Abstract
Kgosi Letlape is passionate about the need for all South Africans to be able to access health care without having to pay for it at the point of access. So spirited is he about the issue that he is asking fellow doctors to abandon private medical schemes until key reforms are made in the public-health-care system. During our lunch in Orchards, Johannesburg, Letlape, who is chair of the South African Medical Association (SAMA), says the country's public-health-care system faces key challenges: 70% of all doctors in the country are in private practice, about 5·3 million people have HIV/AIDS, and 300 000 individuals contract tuberculosis every year.
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