NDOH Minister Aaron Motsoaledi Presentation

114 Pages·2016·3.62 MB·English

National Department of Health
Competition Commission Inquiry into
Private Healthcare Market
Minister of Health
Dr PA Motsoaledi, MP
11 March 2016
Overview
1. Guiding Principles & Vision
2. Evolution of Private Health Sector
3. History of Regulation
4. History of Tariff Setting
5. Market Response to the Absence Tariff
6. Effect of Private Market on Public Sector
7. Overview & Solutions

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1. Guiding Principles & Vision
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World Health Organisation
The preamble to the Constitution of the World Health
Organisation reads :
• Health is a state of complete physical, mental and social
well-being and not merely the absence of disease or
infirmity. The enjoyment of the highest attainable standard of
health is one of the fundamental rights of every human
being without distinction of race, religion, political belief,
economic or social condition. The health of all peoples is
fundamental to the attainment of peace and security and is
dependent upon the fullest co-operation of individuals and
States.
Adopted 19-22 July 1946 New York

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Declaration of Alma-Ata
International Conference on Primary Health Care, Alma-
Ata, USSR, 6-12 September 1978

Declaration II

The existing gross inequality in the health status of the
people particularly between developed and developing
countries as well as within countries is politically, socially
and economically unacceptable and is, therefore, of
common concern to all countries.

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Universal Health Coverage

• These responsibilities find expression in the goal of
universal health coverage.

• The goal of universal health is to ensure that
All people obtain the health services they
need without suffering financial hardship
when paying for them.

(WHO Definition of universal health coverage)

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The Republic of South Africa Constitution
The South African Constitution and Bill of Rights enshrines the
right to healthcare. Section 27 of the Constitution provides
that:
(1) Everyone has a right to have access to -
(a) healthcare services, including reproductive health
care…
(2) The state must take reasonable legislative and other
measures, within its available resources, to achieve the
progressive realisation of each of these rights.
(3) No one may be refused emergency medical treatment.
(Act 108 of 1996)
The State has a clear obligation to
ensure access to healthcare for all.
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National Health Act
• The National Health Act gives effect to the constitutional
right to access health care services, as well as
government’s responsibilities in realising this right.
• The NHA provides for a single national health system,
in order to provide the population of the Republic with
the best possible health services with available
resources.
• Additionally, it explicitly encompasses both public and
private providers of health

(Act 61 of 2003)
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National Development Plan
The NDP provides a clear roadmap to guide health
system restructuring towards the goal of better health
for all and that in 2030:

“…There has been a significant shift in equity,
efficiency, effectiveness and quality of healthcare
provision. Universal coverage is available....”
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Sustainable Development Goals

Target 3.8
Achieve Universal Health Coverage including financial risk
protection, access to quality essential health care services
and access to safe, effective, quality and affordable essential
medicines and vaccines for all.

(Adopted at the United Nations General Assembly 25 September 2015)

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