DDF Health Care Policies vindicated

Direct Democracy Forum’s (DDF’s) health care policies have been vindicated by a top South African medical aid expert.

In an article How the government took away the hope of private healthcare from millions of currently uninsured”, Eve Dmochowska, who has made knowledge of the provision of medical aid and medical services her business, slates the ANC government for leaving the public health system in total disarray and promising delivery of a universal public health system only in 14 years time. In the article she points out that “the government is already running a universal healthcare system, and failing miserably. Everybody has access to state healthcare already, and those who cannot afford the healthcare receive it for free.” So, we ask, what is going to change in 14 years time?

Ms Dmochowska also asserts that in the light of their abysmal track record in health care, government should extract themselves from the provision of health care and that “If the (medical aid) schemes were incentivised with R3-billion reasons per month to make private primary healthcare work for 10 million people, I bet you they could. And I bet you they would”.

So what is Ms Dmochowska proposing if not in essence the DDF’s health care policy.

We further quote Ms Dmochowska to make the point:

The government would benefit greatly if the burden of providing primary care to 10-million people was removed from the public system. It could improve the service levels to the remaining 25-million uninsured. Or it could even outsource the entire primary healthcare problem to the private sector: pay the premium and leave the logistics to the private sector. In return, the government would further benefit from lower public hospital admissions levels as good primary care is preventative of long term health problems”

This is almost exactly what the DDF are proposing, except we also propose to privatise nearly all the public health care delivery systems. Not only would it extract government from the invidious position of overseeing a system engaged in an ever downward spiral, but it would also put the patients in the driving seat. It says to the service provider, ‘provide the service and we the patients will support you. Don’t provide the service and we will go elsewhere, because we can’.

This is not just handing over a huge market to the private sector to profiteer from but instead the patients will insist that they must deliver in order to profit from the system. As does Ms Dmochowska, we also bet they could and bet they would, both deliver to their patients and profit from that process.

We at the DDF think this is a good thing and we doubt it would take fourteen years to deliver.

See also 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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