NHI and MSA

The Department of Health invites you to submit written comments on the proposed draft National Health Insurance Bill (NHI) and the Medical Schemes Amendment Bill.

You are invited to object or support the Bills by providing comment below. Should you be at a loss for words, read the live comments, a summary or official documents below the form. Feel free to copy and paste into the message area provided.   Closing date is midnight 21 September 2018.

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3191 comments sent so far.

Select NO or YES to the Medical Schemes Amendment Bill
No to the MSA BillYes to the MSA Bill

Select NO or YES to the National Health Insurance (NHI) Bill
No to the NHI BillYes to the NHI Bill

Which Bill do you want to comment on?
the Medical Schemes Amendment Billthe National Health Insurance (NHI) Billboth bills

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Important to note; this is not a petition but is the first step in an essential Participative Democracy process protected under the SA Constitution. Your comment is immediately sent as a unique email to the designated government representative and must, by law, be individually acknowledged and considered. Had this been a petition, all comments would be seen as a single submission.

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LIVE COMMENT FEED

Displaying newest 10 comments sent. Reload the page to see more.

Jane
Yes to the MSA Bill
No to the NHI Bill
Everyone should be entitled to medical help. To me this is a basic human right.
Medical aid schemes need to be ammended for everyone rich and poor. Illness does not distinguish between the haves and have not.
Definitely brokers should be discontinued, as I found personally the advice I recieved was wrong, with no support what so ever. Easy money making for them.
I agree co payments needs to be addressed.
Medical aids needs to take anxiety and depression seriously, as some do not cover the medication.
Late joiner penalty should be abolished along with the waiting period.
The schemes should be user friendly as its so complicated in some instances, which is daunting to question the schemes.
Peter
No to the MSA Bill
No to the NHI Bill
These proposed bills are flawed and not properly thought through.
Administration will be a mess and prone to massive corruption.
The "government" does not inspire confidence in their abilities at all.
No to these proposals.
Stephen
Yes to the MSA Bill
No to the NHI Bill
This will push doctors out the country, cause they will not get paid. This does not work anymore in most first world countries, how do you expect 5 Million people to pay for 40 Millions people medicals.
Heather
No to the MSA Bill
No to the NHI Bill
Medical Services are fundamental to a good life. Whilst the NHI is in essence and excellent idea, because the current systems are appalling, and management by Government services have such a bad record I would rather it not be implemented. At Clinics and Hospital admissions the people are treated without compassion, systems are not fair and are abused, and people are made to wait for extended periods and made to feel humiliated and angry as late arrivals, (not emergency patients), are treated before them. Improved clean and fair Health services should be implemented... before the Bill is considered.
Charles
No to the MSA Bill
Yes to the NHI Bill
Given the sub standard education pass requirements and poor service delivery from government run facilities, people should have their rights to an option to choose to pay for private health care and pay for the Medical aid they see fit.
Xanthe
Yes to the MSA Bill
No to the NHI Bill
Before making any changes, first the current Bills need to be properly administered and governed. This will only happen when corruption and greedy overpaid officials are rooted out from government.
NO system shall yield positive results under a mismanaged government.
The public health system has collapsed. The national health insurance cannot fix the health system.The NHI will not benefit South Africans because there will be no institution to provide quality health care. In South Africa we have plenty of great policies that are idealistic. The policies are never practical hence they cannot be implemented. NHI will be one such policy, good on paper but not implementable. Priority for now should be on restoring the health system so that there are many great public health institutions and shelf the NHI for now
Moeti
Yes to the MSA Bill
No to the NHI Bill
The public health system has collapsed. The national health insurance cannot fix the health system.The NHI will not benefit South Africans because there will be no institution to provide quality health care. In South Africa we have plenty of great policies that are idealistic. The policies are never practical hence they cannot be implemented. NHI will be one such policy, good on paper but not implementable. Priority for now should be on restoring the health system so that there are many great public health institutions and shelf the NHI for now .
Katherine
No to the MSA Bill
No to the NHI Bill
The government should not be amending any bills until it can get it's act together and prove that it can function effectively. Both proposed changes are short sighted, will not be in the best interests of anyone, and will lead to a further exodus of skilled medical professionals. Definitely not in favour of these amendments.
Sue
No to the MSA Bill
No to the NHI Bill
Just two more schemes for corruption to line the pockets of the wolves and greedy . Every S.A . citizen is entitled to GOOD medical care. Those who cannot afford their own medical aid scheme, the govt should provide by updating their services. Thereby they will receive much better care and attention. The present system for those who cannot afford medical aid is attrocious. Govt. cannot even update the present system.
Monique
No to the MSA Bill
No to the NHI Bill
The state could not ensure that the public health system could serve the people of south africa as it was meant to, and now what's to say that this "new" system will be any kind of a success. Dont ruin what's not broken (ie the private health sector). Canada is a perfect example of how this proposed system is bound for failure.

SUMMARY

The National Heath Insurance (NHI) Bill aims to;

  • provide mandatory prepayment health care services in the Republic in pursuance of section 27 of the Constitution;
  • establish a National Health Insurance Fund and to set out its powers, functions and governance structures; to provide a framework for the active purchasing of health care services by the Fund on behalf of users;
  • create mechanisms for the equitable, effective and efficient utilisation of the resources of the Fund to meet the health needs of users;
  • preclude or limit undesirable, unethical and unlawful practices in relation to the Fund and its users;
  • provide for matters connected herewith.

The Medical Schemes Amendment Bill aims to;

  • amend the Medical Schemes Act, 1998; so as to exclude the application of the Consumer Protection Act, 2008, in relation to matters governed by the Medical Schemes Act;
  • extend the functions of the Council;
  • insert a new section 8A in terms of which the Council may require information from medical schemes concerning the services rendered by the health care providers to beneficiaries;
  • insert a new Chapter 3A providing for the creation of a Central Beneficiary Register and the management of that register by the Registrar and to establish risk measurement methodology;
  • redetermine the provisions relating to the admission of beneficiaries to a medical scheme and the cancellation of membership;
  • insert a new Chapter 5B, in relation to the various requirements applicable in determining the contributions payable to a medical scheme by its members;
  • provide for a Health Care Providers Register to be kept and maintained by the Registrar;
  • repeal certain sections;
  • re- determine the provision dealing with the establishment of the Appeal Board;
  • introduce an enhanced system of governance of medical schemes under the new chapter 11A;
  • empower the Council to determine broker fees from time to time and define the circumstances in which a medical scheme may receive payment of broker fees due by its members to a broker;
  • declare the carrying on of the business of a medical scheme by a person not registered as a medical scheme to be a separate offence,
  • prescribe the criminal penalties that may be imposed on persons convicted of that offence;
  • provide for matters connected therewith.

DOWNLOAD DOCUMENTS

Download the Medical Schemes Amendment Bill

Download the National Health Insurance Bill (NHI)

National Health Insurance

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