BUSA: NHI Bill will hamper SA’s quality healthcare

Business Unity South Africa (BUSA) has expressed deep concerns over the implications of the National Health Insurance (NHI) Bill on the quality of healthcare in the country. In a recent interview, Khulekani Mathe, CEO designate of BUSA, highlighted the organization's stance on the matter. Mathe acknowledged the importance of universal health coverage, which is the objective of the NHI, but raised concerns about how the current structure of the bill excludes other players, particularly the private sector. With the South African economy facing challenges, BUSA emphasized the need to leverage all available resources and collaborate with the government. However, the organization believes that signing a bill that shuts out other stakeholders is counterproductive and does not make sense during these trying times. One of the key issues BUSA highlighted is the lack of clarity on how the NHI will be funded. The organization warned that the funding requirements for the NHI could be exorbitant and unaffordable, potentially leading to tax hikes or costly funding models. BUSA emphasized the importance of detailing the funding mechanisms to allow for proper scrutiny and evaluation by all stakeholders. Additionally, BUSA raised concerns about the government's reluctance to engage with alternative proposals from the private sector. Despite putting forward suggestions for a gradual introduction of the NHI, BUSA noted that decision-making has been delayed, and critical input has not been considered. The organization expressed a sense of betrayal over the lack of collaboration on this crucial issue. Mathe stressed BUSA's commitment to collaborating with the government on other initiatives but cautioned that proceeding with the current version of the NHI bill could have significant repercussions. BUSA believes that the concerns raised by various stakeholders, including the private sector, academics, unions, and medical professionals, should not be disregarded. Mathe likened the situation to going into a crucial match without heeding the feedback from essential team members. While acknowledging the need for universal health coverage, BUSA reiterated its support for expanding access to quality healthcare through sustainable means. The organization cited proposals for low-cost benefit options that could potentially bring in millions of individuals without compromising the healthcare system's integrity. Responding to criticisms about the expensive nature of South Africa's medical aid system, BUSA clarified that it is not against reforms but advocates for responsible implementation to safeguard current and future interests. As the country awaits the president's public signing of the NHI bill, BUSA refrained from speculation on potential legal action but indicated a willingness to explore all options to ensure a healthcare system that is effective and protects stakeholders' interests. Despite the challenges ahead, BUSA remains committed to engaging with the government and advocating for a healthcare system that serves the needs of all South Africans.