How do you think the recently signed NHI bill will change the way you access healthcare in South Africa ?
The recently signed National Health Insurance (NHI) bill represents a significant shift in the healthcare landscape of South Africa, aimed at providing equitable and quality healthcare for all citizens. While the bill holds promise, it also raises several important concerns that need to be addressed to ensure its successful implementation.
One of the primary concerns is the financing and sustainability of the NHI. Implementing a universal healthcare system requires substantial financial resources, and there are questions about how the government plans to fund this ambitious project without placing an undue burden on taxpayers. The long-term sustainability of the NHI is a critical issue, particularly given South Africa's economic challenges and the potential for budgetary constraints.
Another concern is the potential for bureaucratic inefficiencies. The NHI will involve a complex administrative structure to manage the integration of public and private healthcare sectors. There is a risk that the system could become bogged down by red tape, leading to delays in service delivery and increased frustration among patients and healthcare providers. Ensuring efficient management and minimizing bureaucratic hurdles will be essential to the success of the NHI.
The quality of care under the NHI is also a significant worry. While the bill aims to provide equitable healthcare, there are concerns that the standard of care might decline, especially if the system becomes overburdened. Public healthcare facilities in South Africa have historically faced issues such as overcrowding, understaffing, and resource shortages. Without adequate investment in infrastructure and human resources, there is a risk that these problems could persist or even worsen under the NHI.
Additionally, the transition period poses challenges. Shifting to a new healthcare system is a complex process that requires careful planning and execution. There is a concern about how existing services will be maintained during the transition and how smoothly the integration of public and private sectors will occur. Ensuring continuity of care and avoiding disruption of services will be critical during this period.
The NHI also introduces a referral system where patients start at primary healthcare facilities and are referred to specialists if necessary. While this aims to manage patient flow effectively, there is concern about the capacity of primary healthcare facilities to handle the increased demand. Strengthening these facilities and ensuring they are adequately staffed and equipped will be crucial to the success of this system.
In summary, while the NHI bill holds the promise of transforming the South African healthcare system into a more equitable and inclusive model, several significant concerns need to be addressed. Financing, bureaucratic efficiency, quality of care, transition management, and capacity building are all critical areas that require careful attention to ensure that the NHI achieves its intended goals without unintended negative consequences.
May 24, 2024, 8:39 a.m.
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757 comments
Sweetness Ntshangase
On May 21, 2024
Yes
Esihle geqeza
to Sweetness Ntshangase
On May 22, 2024
A lot of changes
Lungiswa Makasi
to Esihle geqeza
On May 23, 2024
A lot of change
Sfiso Sibiya
to Sweetness Ntshangase
On May 22, 2024
I need to use this app
Sfiso Sibiya
to Sweetness Ntshangase
On May 22, 2024
I need to use this app
Nokuthula molefe
to Sweetness Ntshangase
On May 24, 2024
It will make changes
Nosipho Zwane
to Sweetness Ntshangase
On May 24, 2024
Yes
Tlhowe
to Sweetness Ntshangase
On May 24, 2024
Gsfgtt44t4
Christina paulse
to Sweetness Ntshangase
On May 25, 2024
yes
Olerato thoboke
to Sweetness Ntshangase
On May 28, 2024
Yes
Tinashe Bongani sibanda
to Sweetness Ntshangase
On May 29, 2024
Syper
Tinashe Bongani sibanda
to Sweetness Ntshangase
On May 29, 2024
Syper
Tshaka bulelani
to Sweetness Ntshangase
On May 31, 2024
Good
Boitumelo
to Sweetness Ntshangase
On May 31, 2024
Free wifi
Njabulo Mncwabe
to Sweetness Ntshangase
On June 1, 2024
I want to order food online
Nicola Jaars
to Sweetness Ntshangase
On June 1, 2024
I'm happy to be here
Elson katemazondo
to Sweetness Ntshangase
On June 1, 2024
Experience
