South Africa faces high levels of noncommunicable diseases such as diabetes and hypertension. The NHI is likely to battle to cope with treating large numbers of sick people.
There is hard and persistent work that needs to be planned for, like a kind of ongoing rehabilitation process, to realise the dream of one health system for all South Africans.
A crisis like COVID-19 demands that professional barriers be broken.
Ghana's lack of a palliative care policy is posing a significant challenge to effective healthcare for cancer patients.
The entire premise of effective competition is that purchasing of health services should be based on value - a combination of price and quality.
Less than 1 in 10 people living with a mental health condition in South Africa receive the care that they need.
The UN's global health policy related to universal health coverage should be grounded in primary health care -- with meaningful benchmarks to ensure patient participation.
Top-down reforms like those proposed in the NHI Bill need to be complemented by a bottom-up process of health system strengthening.
South Africa's planned NHI has no equivalent in any setting in the world. It's deeply flawed on a number of fronts.
Health systems are generally structured around nation-states. Migration, especially across national borders, therefore leads to challenges.
Excluding international migrants from the public health care system can result in a population wide risk.
South Africa's health care needs to be reformed so that everyone has access regardless of affordability or location.
The bill to provide universal health care in South Africa is not the silver bullet for the challenges in the health sector.
For healthcare to be accessible, affordable and equal, policies and programmes that promote universal health coverage need to be based on evidence.
A critical part of attaining universal health coverage is access to published research.