oa South African Health Review - Private sector perspectives on National Health Insurance : perspectives on a national health insurance

Volume 2010, Issue 1
  • ISSN : 1025-1715



In this chapter, private sector stakeholders are identified and categorised according to their respective roles in revenue collection, pooling, purchasing and delivery of health care. Representatives of key stakeholder organisations were contacted to elicit information on their organisation's responses to NHI and a desktop search was conducted. An overview of the key concerns of and arguments raised by the private sector regarding the rationale for reform, the goals of reform, the reform process as well as responses to the various ANC proposals are provided. The various models and proposals that the private sector have mooted in response to the NHI proposals are set out, and the role that the private sector could play in a future mandatory system is considered. It is clear that the debate cannot be clearly defined in the absence of official government policy. Concerns about the lack of consultation and transparency have been broadly expressed. However, it is clear that there remains substantial goodwill from all stakeholders to see reform and to participate in the reforms. Statements from stakeholders reveal a commitment to the goals of achieving universal access to quality health care for all South Africans as well as a commitment to open engagement and debate.

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