South Africa doesn’t have the money, logistics or systems to implement the NHI – and getting them in place within any reasonable timeline is impossible.
: logistically, in terms of pathway management, systems that are in place, and in terms of funding as well.”
“It’s a huge range,” the analyst said. “You would need a very sizeable change in revenue policy to fund that – none of which are politically, practically or economically feasible.” If the government goes broad enough, it could raise funds – but this would have to include payroll taxes, VAT hikes and a host of other measures that would carry deeply negative consequences for the country.
He said that in lieu of any implementation plan, the government will likely see what the response from the private sector will be. In many ways, it will depend on the private sector to parther with it to address the many shortfalls.
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