Remember the Esidimeni crises when a mental health care facility was closed and patients transferred willy-nilly to other ill-equipped facilities. A health ombudsman report suggests that as many as 80 (others say more and still counting) patients may have died as a result of that fiasco and not just 36 as originally reported.
Could things get worse? Apparently they can.
The San Michele Home, a flagship facility for mental health care, faces being closed because the Gauteng Health Department is withdrawing the R3400.00 per patient per month subsidy, because, the department claims, the facility does not comply with the regulations for such an establishment. These regulations were recently changed and, it is claimed, are excessively stringent and, in any event, the home has not been given a reasonable opportunity to comply with the new regulations.
Forget the San Michele Home for a moment. It appears that as many as 160 (one hundred and sixty) mental care facilities face closure for the same reasons. San Michele Home has about 200 patients in its care, so let us assume that each of the 160 homes have on average100 patients in their care. That means that some 16 000 patients (or more) are at risk, something that reduces the Esidimeni crises to a level of insignificance that is truly frightening.
It seems that the Gauteng Health Department are trying to discard their subsidy obligations to the mentally ill community and, quite callously, do not care much about the risk of a few more deaths here and there.
One would have thought that they would have learned from the Esidimeni fiasco, but apparently not.
But the Direct Democracy Forum (DDF) are not here to berate the Gauteng Health Department for whatever their lapses may be, merely to observe that if a Basic Income Grant of R5000 per month for every adult South African were in place, all sixteen thousand or so patients would not be at risk, because they could provide for their own medical subsidy at the facility of their choice, and would not need to be subsidised by a reluctant province or even an unwilling national government.
For those who would ridicule the idea of a Basic Income Grant, see how to pay for a basic income grant and take a look at DDF policy on the Basic Income Grant (BIG) and DDF policy on the Total Economic Activity Levy (TEAL).
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