Zime zulu
On May 21, 2024
No
Samuel
On May 21, 2024
No
Nyameka Tshando
On May 21, 2024
None
Matsana Kgomotso
to Nyameka Tshando
On May 29, 2024
Can i connect to debonairs pizza wifi
Paballo nkuni
On May 21, 2024
None
Paballo nkuni
On May 21, 2024
None
Karabo
On May 21, 2024
Is very good 👍😊
Akhona Tshabalala
On May 21, 2024
None
Precious
On May 21, 2024
No
Walter
On May 21, 2024
Is very good 💯😊
Shiloh Anyachor
to Walter
On June 1, 2024
Its very nice
Shiloh Anyachor
to Walter
On June 1, 2024
Its very nice
Karabo mokoena
On May 21, 2024
I want to know more about it
Remo Ratile
On May 21, 2024
None
Nicolene
On May 21, 2024
I believe they will yes,with the support of the communities
Simanga Gumede
On May 21, 2024
I think it will help
Abraham Jacob Scott
On May 21, 2024
Yes it would help the poor and enemployed
Karabo mokoena
On May 21, 2024
To hire more doctors 💊
Sindiswa Ndlela
On May 21, 2024
Yes
Axolile tunzana
On May 21, 2024
Yes
Simphiwe Khoza
On May 21, 2024
Nice to have free wifi
Ntsikelelo Fass
On May 21, 2024
No. It will be too expensive and unsustainable
Tshepo
On May 21, 2024
Yes
Tshepo
On May 21, 2024
Yes
Makondo kateko hardly
On May 21, 2024
Yes
Andile Simelane
On May 21, 2024
No
Andile Simelane
On May 21, 2024
No
Nkosana Ndlovu
On May 21, 2024
Maybe I’m not sure
Vincent Mhlanga
On May 21, 2024
Yes.to me we are all equal
Alizwa
On May 21, 2024
Yes
Alizwa Limekaya
On May 21, 2024
Yes
Nomonde
On May 21, 2024
no comment
Willies mathebula
On May 21, 2024
Thy will do more I believe
Willies mathebula
On May 21, 2024
Yes
Ngubeni
On May 21, 2024
No comment
Thapelo bodibe
On May 21, 2024
No
Mashao
On May 21, 2024
Yeah
Emihle Kololo
On May 21, 2024
Nothing
Emihle Kololo
On May 21, 2024
Nothing much
leendouh zwane
On May 21, 2024
There won’t be difference about the NHI
Ivamucanze
On May 21, 2024
Can I connect to wifi
Zee
On May 21, 2024
Not sure
Lee Kuhle
On May 22, 2024
Not sure
Andrew Tembo
On May 22, 2024
If it can work properly it will definitely have a change in most people's life
Noluthabo mbatha
On May 22, 2024
Not sure
Paul Walker
On May 22, 2024
Yes it'll definitely change everything
Papi hlaks
On May 22, 2024
Yes it'll definitely change everything
Lunga August
On May 22, 2024
I'm glad to see this side of town
Muzi gwala
On May 22, 2024
Yes big difference
Live Gwana
On May 22, 2024
No comment
Live Gwana
On May 22, 2024
No comment
Noluthabo mbatha
On May 22, 2024
I'm not sure
Ruan Steynberg
On May 22, 2024
No
Mphoentle Sins
On May 22, 2024
I don't think so, why not rectify the failing system and hire competent people, who love the work.
Wandile Ncube
to Mphoentle Sins
On May 25, 2024
Let's hope for the best, who knows. We might benefit somewhere somehow.
Wandile Ncube
to Mphoentle Sins
On May 25, 2024
Let's hope for the best, who knows. We might benefit somewhere somehow.
Mphoentle Sins
On May 22, 2024
I don't think so, why not rectify the failing system and hire competent people, who love the work.
Thabang Mashigo
On May 22, 2024
I want to be notified if someone responds to my comment
Everything the government touches goes bad for the people. Trains, electricity, education please leave health care alone
Sedie
On May 22, 2024
Happy about the wifi
Makgaba Ofentše
On May 22, 2024
Nice
Nkubo
On May 22, 2024
I want this wifi work faster
Nkubo
On May 22, 2024
I want this wifi work
Ntombikayise Mpye
On May 22, 2024
No this is just a political stant
Cassidy jansen
On May 22, 2024
Yes
Avuyile Siphambo
On May 22, 2024
It will cripple the health industry. Its gonna bring more burden to rhe already strained health sector
Simangele Mnyande
On May 22, 2024
No, nothing will change
Thandi m
On May 22, 2024
No
Alfred Mabena
On May 22, 2024
Yes
Khutso popela
On May 22, 2024
Maybe in the next 15 years to come. Implementation of this bill may take long
Bafana tshabalala
On May 22, 2024
Yes
Sfiso Sibiya
On May 22, 2024
I need to use this app
NhlanhlaGondwe
On May 22, 2024
I want to download doc
Sekoboto
On May 22, 2024
Dope
Thabiso
On May 22, 2024
I want to download documents
Sinegugu nkuzo
On May 22, 2024
Good luck
nihaal
On May 22, 2024
no
Khethukuthula dlamini
On May 22, 2024
Iam looking for wifi
Vusi
On May 22, 2024
It Will Be good if used good
Sinesipho
On May 22, 2024
Yes
Tommy
to Sinesipho
On May 29, 2024
Ok
Sinesipho
On May 22, 2024
Yes
Sinesipho
On May 22, 2024
Yes
Nokwazi Ntshangase
On May 22, 2024
Yes it definitely will.
