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Mon May 20 17:35:36 SAST 2013

Regulate health costs: Motsoaledi

I-Net Bridge and HARRIET MCLEA | 04 July, 2011 23:4721 Comments
Aaron Motsoaledi
Image by: Robert Tshabalala

Private healthcare prices in South Africa have to be regulated, Health Minister Aaron Motsoaledi said.

Speaking at the Board of Healthcare Funders conference at Sun City, Motsoaledi called for a pricing negotiation forum, saying healthcare in South Africa was "predatory".

He said the health structure was worse now than during apartheid.

"There is a tendency to believe that a long and healthy life is the right of those that can afford it and that is totally wrong," he said.

"The reality is that our people are dying in large numbers. We are running a healthcare system in this country that is not working."

The solution lay in re-engineering the primary healthcare system.

Motsoaledi announced a plan to introduce three streams of care, which would have a particular impact in rural areas.

Board spokesman Heidi Kruger welcomed Motsoaledi's comments, saying: "I think it's brilliant. The sooner it comes through the better. We can't have a situation where there is no containment on costs."

Kruger said private healthcare providers charged whatever they wanted, "pushing up" medical aid premiums.

The current system was an "open-ended liability for funders" so medical schemes could not budget properly.

Regulating healthcare costs would be "very constructive" and "provide certainty", Kruger said.

Motsoaledi is hoping to begin setting up the pricing forum by the end of the year.

However, he told delegates at the conference that hospitals were creating a stumbling block in the process because that sector did not want to have its prices regulated.

Motsoaledi accused the public and private health sectors of "engaging in destructive, unsustainable practices". He was particularly outspoken about the high cost of private hospital treatment and called for a stronger emphasis on primary care, rather than the present curative system with its "rapidly escalating" costs.

"The public health system is in a crisis of quality and I am going to deal with it head on, but it is not an excuse for profiteering," he said.

"Our country is going in the wrong direction . all of us, public and private," he said. "We have a predatory healthcare system where the sick and the vulnerable are the ones who get attacked."

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Regulate health costs: Motsoaledi

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COMMENTS [21]

Wort

Posted 685 days ago
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Aaron is taking his eye off the ball. The problem really isn't the outrageous price of private medicine. It's the lack of alternatives in the form of a well-funded, efficiently-run but lean and mean PUBLIC hospital system. Patients need to be treated by expert medics, fed three nourishing basic meals a day, rest undisturbed in clean beds and have a nurse attend to any reasonable calls, such as a bedpan, a dressing changed or a soothing cup of tea or glass of water on a 24/7 basis. When that is in place all across the nation and never more than 200km from anywhere you may live, only THEN you dot around a number of primary health clinics/ambulance-paramedic stations -- either attached to an existing hospital or as stand-alone buildings in areas too small and remote to have a full hospital.

gale

Posted 685 days ago
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The minister is responsible for the public healthcare system and that it totally rotten. This is merely an attempt to fiddle with the private healthcare system which is our only hope when we get sick. Please keep your dirty corrupt hands off our healthcare system. Typical African Nationalist Criminal (Afronazi).

dinkum2

Posted 685 days ago
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Absolutely correct - Aaron.

Our people are dying in public hospitals due to the high prices in private care.

It is logical!

If the private healthcare was affordable then our people would be able to get excellent care instead of being murdered in public facilities.

Here's a thought - Aaron:
if we punish tax-payers by an additional 5 to 10% surcharge then it becomes affordable and to hell with the overtaxed public - that's REAL medicine!

Laughable incompetent ANC BULLDUST!

Beelzebub

Posted 685 days ago
Avatar
By nature private healthcare will always cost more ... duh, but in sunny RSA private healthcare is downright expensive.

But what is the alternative?
Haven't we seeing the insides of state hospitals?
Haven't we read stories about state nurses who don't see the need to do their job?
Haven't we read stories about lack of equipment caused by rampant corruption?

