How to Fund a National Health Insurance Scheme

The DDF (Direct Democracy Forum) have blithely aimed to initiate a National Health Insurance Scheme for South Africa, based on a monthly deduction of R600 from their proposed UBI/BIG (Universal Basic Income/Basic Income Grant). The DDF have been avoiding the issue of how that would work, money-wise, largely because they did not know, with any certainty, what spend was needed.

Some research along with an independent source (Compare Guru) puts that spend at 8.8% of the GDP.

The arithmetic for that is as follows:

Assume a GDP of R3 Trillion.

The SA’s health spend is said to be 8.8% of the GDP = R3 Trillion X 8.8% = R264 Billion (includes public and private resourced health care).

Assume a Citizenry of 35 Million each getting a UBI/BIG, from which is deducted R600 per month and paid over to the NHIS.

So contributions from the UBI = R600 X 35 Million per month X 12 (for a year) = R252 Billion.

The point being that the R252 Billion contributions from the UBI/BIG are in the ballpark for the national health spend of R264 Billion.

The conclusion is that a NHIS funded from a UBI/BIG is doable.

We believed that was the case but it is nice to have some numbers with which to back it up.

See DDF Health Care Policies

The Failure of BEE

Siya Khumalo lamented HERE at how BEE had been used to benefit the few instead of the many. BEE (Black Economic Empowerment) is a policy of giving preference to those previously excluded from the economy by the Apartheid policies of the Nationalist Governments between 1948 and 1994. While it is true that few benefited from it while many did not, his plea that BEE should be made to work for the many set me to thinking that it was just one of many ANC policies that did not work for South Africa because the ANC simply did not and does not work for South Africa, but for itself.

This was my response to the article:

I am leader of Direct Democracy Forum (DDF), a registered SA political party (http://ddforum.co.za).

Maybe it is just the circles I mix in but I do not and have not, for many years, known any white or black South Africans who are unwilling to share what they have in terms of time, skills, expertise and knowledge, with their fellow South Africans, so I think Siya Khumalo’s analysis of our dilemma is a bit simplistic.

First, BEE has not and will not work because it interferes with our constitutionally guaranteed freedom of association.. The only sound economic policy for South Africa is a colour-blind policy that seeks to lift all out of poverty by engaging all, fully, in the South African economy, irrespective of their race, colour or creed. That will allow us all to share our time, skills, expertise and knowledge with our fellow South Africans, irrespective of our race, colour and creed. This would be a multi-directional engagement by and between us all based on the freedom to choose and the freedom of association guaranteed by our constitution. ANC policies, if anything, have stifled that freedom for too long and need to be discarded as soon as possible.

The problem is far more systemic than to bee or not to bee. It is more correctly viewed as the extent to which government should be and has been allowed to intrude into the private, commercial and industrial lives of its citizens.

Thuli Madonsela’s state capture report epitomises the extent of the abuse of that relationship by certain government agents and certain private citizens for the enormous profit of the few and the general expense of the many. In the opinion of the DDF this is criminal, and if not so, it should be.

DDF policies, are intended to address the many problems faced by our country and its citizens, on many levels and in many ways, and to provide our citizens the freedom to engage with one-another free of government restrictions and limitations.

It is our perception that most folk have enormous good will for one-another, and that if allowed to engage with one-another free of restraint, will do so for the betterment of themselves and of all, and, as they do that, South Africa will start healing from the scars of its history.

John Barrington.

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