Kaden Moses
On May 22, 2024
I need to do my work for school
Motolo thabo
On May 22, 2024
I'm just here for wifi.
Thank you
Aluncedo Cezula
On May 22, 2024
Yes
Angel Gumede
On May 22, 2024
No
Christopher Vukile Pani
On May 22, 2024
No
Christopher
On May 22, 2024
Need wifi now
Loyiso Xelisilo
On May 22, 2024
Yes definitely it will solve it
Lungelo hlatshwayo
On May 22, 2024
Free wifi is good
thabiso lerare
On May 22, 2024
Yes
Mdu Ngwenya
On May 22, 2024
Nope
Jayrone Gabriels
On May 22, 2024
WiFi pls
Claire Shozi
On May 22, 2024
We enjoy free wifi
Nelly
On May 22, 2024
Yes
Ntsako Chabalala
to Nelly
On May 22, 2024
Beautiful place
Ntsako Chabalala
to Nelly
On May 22, 2024
Beautiful place
Ntsako Chabalala
to Nelly
On May 22, 2024
Beautiful place
Damian delilie
On May 22, 2024
I don't know
Ntsako
On May 22, 2024
Vodacom
Khulekani Philani
On May 22, 2024
Not now
Chadley Jackson
On May 22, 2024
No
Nkazimulo
On May 22, 2024
Yes
Nkazimulo
On May 22, 2024
Yes
Arnold masilombana
On May 22, 2024
Yes
Cwaka Sifuba
On May 22, 2024
Yes
Keamogetsoe Lekoni
On May 22, 2024
Yes
Sean
On May 22, 2024
Huge changes, those without medical aid will be able to get better treatment.
Sizwe
On May 22, 2024
See
Mbali macutwana
On May 22, 2024
yes
Mbali macutwana
On May 22, 2024
yes
Mbali macutwana
On May 22, 2024
yes
Gwele
On May 22, 2024
Good
Fortunate Manala
On May 22, 2024
I want free wifi
Kuhle madikane
On May 22, 2024
It's good
Kuhle madikane
On May 22, 2024
It's good
Kuhle madikane
On May 22, 2024
It's good
Sipho ndweni
On May 22, 2024
It's very good
Lawrance kana
On May 22, 2024
The way we get medications
Hlomla Mema
On May 22, 2024
Yes
Mfundo nkuna
On May 22, 2024
Yes i believe so
Cherity Thobela
On May 22, 2024
Yes
Samukelisiwe Mkhwanazi
On May 22, 2024
I'm not sure whether this is going to help much,I think it will chase specialist away.i I also think it will come with some more problems
Samukelisiwe Mkhwanazi
On May 22, 2024
I'm not sure whether this is going to help much,I think it will chase specialist away.i I also think it will come with some more problems
Mapitso Radebe
On May 22, 2024
Yes
Mapitso Radebe
On May 22, 2024
Yes
Themba Maseko
On May 23, 2024
Work
Vee Mphuthi
On May 23, 2024
Yes it will
Vinoliah Mphuthi
On May 23, 2024
Yes
Andrew Tembo
On May 23, 2024
I dnt think so
Inathi
On May 23, 2024
Yes it will
Abulele Ndevu
On May 23, 2024
Yes it will
No
On May 23, 2024
Cause they can't
Ja
On May 23, 2024
Hey baby u alone
Botsang Sebaeng
On May 23, 2024
Yes
Botsang Sebaeng
On May 23, 2024
Yes
Zukisa Nomdlembu
On May 23, 2024
I think it's gonna be great but let's see
Thomas
On May 23, 2024
It's not gonna work
Zungu
On May 23, 2024
It's not gonna work
Sthembiso ndhlovu
On May 23, 2024
Yes
Nelson mbele
On May 23, 2024
No comment
VanashreeLombard
On May 23, 2024
Yes it will help
Vanashree
On May 23, 2024
Yes it will
Uriah Petros
On May 23, 2024
I'm not sure
Nokuthando
On May 23, 2024
It nice
Nokuthando Bornefecia Mzolo
On May 23, 2024
No
Makkah Makaka