Which can you afford?
Spending money on private healthcare? Money can be replaced, your life cannot.
...or...
Taking a gamble on a state hospital?

pws80

Posted 685 days ago
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Right, so public health is a complete f$%k up because of the ANC, and it is the private health providers fault. Mmmm. ANC logic at its best, hey Aaron. Can't believe I backed you so much in the past.

You are just like the rest of the ANC scum, useless, a liar, you can't take responsibility for your own inability and inaction, so blame the private sector for being competent.

deepthroat

Posted 685 days ago
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I see now that the "public healthcare cookie jar" have been looted with nothing left, the "comrades" now want to also raid the "private healthcare cookie jar".

What will the next minister of health have to say in 10 years when the government have also destroyed the private healthcare sector. Just go and ask our neighbors in Zimbabwe.

Why must I be responsible for other citizens healthcare costs when I am already over taxed, and then the minister also wants me to contribute to NHI and then on top of that I will also have to pay for for private healthcare because NHI will not deliver quality health care.

Maybe its time that GEMS members are forced to use public healthcare facilities so that government officials can experience the kind of service that they provide to the citizens of this country. This will also be a excellent way to get revenue into the public healthcare system.

Baragwatath hospital dispenses about 3 000 000 ARV scripts per month, the whole system is done manually. There is no control, no systems in place, all drugs are received and dispensed manually. Eat that minister.

When was the last time you visited a day clinic at a public facility, have you seen what the filing rooms look like, that is why patient have to wait for days on end before they can be seen. It is a administrative disaster, the file are lying on the ground in heaps. Patients still have to bring a card with them like the old library cards we used 20 years ago!

Now you want to come and destroy the private system and degrade it to the same level to make up for the levels of incompetence in the public system. Looter!

The government created its own monster, so first go and fix your own mess and dont take the whole country down with you.

Avatar

TheNewOrder

Posted 685 days ago
I'm with you on this one. It should be mandatory for ALL government officials, starting with the President himself, to have to go to state hospitals and public health institutions for medical treatment. One sure fire way of getting the state hospitals up to standard. But then, how many of our ministers will survive the trip, with the current state of our hospitals?
Avatar

stonearch

Posted 685 days ago
Ministers and officials forced to use public healthcare. Absolutely brilliant, brilliant, brilliant ....

Siiinudeity

Posted 685 days ago
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Its funny how Aaron tries to switch focus from public healthcare, by targetting private healthcare. It seems that he's given up on the public system, and wants all South Africans to switch over to private hospitals.

Do your job dude.

Biko-Lives

Posted 685 days ago
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This is a progressive call by the minister that must be supported by all! It is about high time that the Private Health Care must stop operating in a silo and come to party with the rest of us in building this developmental state! If needs be we must drag them kicking and screaming until we ensure that affordable healthcare is accessed by all and not reserved for a few elite! However we should not limit this stance on health care alone we need to roll over this initiative to private education as well!!
Avatar

dinkum2

Posted 685 days ago
I'm totally with you -comrade!

We need to destroy every vestige of excellence <id white> and replace it with revolutionary incompetence <ie black>.

This is the socialist imperative of our times and luckily we have people like you and Foolius to lead the way.

Yours affectionately and revolutionary in solidarity.

Forward the struggle!
Avatar

deepthroat

Posted 685 days ago
Unfortunately we will never agree as a matter of principle. I am a capitalist and you are a socialist/communist.

I believe in a free market where your success is determined by how efficient and competent you are. Where the price of the service you offer is determined free market influences and not by government. Where jobs can only be created sustainably in the long term by growing private industry and business and not by government. For this to happen you have to create a stable environment where investors are prepared to invest money to create what is required. Government can only support this process and provide services to us using tax revenue from this investors. Not by killing the goose that laid the golden eggs.

