Committee of Enquiry - Health Chapter

Inquiry into the various Social Security Aspects of the South African Health System

Department of Health

14 May 2002

Based on the Health Subcommittee Findings of the Committee of Inquiry into a Comprehensive System of Social Security

Title: Policy Options for the Future Covering

• Public/Private integration
• Public hospitals
• Provincial budget process
• Medical schemes
• Social Health Insurance
• National Health Insurance

1. Introduction
2. South African Health System: a review
3. Stakeholder views.
4. The achievement of equity within the health system.
5. Financial framework of the public health system.
6. Reform of the tax regime and subsidies for medical scheme cover.
7. Risk-equalisation.
8. Late joiner penalties and mandatory medical scheme cover.
9. Cost containment in the private sector.
10. Public hospital reform.
11. State-sponsored medical scheme.
12. Civil service medical scheme cover.
13. Medical savings accounts within medical schemes.
14. Key strategic challenges.
15. Integrated strategy for health systems reform.
16. Concluding remarks.

Bibliography