LazyLion
King of de Jungle
http://www.iol.co.za/news/politics/healthcare-has-collapsed-1.1382196
And yet the morons will keep voting for these schmucks.
Pretoria - Gauteng public health facilities are in a state of collapse and failing to deliver quality healthcare to patients after tender irregularities, running into billions, dealt the system a hard blow, Health Minister Dr Aaron Motsoaledi admitted on Wednesday.
Disclosing that the province’s hospitals were running out of essentials due to huge deficits in their budgets, and that efforts to rebuild the system could take a while, Motsoaledi explained that the problems had grown steadily over the past few years and were about to explode now.
“From around 2007, hospitals have been issuing a lot of heavy tenders that had nothing to do with healthcare, leaving no money for the essentials,” the minister said.
Describing the process as that of replacing “healthcare” with “tendercare”, he said: “They bought nice-to-haves, leaving no money for the essentials and resulting in the department being unable to pay for accruals and creditors.”
While the bulk of the money went to ill-awarded tenders, some essential service providers continued providing services despite the non-payment, with the hope that payments would eventually come, and also because they did not want to lose business with government.
When current MEC of Tourism and Economic Development Qedani Mahlangu took over at health, she took some of the tenderpreneurs to court in an attempt to stop payments, and while she won some cases, she also lost a large number.
“Judges said they understood the fact that the money had been committed towards non-essentials but they also pointed out to the legality of the contracts and instructed that they be paid,” Motsoaledi said.
Essential services providers also took the department to court, forcing the department to pay them: “It is these payments that are crippling us, because we take money from existing budgets, even money meant for tablets, to pay them,” he said.
For more than a year now, public health facilities in the province have been hit by service delivery problems, which have seen the non-maintenance of equipment and non-delivery of key services as a result of non-payment to service providers. Patients have been turned away, procedures cancelled or postponed and, medical staff have said, they have been forced to “play God” by choosing which patients to treat and which to let go, something they claim demoralised and affected them psychologically.
According to Motsoaledi, the fact that the Gauteng Department of Health was the biggest in Africa made the effects of the breakdown more acute. This is exacerbated by the increased patient burden on the province’s four central hospitals, which include Steve Biko Academic Hospital, Charlotte Maxeke Johannesburg Academic and Chris Hani Baragwanath hospitals in Joburg, and the medical schools attached to some of them.
He said: “The whole of the North West, the whole of Limpopo and the whole of Mpumalanga refer here, because while some hospitals might have facilities, equipment and pharmaceuticals, they do not have the expertise.”
Swaziland, he said, also officially referred the patients they couldn’t treat to these hospitals, while complicated cases from elsewhere in the country were also referred to Gauteng. “This kind of system should not have been disturbed, because the ripple effects go beyond the patients but into the lives of all South Africans.
“The people who brought our healthcare system to its knees have been referred to the Special Investigations Unit (SIU), and while this will not fix the problem, those to blame need to be held accountable by bringing criminal charges against them,” the minister said, adding that he was eagerly waiting for the SIU report to bring closure to the problem.
Interventions are being put into place to prevent this from ever happening again. For the past six months, a committee had sat and identified the “non-negotiables”, which every facility had to have to run effectively.
Motsoaledi said these included pharmaceuticals; basic equipment, including laundry equipment; infection control measures; food; items on the dry dispensary list, like catheters, syringes and gloves; and, the payment of service providers.
“We must protect the health system at all costs,” he said. All South Africans needed to buy into this phenomenon, he said, to ensure that even those tenderpreneurs knew which services were essential to health before buying luxury items.
A commission has also been set up to monitor the operations of public health facilities. Inspectors will make unannounced visits to facilities to check up on operations, the state of cleanliness, queues and infection control, among others, and an Ombudsman, to investigate complaints, has been appointed.
And yet the morons will keep voting for these schmucks.