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Norman
No to the MSA Bill
No to the NHI Bill
As a 77-year-old person who is no longer a salary earner and who has over the years paid (and continues to pay) a monthly amount to a Medical Aid fund, I am presently able to access such medical treatment I choose both timeously and reasonably affordably. There is, in my income tax assessment, an income tax rebate received in the form of tax credits on medical scheme fees and other medical expenses which have been paid by me; this assists greatly in mitigating the costs to me. However, proposed Section 49 (2) (ii) states a major source of NHI income by “reallocation of funding for medical scheme tax credits....towards the funding of National Health Insurance;” I am concerned that my Income Tax Medical Rebates may be withdrawn, but that the proposed NHI may prove unable to timeously provide the services needed by me.

I have budgeted my retirement funding savings with care, so that in my later years my rising health care expenses are reliably provided for. It seems grossly unfair to impose on my spouse and me an unproven system which may prove to be disastrously inadequate.

The proposed NHI Bill states one object is to “achieve the progressive realisation of the right of access to quality personal health care services” It seems to me the proposal would remove my current right of access to such services as I can afford, without any guarantee of supplying alternative ‘quality health care services’. The Preamble states: “in terms of section 27(2) of the Constitution the State must take reasonable legislative and other measures, within its available resources, to achieve the progressive realisation of the right of access to health care services”. The measures ‘within its available resources’ may prove to 0be considerably less than the measures which I can currently obtain in the private health care system as it presently stands.

The private health care system seems to be flexible enough to take timeous advantage of new developments in medical science. It worries me that the public health care system envisaged in the NHI Bill may not be similarly able to adapt.

Our constitution provides some basic human rights about freedom of choice with respect to health care providers whom I may wish to use. I note that a user “must first access health care services at a primary health care level as the entry into the health system” and “must adhere to the referral pathways prescribed for health care service providers or health establishments”. To me, this implies that my freedom of choice is being removed, denied or severely curtailed.

I believe the proposed NHI could be phased in for younger citizens and that older citizens should be allowed to elect to continue with the current private health system. There is no option for pensioners and retirees to work harder or for longer hours to earn more, in order to pay for the additional costs of belonging to an NHI system, whether those costs be in the form of additional income tax or in withdrawal of tax rebates currently in force. For many of us, we have budgetted based on rules currently in force by SARS and any major change would be financially crippling.

Submitted 2019-10-10
Jenny
No to the MSA Bill
No to the NHI Bill
Freedom of choice is a cornerstone of a democracy. As I citizen I have a right to choose my service provider without being forced by an incompetent government to make use of a service which is not my choice.
Talyah
No to the MSA Bill
No to the NHI Bill
Can our government first focus on how to fix their country as it "stands" ie. public hospitals to provide half decent amenities and available beds/ equipment for the less privileged without private medical aid, public transport (trains), unemployment, poverty, crime, corruption within the government....!!

If the above basic services and morals cannot be carried out or provided currently then HOW do they expect to fund, manage and succeed with NHI . It is just another way to take a tax payers money.. I am happy to pay the amount of money I pay to my medical scheme as I know I will have a clean hospital bed to lay in if I fall ill or get hit by a car tomorrow.. This will not be the case with NHI I can assure you. ...sadly
Alecia
No to the MSA Bill
No to the NHI Bill
South Africa is already so far in debt, and implementing the NHI Bill will just push South Africa more into debt. It is a very expensive experiment, which will only come of the small 13% of south african population paying tax. It is impossible to ask 13% of the population to carry the whole of South Africa. The tax payers already pay a significant amount of tax, which is much higher than the rest of the world, and already they are not receiving any service that that contribution they give.

Public health is a disaster, and service is very slow, and this Biill will just make everything worse

it is impossible to work
Carol
No to the MSA Bill
No to the NHI Bill
The current state run medical facilities are terrible with many people waiting all day for help.
I rather pay for private medical aid before I risk my life there. It is my right to decide what medical aid I want to invest in.
The more funds in state coffers the more will be stolen. Government can't keep the state facilities in good order now so how will they manage when everyone are forced to go there?!

This will never work!!
Lavinia
No to the MSA Bill
No to the NHI Bill
The amendment of these two bills would only work if there is a bigger tax base from which to fund the amendments. There isn't. So if this government thinks they can tax the small and already heavily taxed base even more, they will run the country into the ground. This is not the way to go. And while universal good quality medical treatment for all is noble, it simply isn't feasible, (right now ) with the current state of our poor economy. The Government should focus on massive infastructure development first, which would create jobs, which would create more tax payers and THEN down the line consider amending these bills. To push ahead now is insane. To wilfully committing to go ahead is a crime against humanity, against us, the citizens of South Africa as this amendment is NOT in our best interests at this stage of our development. Jobs first, corruption eradicated, education bettered and then look at the two bills. We are already under such scrutiny in the eyes of the world, if this goes ahead it will cement our reputation as a bread basket banana republic that no one will want to invest in.
Albe
No to the MSA Bill
No to the NHI Bill
This will be the reason to leave SA. I employ 1000 people and if this bill is passed i will close the business and leave SA. This model does not even work in the UK how will our government get it to work.
Karen
No to the MSA Bill
No to the NHI Bill
No to all the above
Wendy
No to the MSA Bill
No to the NHI Bill
Surely we have all learned from past experiences that our country does not do well with government funds....its my RIGHT to choose what medical aid I want to pay for??
Teresa
No to the MSA Bill
No to the NHI Bill
a comment by '"Lizelle" that I endorse...