You on the other hand are a socialist who believe that the world owes you everything, that everything must be regulated, controlled and nationalized because that is the only way you could get you hands on resources. You cannot do it with competency and skill playing by the global rules.

So in principal I cannot agree with your socialistic, communist and idiotic views.
Avatar

TheNewOrder

Posted 685 days ago
F%$@!! but you are stupid!!

pws80

Posted 685 days ago
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Helen Joseph is flooded, Motsoaledi blames MediClinic

Bara generators fail, Motsoaledi blames Netcare

Dozens of babies die in EC PUBLIC hospitals because they are so dirty, Motsoaledi blames Discovery.

Yes, Motsoaledi, these evil private companies are the reason public health is failing.

Right? RIGHT?

What a complete fool.
Avatar

dinkum2

Posted 685 days ago
@smaiza
Well said, all hospitals - be they private or state - should offer the same sub-standard care at affordable cost.
What are you smoking this morning?

BTW:
I myself - at 64 - cannot afford hospitals at all - have no medical aid and will NOT enter a state hospital.
In case of need a bullet is the cheapest option.
Avatar

Smaiza

Posted 685 days ago
Maybe those dozens of Babies were not going to die, if the so called private hospitals pricing was the same as public hospitals and by the way those doctors gets training from the public hospitals before.

How many babies died today in public hospital pws80, cause you know too much?
Avatar

deepthroat

Posted 685 days ago
@ Smaiza
Let me explain to you as you seem to miss the whole point:
You said: "Maybe those dozens of Babies were not going to die, if the so called private hospitals pricing was the same as public hospitals and by the way those doctors gets training from the public hospitals before."
1.They are called private hospitals for a reason, they are managed and funded by private companies who's main aim in life is to make a profit. Why do you think the Hilton hotel charges more than the Formula 1 Hotel? Because people who stay in the Hilton are prepared to pay more. Using your argument I must be able to go to the Hilton hotel and demand to get the same I get for the price of the Formula 1 Hotel.
2.Private hospitals are not NGO's, the reason they can afford better resources is because they can prepared to pay market price.
3.No professional person will commit long term careers in the chaotic circumstances we have in these public facilities. I bet you will not last more than 2 years.

You said: "How many babies died today in public hospital pws80, cause you know too much?"
They did not die because he knows too much. The died because of dirty public hospitals, nurses who are not competent or motivated to do the most basic things like washing hands, keeping the wards clean, act like they actually care about the babies. If they did that the babies would not have died.

You walk into any private hospitals and yo will see that the most stringent rules are enforced when it comes to hygiene, then go into a public facility and observe the same. If the public service just do the basics right which does not take money but attitude to doe the right thing these things will not happen.

Get your facts right first before you come and waste your brain on this forum making Foolius statements.

stonearch

Posted 685 days ago
Avatar
This motormouth has just set the stage for the next professional healthcare flood out of the country. The ideal, logical and most insightful way ever experienced to fight rising prices lol. These guys really do have the brainpower of a donkey. Next thing we will be told that the West is "stealing" our medics as part of a conspiracy between the West and apartheid proponents in order to "subjugate" poor African victims. LMFAO!

TheNewOrder

Posted 685 days ago
Avatar
"He said the health structure was worse now than during apartheid." - Health Minister Aaron Motsoaledi

So apartheid wasn't ALL bad then!!
Avatar

stonearch

Posted 685 days ago
You have to ask how the indigenous population managed to grow from 4m to 40m under apartheid if it was that bad lol! I don't know of any other African country that came even close!

kh'allawaya

Posted 685 days ago
Avatar
.......The Health Minstrel is launching the pre-empting attack based on misinformation and conveniently disguised half-truths to justify to the ignorant and naive minds, the imposition of a failure of a National Health system.... Where will he find doctors and qualified people to work in dilapidated and mismanaged public health institutions????

...How about explaining the construction of a state-of-the-art hospital for VIP (ANC) elite and who is going to staff such??????......