Abstract

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Highlights

  • The paper noted that spending through medical schemes in South Africa is the highest in the world and is six times higher than in Organisation for Economic Co-operation and Development (OECD) countries

  • The projections are expected to take the level of public health spending from approximately 4% to 6.2% of gross domestic product (GDP) by 2025/26, with the assumption that the economy grows at an annual rate of 3.5%

  • The White Paper surmises that the National Health Insurance (NHI)’s financing requirements are uncertain, and in part depend on public health system improvements and medical scheme regulatory reforms, which have not yet been fully articulated

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Summary

Introduction

On 10 December 2015, South Africa’s Health Minister Dr Aaron Motsoaledi, released the long awaited National Health Insurance (NHI) White Paper (version 40) providing the background and justification of the country’s moves to join other countries like Brazil, United Kingdom and Thailand in introducing universal healthcare coverage. The private medical aid sector comprising of 83 medical aid schemes that fund healthcare services for about 16 percent of the population.

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