On May 23, 2024
,Liz,osmosis missions
Celimpilo ngubane
to Makkah Makaka
On May 28, 2024
I want good quality
Celimpilo ngubane
to Makkah Makaka
On May 28, 2024
I want good quality
Celimpilo ngubane
to Makkah Makaka
On May 28, 2024
I want good quality
Celimpilo ngubane
to Makkah Makaka
On May 28, 2024
I want good quality
Makaiamaj njakmak
On May 23, 2024
No
ayanda khumalo
On May 23, 2024
yes
chang chang
On May 23, 2024
I need to use this app
Love Munya
On May 23, 2024
Yes
Lindokuhle Mahlangu
On May 23, 2024
No it will not change the country
Gabriel Phakathwayo
On May 23, 2024
Definitely
Rayyan Lindsay
On May 23, 2024
Yes
Tshepo Moenti
On May 23, 2024
Yes
Steven Ncube
On May 23, 2024
L thank you for free wifi
huhu big
On May 23, 2024
sure
Nenekazi Bobotyana
On May 23, 2024
Yes
Ligh hhbh
On May 23, 2024
Sure
Khwezi phewa
On May 23, 2024
Khwezi phewa Revolution
Khwezi phewa
On May 23, 2024
I wan't to connect for 5 hours
Antoinette
On May 23, 2024
It will worsen it
Omphile Lens
On May 23, 2024
Connect
Kevin ndlovu
On May 23, 2024
Not sure
Absa mash
On May 23, 2024
The money will be eaten by the comrades
Angela Nguetsop
On May 23, 2024
It’ll only worsen it and our economy. Taxes will increase and so will costs.
Angela Nguetsop
On May 23, 2024
It’ll only worsen it and our economy. Taxes will increase and so will costs.
Thembalethu matukane
On May 23, 2024
It help a lot
Refiloe Raqhemenyane
On May 23, 2024
Yes
Refiloe Raqhemenyane
On May 23, 2024
Yes
Tshabalala ntebaleng
On May 23, 2024
Yes .. I think it will
Mxolisi Msebe
On May 23, 2024
Yes, We will get better health care treatment
Mzu Qundana
On May 23, 2024
Yes
Bernadette Joseph
On May 23, 2024
Yes I have a good feeling about Nhi
Bernadette Joseph
On May 23, 2024
Yes
Bianca Mazibuko
On May 23, 2024
Yes
Bianca Mazibuko
On May 23, 2024
Yes
duncan lubisi
On May 23, 2024
Yes
Saint Lawrence Mmola
On May 23, 2024
Definitely Yes. I think it was supposed to be signed long time ago but GOD's timing is the best. So we welcome it 100% as South Africans. Thank you to our President Cyril Ramaphosa and the African National Congress for putting the people first.
Hephzibah Beulah Christian City Church
On May 23, 2024
Yes
Africa Mass Prayer Christian Roots Acts Arena
On May 23, 2024
Yebo Yes 100%
Lwayi mbatha
On May 23, 2024
Definitely
nthabiseng Rantsane
On May 23, 2024
I trust that they will do the job
Nthabiseng Rantsane
On May 23, 2024
I trust they will fulfill their promise
Mphoentle Lethetsa
On May 23, 2024
Yes and I think it will change the way we live
Do Monique Murtz
On May 23, 2024
Yes
Lungisani mbatha
On May 23, 2024
Yes
Lungisani mbatha
On May 23, 2024
Yes
Lungisani mbath
On May 23, 2024
No
Lungisani mbath
On May 23, 2024
No
Lungisani mbatha
On May 23, 2024
No
Morongoa maleka
On May 23, 2024
Change is indeed observed
Andile
On May 23, 2024
I like
Donel Zvoushe
to Andile
On May 24, 2024
Yes and that's how I feel
Sihle Zakwe
On May 23, 2024
The NHI Bill is just the tip of the Iceberg.
