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This thread is by no means comprehensive with regards to the #NHIBill but here goes.
Nationalised healthcare, otherwise known as universal healthcare, is generally bound by something called the ‘Iron Triangle’. It states that with regards to healthcare systems you can have any 2 of the following:
- Access
- Quality
- Cost effectiveness
Never all 3.
- Access
- Quality
- Cost effectiveness
Never all 3.
The reason for this is simple economics which acknowledges that hospitals and doctors are finite resources, and the field of healthcare an ever expanding list of treatement options and procedures. With enough money it is possible to ‘break’ the Iron Triangle but only temporarily.
In principle, healthcare should not be a for-profit enterprise because that corrupts best practice. Doctors’ decisions should not be influenced by how much money a decision will make them, but by benefit to their patients. /1
Having said that, the #NHI that Motsoaledi is proposing will be a complete disaster. The SA govt can’t deliver my mail on time, or keep the lights on; they can’t be trusted with my healthcare. /2
With the economy in the condition it is, and with a manifestly corrupt and inept govt in charge, #NHI remains a pipe dream. Motsoaledi is pushing hard because he thought this would be his legacy /3
