National Health Insurance implementation has hit a fresh legal speed bump. This happened after the Department of Health and multiple organisations challenging the NHI Act agreed to freeze court action while the Constitutional Court weighs in on how Parliament handled public participation. The pause was made an order of court in the Pretoria High Court on Tuesday, 24 February 2026,…
Tag: health policy
-
Medical Tax Credits: Schemes Urge Godongwana for Budget Boost
South Africa’s two biggest industry bodies for medical schemes are urging Finance Minister Enoch Godongwana to keep medical tax credits in place and increase their value in the upcoming Budget. They argue the credits are critical to keep private cover affordable for working families, especially as costs rise. The call comes as the health department pushes to phase out medical…
-
NHI Implementation on Hold After Presidential Undertaking
President Cyril Ramaphosa has formally undertaken not to bring any part of South Africa’s National Health Insurance (NHI) Act into operation until the Constitutional Court has ruled on two challenges focused on public participation. The undertaking was conveyed in a letter dated 20 February from the Office of the State Attorney. It states the president “undertakes not to promulgate any…
-
Childhood Cancer Diagnosis: The Impact of Delayed Treatment
South Africa diagnoses too few children with cancer, a gap that experts say costs lives. In the Cape Town metro, the Western Cape health department estimates that clinicians diagnose about 100 children under 15 with cancer each year. Rates are broadly stable, but case numbers are rising with population growth. Nationally, the Cancer Association of South Africa (CANSA) estimates that…
-
Medical Negligence Compensation Reform Impacts on Budgets
South Africa’s system for compensating victims of medical negligence is under severe pressure. Nowhere is that clearer than in the Eastern Cape. The province paid out more than R630m in medical negligence claims in the 2024/25 financial year. That is about 2% of its R30.1bn budget. The Eastern Cape governent didn’t plan for these payouts, and the result is predictable.…
-
US Childhood Vaccine Schedule Under Legal Challenge
Major US medical organisations are asking a federal judge in Boston to urgently block new federal guidance that reduces the number of vaccines routinely recommended for children. The debate centres on whether changes to the US Childhood Vaccine Schedule by the administration could impact public health. In addition, the case is shaping up as a pivotal test of how far…
-
Value-Based Healthcare: A New Approach to Care
South Africa’s medical aid market is under fresh scrutiny for a pattern that clinicians and members know too well. This has prompted renewed discussion about value-based healthcare and its potential to improve patient outcomes and system sustainability. Schemes routinely fund high-cost, late-stage interventions. Yet they often resist paying for prevention and side-effect management that could avoid hospital admissions later. This…
-
NHI Public Participation Challenge Reshapes Legislative Focus
\n\nGetty Images for Unsplash\n\n\n\nThe shift matters because it could determine the fate of several parallel cases. The court has signalled that if the public participation challenge succeeds, arguments about the President’s decision to sign may become irrelevant. In practical terms, this means the court may delay the most politically charged question – whether Ramaphosa acted rationally when signing the NHI…
-
Botswana Medicine Shortages Expose Deep Procurement Failures
Across Botswana, patients are growing used to a sentence that lands like a warning. “Ga gona molemo.” Your medication is out of stock. For mothers at clinics, elderly patients and people living with chronic illness, the phrase signals more than inconvenience. It means interrupted treatment, rising anxiety and, in some cases, worsening health. Health experts and former officials say the…
-
Busa Seeks an NHI Meeting with President Ramaphosa
Business Unity South Africa (Busa) has backed Finance Minister Enoch Godongwana’s call to cool tensions around National Health Insurance (NHI). In fact, Busa seeks an NHI Meeting to ensure there is structured engagement with the Presidency in the first quarter of 2026. The aim is to discuss proposals previously submitted to President Cyril Ramaphosa. Busa is the largest umbrella body…
-
National Health Insurance Negotiations: SAMA Seeks NHI Talks
South Africa’s largest doctors’ organisation, the South African Medical Association (SAMA), is preparing for fresh talks with Health Minister Aaron Motsoaledi on the future shape of National Health Insurance (NHI). The move follows a public push by Finance Minister Enoch Godongwana for organisations challenging the NHI Act to consider negotiating a settlement, rather than prolonging court battles. SAMA is one…