Zoubaier Dramat
On May 23, 2024
No comment
Lua Bomoyi
On May 23, 2024
It’s nice to be her
Prudence shirindza
On May 23, 2024
Yes it does help me
Leroy Buys
On May 23, 2024
No
Prudence shirindza
On May 23, 2024
No
Dantedequintal
On May 23, 2024
I want to continue with WiFi
Dave
On May 23, 2024
Yes
Sisiponobatana
On May 23, 2024
No
simangalisomahlinza
On May 23, 2024
No
Shakir daniels
On May 23, 2024
Urgent use
Tamsay Manuel
On May 23, 2024
Yes
Manqoba
On May 23, 2024
It is good
Manqoba
On May 23, 2024
It is good
Charity Mekuto
On May 23, 2024
Urgent use
Happy Mathebula
On May 23, 2024
I thick he will solve it bcz he is a honest person
Milton ngavie
On May 23, 2024
It will be good
Jimmy James
On May 23, 2024
Yes
Mbali Mathembi
On May 23, 2024
Good
Mhlekhona
On May 24, 2024
No it won't make any difference
Donel Zvoushe
On May 24, 2024
I think it won't help
Shaun Nyalungu
On May 24, 2024
NHI will not bring any change
Manyike ornest
On May 24, 2024
The nhi won't make a difference
Nondumiso
On May 24, 2024
Good
Sfundo Dlamini
On May 24, 2024
I think we should invest in more health studies hence new medications and doses can be found
Pontsho tshabalala
On May 24, 2024
Good
Jacky Yelani
On May 24, 2024
I think it's good. And will make a difference.
Simon
On May 24, 2024
It's good
Albert Moloi
On May 24, 2024
It's long overdue. We need our invers all healthcare for all. The private sector used to accommodate nlt those who can afford but the bill is a good step as one as infrastructure can meet the standard as well.
Mthembu
On May 24, 2024
Lots of change
Lwazie Mthembu
On May 24, 2024
A lot of changes
Malander Nyakudya
On May 24, 2024
It’s fair
Tembisa mfenqele
On May 24, 2024
It's will help a lot of people and create a jobs we got hope as a people who jobless
John doe
On May 24, 2024
Lots of change
Thabiso Nhlangulela
On May 24, 2024
this information is useful and can help others
Musa ndlovu
On May 24, 2024
Great bill will make health facilities more eefective
Zwelithini Nkosii
On May 24, 2024
Yess it will
Tebogo
On May 24, 2024
comment
Sisusa
On May 24, 2024
fuck off
Qu mosbey
On May 24, 2024
....
Mahlangu
On May 24, 2024
Good
Anonymous
On May 24, 2024
Good
Tlhowe
to Anonymous
On May 24, 2024
I like this
Luzuko Zungu
On May 24, 2024
I am passionate person.
Luzuko Zungu
On May 24, 2024
Alot of change
John Lewis
On May 24, 2024
No
Renver De Wet
On May 24, 2024
No
Renver die Wet
On May 24, 2024
Yes it will affect it.
Renver de Wet
On May 24, 2024
Yes it will affect it.
Lisa mpendu
On May 24, 2024
Good
Busi Zwane
On May 24, 2024
It'll make high quality Healthcare easily accessible
Ft
On May 24, 2024
Special
Mhlongo
On May 24, 2024
The nhi will bring good accessible health care to south Africans if properly implemented
Sandiso Mashaba
On May 24, 2024
Is good to have your wife
Nothando mvubu
On May 24, 2024
Specisl
Ntwanano Matsana
On May 24, 2024
I will bring an early medical accessibility
Lime ayavuya
On May 24, 2024
Yes
Lime ayavuya
On May 24, 2024
Yes
Lime ayavuya
On May 24, 2024
Yes
Lime ayavuya
On May 24, 2024
Yes
aphelele dyantyi
On May 24, 2024
yes
aphelele dyantyi
On May 24, 2024
none
Zikhali
On May 24, 2024
Number you made
H
On May 24, 2024
Hi
Sikhumbuzo Buthelezi
On May 24, 2024
It will help to improve quality in public health
Sikhumbuzo Buthelezi
On May 24, 2024
Hi
Sikhumbuzo Bbuthelezi
On May 24, 2024
Wola ramas
Tinaye
On May 24, 2024
I think it will cost tax payers a lot more
Thobane Vumindaba
On May 24, 2024
It’s probably one of the worst things that the current government has put into law, they are failing managing and maintaining the current public health system, how worse will they do with more