Tag: HealthcareReform
The healthcare gap – millions caught between two unequal systems
The recent Constitutional Court ruling on South Africa's Certificate of Need (CONS) provisions marks an important inflection point in the country's healthcare debate. The court found that the provisions failed the constitutional rationality test. While the objective of improving equitable access to healthcare and addressing historical imbalances cannot be faulted, the court concluded that the chosen mechanism had no rational connection to the outcome it sought to achieve.
Medical scheme sustainability – a sector under pressure
We have launched our inaugural State of Medical Schemes Report (SOMS). The report brings together the views of medical scheme leaders, new data illustrating the scale of protection provided by medical schemes, and modelling of reforms that could strengthen the sector’s long-term sustainability.
Healthcare reform must be built on stability, not slogans
Healthcare policy in South Africa has become emotionally charged. While National Health Insurance (NHI) is often presented as an inevitable endpoint, medical schemes are portrayed as temporary structures awaiting replacement. The 2026 Healthcare Budget tells a more sober story. What stood out to me was not dramatic reform but restraint. The government did not introduce a new NHI tax.
