South Africa prepares for next phase of the NHI – which includes ‘mandatory pre-payment’

ToxicBunny

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NHI may not be introduced, but the taxes to fund it surely will be.

Quite likely its coming yeah...

At least some of them, but I do generally expect the medical aids to get stuck in when things actively start happening that will directly impact their ability to operate and retain clients.
 

HavocXphere

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Oct 19, 2007
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the planned rollout of the NHI is split into three stages, as follows:
Phase 1 (2012-2017)
Phase 2 (2017-2022)
Phase 3 (2021-2025)

“This (current) period coincides with the beginning of the second phase of the implementation of the NHI,” the CMS said
Calendar says no. Unfortunately prez promised 2025 NHI done though so I guess they've just decided to uhm not update their timetable to solve this dilema?

Anyway...I think this could work eventually (in the sense that it's basically gov healthcare V2) IF they can get a grip on the funding side. That part doesn't seem to have evolved beyond this though

1620144738465.png
 

neoprema

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We're not the first country to go NH, and won't be the last to have problems trying to make it work. I don't think its an entirely bad idea. Would just be better if they could keep the thieves out of it.
 

R13...

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Yeah plans for fsck all... I doubt phase 2 has even got off the ground actually.
Was about to ask what phases 1 and 2 were. It seems the pilot sites failed and there is little in the way of information on what became of them. I heard the department make excuses once but not much else.
 

killerbyte

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We're not the first country to go NH, and won't be the last to have problems trying to make it work. I don't think its an entirely bad idea. Would just be better if they could keep the thieves out of it.
It works reasonably well in countries where 70% or more of the working population is working. They want to run the entire system off 5 million tax payers. Its not feasible.
 

rvZA

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Not going to happen. There isn't even enough tax money to run the country, or even get SAA off the ground again, let alone something like the NHI. Hell, they don't even have any room left to raise or levy new taxes on the taxpayer.

Good luck with the "next phase"
 

GrootVoet

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Mar 23, 2021
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What COVID showed us even after CR promised us no money will be stolen is that in South Africa you can't get away from corruption and NHI is just the next thing too steal from now that Transnet, SAA, Eskom, Prasa, Denel, (the list goes on) are sucked dry.
 

Paul_S

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If they force this through I see a lot of headaches for employers.
Firstly there will be an employer payroll tax which many companies on life support may not be able to pay.
Secondly employees will insist that employers drop the requirement to be part of a private medical aid scheme as they can't afford to pay for two health care schemes from their CTC salary.

The second point is the one which would collapse private medical aid in this country overnight.

The good news is that the CMS admit that lack of funding may be a showstopper and this still needs to put through parliament where I suspect some robust debate will take place. Just wait until the payroll and personal income taxes are put on the table and see what the wekkas and unions have to say about it when it means less take home pay.
 

Moto Guzzi

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Apr 24, 2004
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If they force this through I see a lot of headaches for employers.
Firstly there will be an employer payroll tax which many companies on life support may not be able to pay.
Secondly employees will insist that employers drop the requirement to be part of a private medical aid scheme as they can't afford to pay for two health care schemes from their CTC salary.

The second point is the one which would collapse private medical aid in this country overnight.

The good news is that the CMS admit that lack of funding may be a showstopper and this still needs to put through parliament where I suspect some robust debate will take place. Just wait until the payroll and personal income taxes are put on the table and see what the wekkas and unions have to say about it when it means less take home pay.
The problem is if private medical aid which rised from basis of previous working medical aids, what about all the money dumped physically(Good earned money) by members not used, where does that go, it cannot just disappear into a cloud-:? My private medical aid takes lots of money from me but then they want to save through me on top of that, how sick is that, and disciontinue using top specialists as well, so as far as I am concenrned they can go down tomorrow, just give me back my money dumped into the hole over 30 years.
 
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