The feasibility of the proposed National Health Insurance in South AfricaNational Health Insurance (NHI) is an insurance program that was released on Friday 12 August 2011 in South Africa, which aims to introduce an innovative health financing system that will only benefit South African health outcomes. The main goal of the NHI is not to build more hospitals across the country, but to improve access to them. The policy aims to "ensure that everyone has access to adequate, efficient and quality health services" - (Department: Republic of South Africa Health, 2011), at a national level. It is said that the NHI will be implemented, slowly, over the next 14 years (currently, over the next 11 years) and will improve service delivery in the public healthcare system in the country. The government is currently funding the public healthcare sector, with 8.5% (with 4.1% going to the private sector and 4.2% going to the public health sector) of GDP going to healthcare in South Africa. It therefore ranks 47th out of 188 countries in terms of health, which is quite worthy, in a financial sense, compared to a small country like Qatar, with a sum equal to 1.9% of annual GDP spent on health - (The World Bank, 2014). However, the spending is relatively low compared to the 17.9% figure the United States spends on its country's health. Furthermore, the life expectancy of the average citizen in the United States is 78.64 years, in Qatar 78.25 years, and 52.64 years in South Africa. Therefore it can be concluded from the above findings that although Qatar spends 1.9% of its GDP on healthcare, its healthcare system is used efficiently and works to the benefit of its citizens; they are full of resources when... in the center of the card... there are the sectors. From both an institutional and financial perspective, we can see that NHI policy is detached from the realities of the country's healthcare systems. If the NHI is implemented, along with inflation, healthcare costs will increase dramatically. This could, in turn, negatively affect our economy. It does, however, have advantages: the improvement of the health status in the country, which could essentially lead to a healthier population and workforce. However, the negative aspects of the NHI are more evident than the positive ones. With limited resources you can only actually guarantee a certain amount of health. We can all agree that the current healthcare system needs to change dramatically. “The NHI Green Paper appears to be a step in the right direction, but many essential aspects are not adequately addressed” - (Econex, 2011).
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