, self-payment gaps, etc. Screw 'em all I say and bring on NHI.
Somehow you think the ANC can do better.
You already have government hospitals and clinics to prove that point.
 

Benedict A55h0le

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There was private healthcare.. Public facilities may??? have been better than they are currently, but they weren't by any stretch of the imagination perfect.
You can`t compare the current health to the old era health. Nobody needed private health, there was no large medical aid schemes. There was no failed public system. There was no need to regulate prices. There was no large scale price inflation like there is now.
 

Stonemason

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So hold up, because the random private doctor is charging R1500 for a consult is now the ANC's fault?
Yes, actually it was the ANC's fault. Up to about 1996 there was a system in place in South Africa where there was a standard rate for doctors and dentists. Then some bright spark (ANC cadre) in the Competition Commission decided it would not do and they forced doctors to determine their own prices.

At that stage there were also a large number of small private pharmacies in the suburbs as well and they competed with each other for business. ANC cadres in the Department of Health decided that they want to set prices for pharmacies and about 80% of the pharmacies closed because they were no longer viable. That is why instead of a proper pharmacist, you are no dependant on pharmacist assistants at Clicks or Dischem who dop not know the difference between eardrops and asprin.
Then it should also be the NPs fault because they didn't regulate private healthcare prices from what I remember...
Health care was at least affordable under the NP.
 

maumau

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While my situation is not the norm and other factors contribute to the affordability of treatment, this does not instill the warm and fuzzies. My wife has a one of the main PMB chronic conditions, which according to law should be treated and covered in full, yet even private medical aid doesnt cover everything, because of their clever wording to get out of paying: "Covered from available benefits" ; They reimburse me 25% of doc visit because there is a specialist on their network 49.5 km away (50km cutoff for concessions). Issue is the benefits aren't enough, and the treatment protocols seem to be the same as it was 20 years ago, and newer medications (At least in use for 6 years, with substantial improvement over older treatments) is not on the approved list of treatments
This is on a private medical aid I pay an arm and a leg for...

I shudder to think what will happen when people require specialised care under the proposed system...

Had the same problem. The only gynaecologists on Discovery's books within a 10km range are men and I prefer to go to a female so I went to somebody who isn't listed with them. Discovery paid a minimal amount, they're full of excuses.

Am I racist for saying they were black male gynaes :notworthy:
 

semaphore

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So just to let you know, that the medical aids may be expensive but part of the problem is not actually the medical aids, but the professionals charging crazy fees. The Medical aids have to factor those costs into their price structures.
Yep, we went to a Dr recently. Literally in there for say 10mins - 2500R later.
 

semaphore

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Had the same problem. The only gynaecologists on Discovery's books within a 10km range are men and I prefer to go to a female so I went to somebody who isn't listed with them. Discovery paid a minimal amount, they're full of excuses.

Am I racist for saying they were black male gynaes :notworthy:
Exactly what happened to us, I had to fill out a special payment request for them to cough up the full amount.
 

iOta

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Exactly what happened to us, I had to fill out a special payment request for them to cough up the full amount.
I tried that.. they just said no. The biggest sham is they for instance reimburse you R400 for doctors not on their network, yet they will shell out R1200 for a doctor that they have on their network, claiming that is the medical aid rate for a specialist in that field.
 

iOta

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I tried that.. they just said no. The biggest sham is they for instance reimburse you R400 for doctors not on their network, yet they will shell out R1200 for a doctor that they have on their network, claiming that is the medical aid rate for a specialist in that field.
Then the funniest is the doctors themselves..chatting to a few, the sentiment is that if they cannot charge excessive rates, they might as well not have a practice. If you are lucky they MIGHT feel sorry for you and ONLY charge you medical aid rates.

I reckon NHI is going to have the opposite effect of the intent... Doctors will leave. OR they are going to become even more expensive.
 
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BBSA

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Seems doing everything in your power to stay healthy is not a bad idea if you want to say in our beloved country.
 

iOta

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Seems doing everything in your power to stay healthy is not a bad idea if you want to say in our beloved country.
Goes both ways.. if you want to leave a lot of other countries won't let you in unless you are healthy.
 

BBSA

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Goes both ways.. if you want to leave a lot of other countries won't let you in unless you are healthy.
Riiight, so a healthy lifestyle is not a bad idea.

Also, you can leave before your lifestyle catches on to you.
 

Craig_

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I agree to paying for it but it shouldn't be costing you an arm and a leg. As for the human right part, let's agree to disagree.

These doctors spent a lot of money on their qualification, they are probably in demand all over the world. If they can't get their money here they'll just go overseas and we'll have nothing (they'll probably do just that after this dumb abortion is implemented). The cost of the equipment is also quite high, it will never be cheap. If you want it cheap someone has to cover the cost of it. And in this case the user pays. I also can't really afford medical aid but I have no choice, I have a network plan. And if this fck up comes in I won't be able to afford this medical aid anymore. That will make the queues even longer for public healthcare, meaning the service you get now will become even worse.

You're honestly even dumber than eg2505, and I never thought that would be possible.
 

Craig_

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You can`t compare the current health to the old era health. Nobody needed private health, there was no large medical aid schemes. There was no failed public system. There was no need to regulate prices. There was no large scale price inflation like there is now.
Nobody needed it yet we've had medical aids in south africa since before 1974. ;)
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