In a country where people are not getting good medical care from the current state medical institutions, forcing everyone else to use the same facilities and footing the bill will not result in benefits for all.
jo
No to the MSA Bill
No to the NHI Bill
NHI is not affordable, not viable by an already grossly deficient health system, and infringes on my constitutional rights.
Marjolein
No to the MSA Bill
No to the NHI Bill
The proposed medical aid and insurance schemes only work in countries where the majority of people earn an income and pay taxes. In SA we do not have this situation at all. The majority of people is unemployed and have no income. Therefore this schemes will result in downgrading of all healthcare services, leaving of good capable healthcare people to other countries where they can earn more, bad services and not enough capable people who will run the hospital. NO NO NO ,
Vanessa
No to the MSA Bill
No to the NHI Bill
It is our constitutional right to choose which medical health we want to pay for.
This national health bill goes against our human rights.
Tarryn
No to the MSA Bill
No to the NHI Bill
Too much corruption in our country for this to work. It is not fair that tax payers are forced to fork out even more money to bring in this new system, when currently the taxes we pay are not being used efficiently or appropriately.
Odette
No to the MSA Bill
No to the NHI Bill
Please don't change anything as nothing that is run by the ANC will work.
This country is in such a mess as it is so rather consentrate on replacing all the people in government that are completely educated and competent.
Darryl
No to the MSA Bill
No to the NHI Bill
National health bills have failed in numerous countries what makes the South African government think they are going to be any different
The ANC have destroyed the infrastructure of the country this is just going to be another brick in their wall of failures
Pity that there is no pill to fix dumb and stupid people because that is the caliber of the people in the ANC who think they can run this country
Diane
No to the MSA Bill
No to the NHI Bill
Rather fix up and make existing infrastructure work. This country too corrupt to make new system work.
Elka
No to the MSA Bill
Yes to the NHI Bill
Should the NHI be run properly, it will be wonderful. All South Africans deserve great healthcare. Medical schemes are very expensive and therefore prohibitive. I'm against implementation of the NHI BEFORE current public healthcare is fixed. There are wonderful doctors, nurses and administrators, but for the most part clinics and hospitals are run-down, staff overworked or worse not committed to patient care - treating those that are ill quite shockingly with no consequences. Unless this is turned around, I would not take my parents, my children or myself to a government-run / managed clinic / hospital.
Nicola
No to the MSA Bill
No to the NHI Bill
Please do not do this the money will be squandered not run properly

Your nation needs to have jobs and low cost housing put your energy into that
Patricia
No to the MSA Bill
No to the NHI Bill
I do not agree with dictated the abolition of private medical aid.
I do not agree with being dictated to re which GP I consult.
I do not agree to the proposed increases in taxation of private individuals/employees. Our current taxes are being squandered and mismanaged by SA Gov already
I do not agree with the nationalisation of all hospitals
I do not agree with the fact that medical practitioners in South Africa will not be able to practice as private practitioners as this is sure to lower the high standards that one can currently CHOOSE to avail oneself of by choosing a competent GP or specialist. I already have opted to travel approx 15kms because I have identified a GP who has proven to be above average re diagnostics etc
I do not agree with the proposed ruling that an individual will not be allowed to consult a specialist unless the proposed NHI refer that individual to the specialist. I especially do not agree with this as a survivor of a very aggressive form of Cancer in 1988.
I also identified serious potentially death causing medical conditions in 2 of my 3 children and I saved their lives by doing so and ensuring they received specialised medical treatment, under the proposed NHI I would have had two of my 3 children die.
Malcolm
No to the MSA Bill
No to the NHI Bill
How is it possible to correct the situation with SA's Health services and Hospitals, primarily they need a total overhaul. Systems, process and Sanitation are just non existing.
How are the elderly going to survive.
We require a first world NHI operation not on paper only but in reality.
What steps are being taken to stop fraud and corruption??
What about the Hospitals, the clinics the non existent staff to take care of the cleanliness of the facilities.
Something has to change drastically for this to take root and work.
Juane
No to the MSA Bill
No to the NHI Bill
NHI is a treatment of symptoms and not a resolution for problems.

Address the issue of poor housing, poor electricity, and poor living conditions

Address illegal imigrants that stays in South Africa that is a burden on our public healthcare systems?
Jenny
No to the MSA Bill
No to the NHI Bill
What i am worried about is the necessary care and funds available for my husband has dementiia and epilepsy. We are covered well at the moment by our medical aid . Am afraid things will not work well for his care and meficines or my care and medicines. He will be 72 in november and i will be 67 soon
I also have s mother turming 90 who lives with us. So am concerned for all of our medical needs.
jose
No to the MSA Bill
No to the NHI Bill
Sir/Madam

Although the NHI bill is a step in the right direction, I feel that the administration will be effectively chaotic, shambolic and yet another avenue for corruption. The government hospitals are poorly administrated, run down and inefficient, the type of results I fear we can expect from a government controlled venture. So what can we expect from a scheme like the NHI when we have this kind of legacy? As an example, first world places like Canada and the UK are struggling to make their schemes work, where sick citizens often wait for many hours before being attended to if at all.

I remain without confidence that the NHI can work for the South African people at this time, or any time for that matter.

Jose Carvalho
Adrian
No to the MSA Bill
No to the NHI Bill
No. People are best served by the private sector. Government is incompetent and cannot be trusted. Keep out and let the 4th industrial revolution take care of this.