The Department of Health invites you to submit written comments on the proposed 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 unsure, read the live comments, a summary or official documents below the form.   Closing date is midnight 21 September 2018.

20630 active citizens in this campaign, so far.

Add your comment now.

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

Check your email address is correct then hit send!

A copy of your message will be sent to you along with an automated proof of receipt. Check your junk mail folder if you can’t find it.


Displaying newest 5 comments sent.

No to the MSA Bill
No to the NHI Bill
This is a NO-NO situation. An invasion of everyone's rights and an attack on our finances.

This in UNLAWFUL and should NOT be passed.
No to the MSA Bill
No to the NHI Bill
Unlike first world countries, South Africa does not have the infrastructure nor resources to successfully implement this system. I say this having lived abroad for several years.
To then negate any private medical schemes is beyond ridiculous.
South Africa loses many of it well-educated, skilled citizens everyday, let's see how many more flee in the next 5-10 years because of this.
No to the MSA Bill
No to the NHI Bill
This will simply deprive anyone with private medical aid of the choice of specialists and where to go, a right we pay for and a necessary one.
The Bill is communisitc and will be funded by taking more from us taxpayers which we simply cannot and will not afford!!
It's ridiculous. Rather spend allocated budget to improve government hospitals. Don't fix what isn't broken to fix something else that is. Then we all end up worse off!!
No to the MSA Bill
No to the NHI Bill
Look at the state hospitals! Appalling. Give us freedom of choice. The funds will be plundered!!!!!
No to the MSA Bill
No to the NHI Bill
NHI, lets not kid ourselves, this will not insure anything but only mean National suicide and certain disaster. Every SOE is bankrupt thanks to unscrupulous leaders. Taxpayers are exhausted, stretched to the limit and simply done with funding greed, corruption and criminal behavior. The health care system is bankrupt and health care workers and Dr's are over extended. Please realize that this will be playing right into the plan of the global agenda and fast tracking a socialist state; just like gun control, allowing debt, land ownership, taking away the individuals right to free choice. Hate him of love him, President Donald Trump stopped Obama Care and for this very reason. Please uphold democracy for all South Africans.


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 the Medical Schemes Amendment Bill

Download the National Health Insurance Bill (NHI)

National Health Insurance

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.

By using this service you ensure an accurate record is held by civil society (on our encrypted database) so government cannot fudge facts or figures. This process forms a solid foundation for a legal case should the necessity arise.


There’s no time better than now for you to sign up to Noseweek. For a limited time only we’re offering a 20% discount on online subscriptions. You get to read 12 issues for just R244 (R21 per issue) and can access our entire 25-year searchable archive at your convenience and at no extra cost! Click to visit Noseweek.